Metello José, Torgal Mariana, Viana Rui, Martins Luísa, Maia Miguel, Casal Estér, Hermida Manuel
Hospital Garcia d'Orta, Almada, Portugal.
Rev Bras Ginecol Obstet. 2008 Dec;30(12):620-5. doi: 10.1590/s0100-72032008001200006.
to compare delivery and pregnancy follow-up among adolescent and non-adolescent pregnant women whose delivery occurred in a tertiary hospital from Região de Lisboa (Portugal).
retrospective study with 10,656 deliveries. Pregnancy follow-up, delivery type, need of episiotomy and severe lacerations, Apgar index at the fifth minute and the delivery weight have been evaluated. The pregnant women were divided into two groups, over and under 20 years old. The group with women under 20 was further subdivided in pregnant women under or over 16. The chi2 test has been used for statistical analysis.
adolescents presented worse follow-up: first appointment after 12 weeks (46.4 versus 26.3%) and less than four appointments (8.1 versus 3.1%), less dystocia (21.5 versus 35.1%), less caesarian sections (10.6 versus 20.7%), and lower need for inducing labor (16.5 versus 26.5%). There was no significant difference concerning gestational age at delivery and ratio of low weight newborns. Among adolescents, the ones under 16 had more low weight newborns (12 versus 7.4%) and more deliveries between 34 and 37 weeks (10.8 versus 4.2%).
in a hospital attending adolescents with social and psychological support, the fact of them having had a worse follow-up in the pre-natal phase, their performance has not been worse. Nevertheless, special attention might be given to pregnant women under 16.
比较在葡萄牙里斯本地区一家三级医院分娩的青少年孕妇和非青少年孕妇的分娩情况及孕期随访情况。
对10656例分娩进行回顾性研究。评估了孕期随访、分娩方式、会阴切开术及严重裂伤的需求、出生后第5分钟的阿氏评分和出生体重。将孕妇分为两组，20岁及以上和20岁以下。20岁以下组又进一步细分为16岁及以上和16岁以下的孕妇。采用卡方检验进行统计分析。
青少年孕妇的随访情况较差：12周后首次就诊（46.4%对26.3%）且就诊次数少于4次（8.1%对3.1%），难产情况较少（21.5%对35.1%），剖宫产较少（10.6%对20.7%），引产需求较低（16.5%对26.5%）。分娩时的孕周和低体重新生儿比例无显著差异。在青少年孕妇中，16岁以下的孕妇低体重新生儿更多（12%对7.4%），34至37周之间的分娩更多（10.8%对4.2%）。
在一家为青少年提供社会和心理支持的医院中，青少年孕妇在产前阶段随访情况较差，但她们的分娩情况并不差。然而，对于16岁以下的孕妇可能需要给予特别关注。
