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[巴西米纳斯吉拉斯州内陆一家妇产医院中青少年母亲和成年母亲的妊娠史及产前护理特征]

[Gestational history and prenatal care characteristics of adolescent and adult mothers in a maternity hospital in the interior of Minas Gerais, Brazil].

作者信息

Santos Luciana Angélica Vieira, Lara Maristela Oliveira, Lima Renata Caroline Ribeiro, Rocha André Freire, Rocha Euza Mara, Glória José Cristiano Ramos, Ribeiro Gabriela de Cássia

机构信息

Departamento de Enfermagem, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM). Rodovia MGT 367/Km 583/5000, Alto da Jacuba. 39100-000 Diamantina MG Brasil.

Fundação Hemominas. Diamantina MG Brasil.

出版信息

Cien Saude Colet. 2018 Feb;23(2):617-625. doi: 10.1590/1413-81232018232.10962016.

DOI:10.1590/1413-81232018232.10962016
PMID:29412419
Abstract

The scope of this research was to analyze the gestational history and prenatal care characteristics of adolescent and adult mothers in a maternity hospital located in a city in Minas Gerais, which is a hospital of reference in the macro-region of health of Jequitinhonha. It involved a descriptive cross-sectional study. A total of 327 mothers were interviewed between May 2013 and March 2014 using a semi-structured questionnaire. With a sample of 255, the number of adult women was predominant. With respect to prenatal care, 324 pregnant women had medical appointments. In terms of the location for prenatal care, 79.2% of adolescents were attended in the public health service, while that percentage was 60.4% among adult women. Regarding the type of birth, 54.7% of mothers had normal delivery and 45% had cesarean section. Among adolescents, there was a higher percentage of normal delivery compared to adult women and this data had a statistically significant relationship with the age of the pregnant women. With respect to gestational age at birth, 85.9% had full-term deliveries, 13.5% had preterm delivery and 0.6% had post-term delivery. It was revealed that adolescent mothers were at a disadvantage compared to the other mothers in terms of both socioeconomic characteristics and prenatal care received.

摘要

本研究的范围是分析位于米纳斯吉拉斯州一座城市的一家妇产医院中青少年母亲和成年母亲的妊娠史及产前护理特征,该医院是热基蒂尼奥尼亚卫生大区的一家参考医院。这是一项描述性横断面研究。2013年5月至2014年3月期间,使用半结构化问卷对总共327名母亲进行了访谈。在255个样本中,成年女性数量占主导。在产前护理方面,324名孕妇进行了产检。在产前护理地点方面,79.2%的青少年在公共卫生服务机构接受护理,而成年女性的这一比例为60.4%。关于分娩类型,54.7%的母亲顺产,45%的母亲剖宫产。与成年女性相比,青少年顺产的比例更高,且这一数据与孕妇年龄存在统计学上的显著关系。关于出生时的孕周,85.9%为足月分娩,13.5%为早产,0.6%为过期产。结果显示,青少年母亲在社会经济特征和所接受的产前护理方面均比其他母亲处于劣势。

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