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少女妊娠复发:相关的母婴因素结局。

Recurrence of teenage pregnancy: associated maternal and neonatal factor outcomes.

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Departamento de Medicina Social, Universidade Federal do Espírito Santo. Av. Marechal Campos 1468, Maruípe. 29040-090 Vitória ES Brasil.

Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2022 Aug;27(8):3261-3271. doi: 10.1590/1413-81232022278.00292022. Epub 2022 Apr 28.

Abstract

The present study aims to analyze the socioeconomic and demographic factors associated with the recurrence of teenage pregnancy, as well as to verify the association with unfavorable maternal and neonatal outcomes. It is a cross-sectional study, based on data from "Nascer no Brasil", comprised of adolescent mothers and their newborns. Univariate and multiple logistic regression were used to indicate the factors associated with this recurrence. Recurrence of teenage pregnancy was associated with a maternal age of 17-19 years (OR=3.35; 95%CI=2.45-4.59); an inadequate education for their age (OR=4.34; 95%CI=3.50-5.39), with no intention of becoming pregnant; residency in the state capital; and the fact that the partner is the head of the family. However, as independent primiparous teenagers, there is a greater chance of hypertension and restricted intrauterine growth. It can therefore be concluded that there is a high percentage of teenage pregnancies in Brazil. Teenagers with a partner, inadequate education, and no reproductive planning are more likely to have two or more pregnancies before the age of 20, demonstrating difficulties in postponing the first pregnancy. However, as primiparous teenagers, they are more likely to have complications than multiparous teenagers.

摘要

本研究旨在分析与青少年怀孕复发相关的社会经济和人口统计学因素,并验证其与不良母婴结局的关联。这是一项基于“巴西出生”数据的横断面研究,包括青少年母亲及其新生儿。采用单因素和多因素逻辑回归来指示与这种复发相关的因素。青少年怀孕复发与母亲年龄在 17-19 岁(OR=3.35;95%CI=2.45-4.59);与其年龄不相符的教育程度(OR=4.34;95%CI=3.50-5.39),即没有怀孕的打算;居住在州首府;以及伴侣是家庭负责人有关。然而,作为独立的初次生育的青少年,患有高血压和宫内生长受限的可能性更大。因此,可以得出结论,巴西有很高比例的青少年怀孕。有伴侣、教育程度不足且没有生育计划的青少年在 20 岁之前更有可能怀孕两次或更多次,这表明推迟第一次怀孕存在困难。然而,作为初次生育的青少年,她们比多产青少年更容易出现并发症。

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