Adolescent Pregnancy: Current Trends and Issues

Klein, Jonathan D.

doi:10.1542/peds.2005-0999

Cited by 313 publications

(215 citation statements)

References 47 publications

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“…On the marital status of adolescent girls, the results showed that 49.31% live in free union, which is not surprising, because as evidenced by the study of Gomez and Montoya (14), conducted in a population in Medellin, Colombia , living with the couple has been associated with increased desire to have children, as well as increased risk (16.47 times) to get pregnant; this situation can be explained by dysfunction of the primary household and desire of the adolescent to form a new home (15).…”

Section: Population Characteristicsmentioning

confidence: 79%

“…Have proposed several reasons why adolescents are at risk for pregnancy at a very young age, including early pubertal development, early initiation of sex, ignorance in the use of contraception, sex does not consensual, personal history of sexual abuse in childhood and other sociodemographic reasons, such as low education, poor school performance, family dysfunction, among others (15).…”

Section: General Featuresmentioning

confidence: 99%

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Maternity in adolescents and its association with caesarean labor

Gallardo-Lizarazo

Guerrero-Romero

Niño-González³

et al. 2015

rev. cienc. cuidad.

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Objective: to evaluate the association between adolescence and cesarean section in women aged 10-19 years compared with those found in ages between 19 and 25 years, patients in a hospital, and determine its association with sociodemographic variables and neonatal in terms of prematurity, and Apgar low birth weight. Materials and Methods: a case-control study was performed using a simple random sampling, considering the calculation of a statistical sample. a total of 1,304 cases and 2,608 controls were included. First time mom patients treated at an institution x over a period of three years, to determine associations of risk through analysis of hypothesis testing is included. Results: the risk of caesarean section in teenagers is (OR 1.13, 95% CI 1.10 to 1.51). In addition, it was determined that there is an increased risk of low birth weight (OR 9.4, 95% CI 7.59 to 11.76), with no difference in adolescents in the risk of Apgar down score at minute and 5 minutes later. Conclusion: there is an increased risk of low birth weight and require termination of pregnancy via cesarean in adolescents compared to young adults, especially if they are under 14. It is necessary to promote campaigns to prevent teenage pregnancy, as the main measure of control over these population. Adolescencia materna y su asociación con la realización de cesárea RESUMEN Objetivo: evaluar la asociación entre adolescencia y la realización de cesárea en mujeres de 10 a 19 años, en comparación con las que se encuentran en edades entre 19 y 25 años, atendidas en un hospital X, y determinar su asociación con variables sociodemográficas y neonatales en términos de prematurez, Apgar y bajo peso al nacer. Materiales y Métodos: se realizó un estudio de casos y controles, mediante un muestreo simple aleatorio, teniendo en cuenta el cálculo de una muestra estadística. Se incluyeron un total de 1.304 casos y 2.608 controles. Se incluyeron pacientes primigestantes atendidas en una institución x en un período de tres años, para determinar asociaciones de riesgo mediante análisis de contraste de hipótesis. Resultados: el riesgo de cesárea en adolescentes es de (OR 1,13, IC 95% 1,10-1,51). Además, se determinó que en las adolescentes existe un riesgo mayor de bajo peso al nacer (OR 9,4, IC 95% 7,76), sin diferencia en cuanto al riesgo de Apgar bajo al minuto y los 5 minutos. Conclusión: existe un mayor riesgo de presentar bajo peso neonatal y requerir terminación de la gestación por vía cesárea en adolescentes, en comparación con las adultas jóvenes, especialmente si son menores de 14 años. Se requiere promover campañas para evitar el embarazo adolescente, como principal medida de control sobre esta población. KEYWORDSPALABRAS CLAVE: parto abdominal, parto, complicaciones del embarazo, embarazo en adolescencia, adolescentes. (OR 9,4, IC 95% 7,76), não havendo diferença em adolescentes no risco de baixo índice de Apgar no minuto 5 minutos. Conclusão: há um aumento do risco de baixo peso ao nascer e exigem a interrupção da gravidez através de cesarian...

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Section: Population Characteristicsmentioning

confidence: 79%

Section: General Featuresmentioning

confidence: 99%

Maternity in adolescents and its association with caesarean labor

Gallardo-Lizarazo

Guerrero-Romero

Niño-González³

et al. 2015

rev. cienc. cuidad.

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“…Abortus, erken doğum, hipertansiyon, anemi, yetersiz antenatal bakım, düşük doğum ağırlıklı bebekler, konjenital anomaliler, artmış sezeryan oranı, bulaşıcı hastalıklar gibi insan sağlığını tehdit eden durumların arttığı bildirilmiştir (15)(16)(17)(18). Olgumuz erken yaş hamilelik ve yetersiz antenatal bakım yüzünden sezeryan ameliyatı olmak zorunda kaldığı gibi, prematüre ve düşük doğum ağırlıklı bir bebeğe sahip olmuştur.…”

Section: Sonuçunclassified

Is It Maipractice Or Sexual Assault That Made The Teenage A Mother? A Case Report Presentation

