Nebot M, Rohlfs I, Díez E, Valero C
Institut Municipal de la Salut, Ajuntament de Barcelona.
Aten Primaria. 1993 Mar 31;11(5):213-4, 216-7.
To analyse for the 1987-1990 period the indicators of prenatal care and the social-health follow-up of adolescent girls included in the mother-child programme of Ciutat Vella (Barcelona). This programme was aimed at pregnant women resident in the district and with high social risk profiles.
Descriptive and retrospective study.
175 adolescent mothers were included in the programme during the period under study. This represented 82.9% coverage of all births in the district to this age group. In 10.9% of cases the mother stated she lived alone. 10.2% had had a previous child. There were drug addiction antecedents in 5% of the mothers. The first prenatal check took place during the first three months only in 56% of the pregnancies, with the proportion of low weight births (LWB: weight at birth below 2,500 grams) at 13.1%. During the period under study the proportion of pregnant women checked in the first three months went up from 45.6% to 62.5%, while the proportion of LWB's went down from 19.3% to 6.3%.
There has been both a striking improvement in the indicators of prenatal care and less low weight births during the first four years of this programme. It is worth noting the worrying fact that one third of pregnant adolescents do not attend for a prenatal check-up before three months of their pregnancy have elapsed.
分析1987年至1990年期间，巴塞罗那旧城区母子项目中少女产前护理指标及社会健康随访情况。该项目针对居住在该地区且社会风险较高的孕妇。
描述性回顾性研究。
在研究期间，该项目纳入了175名青少年母亲。这占该年龄组在该地区所有出生人数的82.9%。在10.9%的案例中，母亲表示独自生活。10.2%的母亲曾育有子女。5%的母亲有吸毒史。仅56%的孕妇在怀孕的前三个月进行了首次产前检查，低体重儿（出生体重低于2500克）的比例为13.1%。在研究期间，怀孕前三个月接受检查的孕妇比例从45.6%升至62.5%，而低体重儿的比例从19.3%降至6.3%。
在该项目的前四年中，产前护理指标有显著改善，低体重儿数量减少。值得注意的是，令人担忧的是，三分之一的怀孕青少年在怀孕三个月后仍未进行产前检查。
