Universidade Federal do Espírito Santo, Departamento de Medicina Social, Programa de Pós-graduação em Saúde Coletiva, Vitória, ES, Brazil.
Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sérgio Arouca, Rio de Janeiro, RJ, Brazil.
Rev Esc Enferm USP. 2022 May 30;56:e20210359. doi: 10.1590/1980-220X-REEUSP-2021-0359en. eCollection 2022.
To identify the associated factors of neonatal near miss among newborns of Brazilian adolescents and to compare their occurrence in young women aged 12 to 16 years and 17 to 19 years.
Cross-sectional, hospital-based study, using data from the study Nascer no Brasil ("Birth in Brazil") on puerperal adolescents and their newborns in all regions of Brazil. Multiple and univariate logistic regression were employed to identify the associated factors of neonatal near miss.
The following factors were found to be associated to neonatal near miss among newborns of adolescent mothers: public source of payment (OR = 4.57, 95% CI = 2.02-10.32), having to seek help in different maternity hospitals (OR = 1.52; 95% CI = 1.05-2.20), and maternal near miss (OR = 5.92; 95% CI = 1.94-18.05), in addition to a record of low weight in a previous pregnancy (OR = 3.12; 95% CI = 1.61-6.04) and twin pregnancy (OR = 7.49; 95% CI = 3.28-16.82).
Neonatal near miss affected newborns of adolescent mothers in both age groups equally. Also, the determinant factors of neonatal near miss can be mostly reduced with qualified prenatal, labor, and birth care.
确定巴西青少年新生儿近危儿的相关因素，并比较 12-16 岁和 17-19 岁年轻女性的发生率。
这是一项基于医院的横断面研究，使用巴西青春期产妇及其新生儿研究（Nascer no Brasil）的数据，该研究在巴西所有地区开展。采用多变量和单变量逻辑回归来确定新生儿近危儿的相关因素。
以下因素与青少年母亲新生儿的近危儿状态相关：公共支付来源（OR=4.57，95%CI=2.02-10.32）、不得不在不同的产科医院寻求帮助（OR=1.52；95%CI=1.05-2.20）、母亲接近危象（OR=5.92；95%CI=1.94-18.05），此外，既往妊娠体重偏低（OR=3.12；95%CI=1.61-6.04）和双胎妊娠（OR=7.49；95%CI=3.28-16.82）的记录。
新生儿近危儿影响了两个年龄组的青少年母亲的新生儿。此外，新生儿近危儿的决定因素主要可以通过优质的产前、分娩和产后护理来降低。
