INVESTIGADORES
BELIZAN Jose
artículos
Título:
Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study.
Autor/es:
CONDE-AGUDELO A, BELIZAN JM, LAMMERS C.
Revista:
Am J Obstet Gynecol.
Referencias:
Año: 2005 vol. 192 p. 342 - 349
Resumen:
Objective: This study was undertaken to determine whether adolescent pregnancy is associated
with increased risks of adverse pregnancy outcomes.This study was undertaken to determine whether adolescent pregnancy is associated
with increased risks of adverse pregnancy outcomes.
Study design: We studied 854,377 Latin American women who were younger than 25 years
during 1985 through 2003 using information recorded in the Perinatal Information System
database of the Latin American Center for Perinatology and Human Development, Montevideo,
Uruguay. Adjusted odds ratios were obtained through logistic regression analysis.We studied 854,377 Latin American women who were younger than 25 years
during 1985 through 2003 using information recorded in the Perinatal Information System
database of the Latin American Center for Perinatology and Human Development, Montevideo,
Uruguay. Adjusted odds ratios were obtained through logistic regression analysis.
Results: After an adjustment for 16 major confounding factors, adolescents aged 15 years or
younger had higher risks for maternal death, early neonatal death, and anemia compared with
women aged 20 to 24 years. Moreover, all age groups of adolescents had higher risks for
postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low
birth weight, preterm delivery, and small-for-gestational-age infants. All adolescent mothers had
lower risks for cesarean delivery, third-trimester bleeding, and gestational diabetes.After an adjustment for 16 major confounding factors, adolescents aged 15 years or
younger had higher risks for maternal death, early neonatal death, and anemia compared with
women aged 20 to 24 years. Moreover, all age groups of adolescents had higher risks for
postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low
birth weight, preterm delivery, and small-for-gestational-age infants. All adolescent mothers had
lower risks for cesarean delivery, third-trimester bleeding, and gestational diabetes.
Conclusion: In Latin America, adolescent pregnancy is independently associated with increased
risks of adverse pregnancy outcomes.In Latin America, adolescent pregnancy is independently associated with increased
risks of adverse pregnancy outcomes.