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[青少年妊娠:母亲特征及其与新生儿出生体重的关联]

[Adolescent pregnancy: maternal characteristics and their association with birth weight of the newborn].

作者信息

Restrepo-Mesa Sandra Lucía, Zapata López Natalia, Parra Sosa Beatriz Elena, Escudero Vásquez Luz Estela, Atalah Eduardo

出版信息

Arch Latinoam Nutr. 2014 Jun;64(2):99-107.

PMID:25799686
Abstract

UNLABELLED

In Colombia, adolescent pregnancy is a public health problem, with serious implications for the health and nutrition of the binomial mother-child.

OBJECTIVE

assess socio-demographic, economic, food security, health and maternal nutritional status characteristics by anthropometric measures in a group of pregnant adolescents in Medellin-Colombia on their third trimester of pregnancy and associate them with the newborns weight.

METHODS AND MATERIALS

A cross sectional analytical study was made with 294 pregnant women (week 27 to 40), who participating in prenatal control program of the public hospital network in Medellin-Colombia. We sought Association of weight at birth with the explanatory variables.

RESULTS

underweight in pregnant women was presented in families that had lower income wages than the Standard Minimum Wage Income--SMWI-, adolescents who were younger than 15 years old and those who had a gynecological age less than five years. In newborns, the highest proportion of small children for pregnancy age was found in mothers who presented infections, low pregnancy weight and low family income less than the minimum wage. For those whose earnings was less than the minimum income the newborn weight decreased 118g (CI 95%: -2.5 a - 234.7), in addition, for each kilogram that increased the pre-pregnancy weight, newborn weight increased in 10,26g (CI 95%: 1.98 a-18.5).

CONCLUSIONS

low-weight pregnancy and low-weight newborns are associated with low family income. Pre-pregnancy weight, body mass index in the third trimester of pregnancy and mother's presence of urinary tract and vaginal infections were associated with the newborn's weight.

摘要

未标注

在哥伦比亚,青少年怀孕是一个公共卫生问题,对母婴的健康和营养有着严重影响。

目的

通过人体测量方法评估哥伦比亚麦德林市一组怀孕晚期青少年孕妇的社会人口统计学、经济、粮食安全、健康和孕产妇营养状况特征,并将这些特征与新生儿体重相关联。

方法和材料

对294名怀孕27至40周的孕妇进行了横断面分析研究,这些孕妇参与了哥伦比亚麦德林市公立医院网络的产前控制项目。我们寻求出生体重与解释变量之间的关联。

结果

家庭收入低于标准最低工资收入的孕妇、年龄小于15岁的青少年孕妇以及妇科年龄小于5年的孕妇存在体重过轻的情况。在新生儿中,孕期年龄偏小的比例最高的是那些有感染、孕期体重低且家庭收入低于最低工资的母亲。对于收入低于最低工资的母亲,新生儿体重下降118克(95%置信区间:-2.5至-234.7),此外,孕前体重每增加1千克,新生儿体重增加10.26克(95%置信区间:1.98至18.5)。

结论

低体重孕期和低体重新生儿与家庭收入低有关。孕前体重、孕期晚期的体重指数以及母亲是否存在泌尿系统和阴道感染与新生儿体重有关。

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