Cesar Juraci A, Mendoza-Sassi Raúl A, Gonzalez-Chica David A, Mano Patrícia S, Goulart-Filha Sirley M
Divisão de População & Saúde, Universidade Federal do Rio Grande, Brasil.
Cad Saude Publica. 2011 May;27(5):985-94. doi: 10.1590/s0102-311x2011000500016.
This study aimed to compare prenatal and childbirth care received by teenagers and older mothers in Rio Grande, Rio Grande do Sul State, southern Brazil. From January 1st to December 31st 2007, all mothers were interviewed with a standardized questionnaire on the care they received. The chi-square test was used to compare proportions between adolescent and non-adolescent mothers. One-fourth (516) of the infants were born to adolescent mothers. Compared to older mothers, teenagers showed lower rates of the following: completion of at least six prenatal visits (61% x 75%), initiation of prenatal care in the first trimester (58% x 77%), tetanus vaccination (81% x 85%), and completion of prenatal visits with the same health professional (70% x 78%). Meanwhile, teenage motherhood was associated with more: supplementation for iron deficiency (66% x 57%), use of forceps (11% x 6%), and episiotomy (86% x 66%). The findings show that teenage mothers received worse prenatal and childbirth care than older mothers.
本研究旨在比较巴西南部南里奥格兰德州里奥格兰德市青少年母亲和年龄较大母亲所接受的产前护理和分娩护理情况。2007年1月1日至12月31日期间，所有母亲均接受了关于她们所接受护理情况的标准化问卷调查。采用卡方检验比较青少年母亲和非青少年母亲之间的比例。四分之一（516名）婴儿的母亲为青少年。与年龄较大的母亲相比，青少年在以下方面的比例较低：至少进行六次产前检查（61%对75%）、在孕早期开始产前护理（58%对77%）、破伤风疫苗接种（81%对85%）以及由同一名医护人员完成产前检查（70%对78%）。与此同时，青少年母亲更多地出现以下情况：缺铁补充（66%对57%）、使用产钳（11%对6%）和会阴切开术（86%对66%）。研究结果表明，青少年母亲所接受的产前护理和分娩护理比年龄较大的母亲更差。