Demirkiran¹,

Şilfeler²,

Özçil³

et al. 2014

Adli Tip Derg

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ÖZETCinsel saldırı mağdurlarıyla ilgili birçok çalışma yapılmış olmasına rağmen, bu olguların takibinde ihmal boyutunu inceleyen yeterli çalışma yoktur. Bu çalış-mada cinsel saldırı mağduru bir çocuk olgusu sunularak hekimlerin bu tür olgulara yaklaşımı ve hekim kusurunun tartışılması amaçlanmıştır.Olgumuz on dört yaşında, üvey annesi, babası ve iki kardeşiyle kırsal alanda yaşayan, sosyoekonomik düzeyi düşük bir kız çocu-ğudur.Öyküsünden farklı kişiler tarafın-dan iki kez cinsel saldırıya maruz kaldığı anlaşılmıştır. Saldırgan-lardan birinin mağdurun kuzeni, diğerinin tanıdık biri olduğu belirtilmiştir. Cinsel saldırılardan yaklaşık 3-4 ay sonra adet gecikmesi şikâyetiyle kadın doğum uzmanı bir hekime gittiğini ifade etmiştir. Ancak hiçbir muayene ve tetkik yapılmadan hormonal düzensizlik denilerek ilaç tedavisi uygulanmıştır. Doğum öncesi yapılan muayenesinde yirmi dokuz haftalık gebe olduğu ve oligohidramnios tespit edildiği bildirilmiştir. Aynı gün sezeryan ile bir kız bebek doğurmak zorunda kalmıştır.Hekimin anamnez, muayene ve tanı koymada gerekli dikkat ve özeni göstermediği, özen borcunu yerine getirmediği kanaatine varılmıştır. Olgumuz cinsel saldırı eylemine maruz kalmanın ötesinde ihmal sonucunda ço-cuk yaşta anne olmak ve cerrahi müdahale görmek zorunda bıra-kılmıştır. Küçük yaşlarda gebe kalınamayacağı ön yargısının kırılmasının gerekliliği ve çocu-ğa bakmakla yükümlü kişiler ile hekimlerin sorumlulukları açı-sından bu olgu sunulmaya değer bulunmuştur. Demirkiran S, Silfeler DB, Ozcil MD, Arslan MM. Is it malpractice or sexual assault that made the teenage a mother? A case report presentation.

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“…67 Nationally, approximately 50% of adolescents have engaged in sexual intercourse by age 17, however it is not clear to what extent this is true for extremely obese youth, as weight-related stigma may affect rates of sexual activity. 68 Though the weight loss associated with gastric bypass has been shown to reduce weight-related complications of subsequent pregnancies in adults, it is important to counsel adolescent females to avoid pregnancy during the period of rapid weight loss and up to 12-18 months after surgery. 69 Further, adolescent pregnancy in general is associated with a higher incidence of complications, such as prematurity and low birth weight, though outcomes of pregnancy in adolescent females after bariatric surgery have not yet been systematically studied.…”

Section: Nutritional Risks Of Weight Loss Surgerymentioning

confidence: 99%

“…69 Further, adolescent pregnancy in general is associated with a higher incidence of complications, such as prematurity and low birth weight, though outcomes of pregnancy in adolescent females after bariatric surgery have not yet been systematically studied. 68 Higher rates of specific nutritional deficiencies after bariatric surgery can place the mother and infant at greater risk. In particular, deficiencies in iron, folate, vitamin B12, calcium and vitamin D can result in poor fetal growth or even malformation.…”

Section: Nutritional Risks Of Weight Loss Surgerymentioning

confidence: 99%

Bariatric surgery for pediatric extreme obesity: now or later?

2006

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Obesity is a multifactorial disease of epidemic and global proportions that poses the most significant threat to the health of our younger generations. Those who are the most extremely affected bear the largest burden of health problems. In the US, extreme obesity affects approximately 9 million adults and 2 million children, and is associated with both immediate health problems and later health risk, including premature mortality. Present medical and behavioral interventions for extreme obesity in adults and children rarely result in the significant, durable weight loss necessary to improve health outcomes, prompting a search for more aggressive measures. Weight loss (bariatric) surgery has been advocated as an intervention for those with extreme obesity. In adults, bariatric surgery results in prolonged weight control and improvement in serious obesity comorbidities, namely type 2 diabetes, dyslipidemias, hypertension and obstructive sleep apnea syndrome. A surge in weight loss operations for adolescents has been observed recently, with a threefold increase in case volumes nationwide from 2000 to 2003. Current evidence suggests that after bariatric surgery, adolescents lose significant weight and serious obesity-related medical conditions and psychosocial status are improved. Thus it is reasonable to propose that bariatric surgery performed in the adolescent period may be more effective treatment for childhood-onset extreme obesity than delaying surgery for extremely obese youth until adulthood. This position has been echoed by a number of groups and an independent systematic review. Finally, it is conceivable that bariatric surgery performed in adulthood for childhood onset extreme obesity may not be as effective for comorbidity treatment as surgery performed earlier during adolescence. The purpose of this review is to examine the evidence, which supports early rather than later use of bariatric surgery in the treatment of extreme obesity, and to present this information in light of the medical and surgical risks of bariatric surgery.

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Adolescent Pregnancy: Current Trends and Issues

Cited by 313 publications

References 47 publications

Maternity in adolescents and its association with caesarean labor

Maternity in adolescents and its association with caesarean labor

Is It Maipractice Or Sexual Assault That Made The Teenage A Mother? A Case Report Presentation

Bariatric surgery for pediatric extreme obesity: now or later?

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