Carvalho Fábia, Medeiros Inês de, Faria Catarina, Cotu Djamilla, Will Endza Paula, Neves Edgar, Pontes Teresa
Pediatrics Department of Hospital de Braga, Rua das 7 Fontes, 4710-243 São Vítor, Braga, Portugal, Phone: +351 253 027 000, Fax: +351 253 027 999.
Pediatrics Department of Hospital de Braga, Braga, Portugal.
Int J Adolesc Med Health. 2017 Aug 22;32(1):/j/ijamh.2020.32.issue-1/ijamh-2017-0088/ijamh-2017-0088.xml. doi: 10.1515/ijamh-2017-0088.
Introduction The increasing number of pregnant teenagers in São Tomé and Príncipe (STP) represents a serious public health issue. The aim of this study was to characterize the population of pregnant adolescents followed in a health facility dedicated to maternal health in STP. Methods A cross-sectional survey was conducted among pregnant teenagers that attended the Mother and Child Protection Center during the first quarter of 2017. The survey contained questions on sociodemographic characteristics, sexual and risk behaviors, family, partners and health support. Results The mean age of the 51 pregnant teenagers included was 16.37 ± 0.8 years. Eight girls reported that they had planned to fall pregnant. Teenagers whose pregnancy was unplanned usually present with a previous family history of adolescent pregnancy. About 59% of girls engaged in sexual activity before 16 years of age with a mean number of sexual partners of 1.84 ± 0.88. In this study, 51% of the girls do not use any contraceptive method, usually because their partner refuses to do so. The preferred contraceptive method are condoms. Information on contraception is given mainly at school. Pregnant girls' first medical consultation was at a mean gestational age of 6 weeks. Abortion was considered by 51% of girls after pregnancy was confirmed. Conclusion Teenage pregnancy imposes health problems for the mother and child and contributes to educational and socioeconomic disadvantages. The collaboration of healthcare providers, teachers and parents is needed to enhance sexual health education. This is the first study in STP on teenage pregnancy; although the sample is small, the authors believe that the results are representative of the general population.
引言 圣多美和普林西比（STP）怀孕青少年数量的增加是一个严重的公共卫生问题。本研究的目的是描述在圣多美和普林西比一家专门的孕产妇保健机构接受随访的怀孕青少年群体特征。方法 对2017年第一季度到母婴保护中心就诊的怀孕青少年进行了横断面调查。该调查包含有关社会人口学特征、性与风险行为、家庭、伴侣及健康支持等方面的问题。结果 纳入研究的51名怀孕青少年的平均年龄为16.37±0.8岁。8名女孩报告称她们曾计划怀孕。意外怀孕的青少年通常有青少年怀孕的家族病史。约59%的女孩在16岁之前开始性行为，平均性伴侣数量为1.84±0.88。在本研究中，51%的女孩不使用任何避孕方法，通常是因为她们的伴侣拒绝使用。首选的避孕方法是避孕套。避孕信息主要在学校提供。怀孕女孩首次就医时的平均孕周为6周。51%的女孩在确认怀孕后考虑过堕胎。结论 青少年怀孕给母婴带来健康问题，并导致教育和社会经济方面的不利处境。需要医疗保健提供者、教师和家长合作以加强性健康教育。这是圣多美和普林西比关于青少年怀孕的第一项研究；尽管样本量较小，但作者认为结果能代表总体人群。
