Gravidez na adolescência: análise de fatores de risco para baixo peso, prematuridade e cesariana

Santos, Nilma Lazara de Almeida Cruz; Costa, Maria Conceição Oliveira; Amaral, Magali Teresópolis Reis; Vieira, Graciete Oliveira; Bacelar, Eloisa Barreto; Almeida, André Henrique do Vale de

doi:10.1590/1413-81232014193.18352013

Cited by 65 publications

(81 citation statements)

References 23 publications

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“…This fact can be a reflection of the development of the technology assisting reproduction in infertile women in recent years. Women with an inadequate educational level for their age were associated with prematurity, which is in agreement with the existing literature (15)(16) . These women are twice as likely to have a premature delivery.…”

Section: Discussionsupporting

confidence: 92%

“…In a study performed in Quebec, Canada, prematurity rates decreased in accordance with increased schooling, reaching 7.9% in women with fewer than 11 years of study and 4.9% in women with over 17 years of education (15) . Another study found the adjusted risk for a premature birth at 92% higher in women with less education when compared with those with higher levels of education (16) . Education can be considered as a variable determined by socioeconomic conditions.…”

Section: Discussionmentioning

confidence: 97%

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Maternal and neonatal factors related to prematurity

Oliveira

Gonçalves

Costa

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify maternal and neonatal factors associated with prematurity in the municipality of Porto Alegre. Method: This was a population-based case-control study. The cases were newborns under 37 weeks of gestation and the controls were newborns over 37 weeks. The data came from the records of 19,457 births in the city of Porto Alegre in the year 2012 from the Information System on Live Births of the Municipal Health Department. The analysis was carried out and adjusted by a Logistic Regression according to a hierarchical model. The variables studied were allocated into three hierarchy levels: sociodemographic variables; reproductive history; and gestational and birth factors. Results: There were 767 cases allocated and 1,534 controls in a design of a case for two controls (1:2) by simple randomization. In the final model, a statistically significant association was found for prematurity for the following variables: mother's age under 19 years old (OR=1.32; CI 95%: 1.02-1.71) or over 34 years old (OR=1.39; CI 95%: 1.12-1.72); inadequate maternal schooling for age (OR=2.11; CI 95%: 1.22-3.65); multiple pregnancies (OR=1.14; CI 95%: 1.01-1.29); C-section (OR=1.15; CI 95%: 1.03-1.29); birth weights under 2,500g (OR=4.04; CI 95%: 3.64-4.49); Apgar score at five minutes between zero and three (OR=1.47; CI 95%: 1.12-1.91); and inadequate prenatal care (OR=1.18; CI 95%: 1.02-1.36). Conclusion: The present study showed the most immediate consequence of prematurity for newborns by evidencing its association with worse Apgar scores and low birth weight. The following factors were also shown as possible more distal determinants of prematurity: mother's age; inadequate maternal education; multiple gestation; inadequate prenatal care; and C-section.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 97%

Maternal and neonatal factors related to prematurity

Oliveira

Gonçalves

Costa

et al. 2016

Rev. esc. enferm. USP

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“…O pré-natal adequado tem apresentado impacto positivo sobre os resultados obstétricos, pois constitui um dos principais fatores de prevenção de baixo peso ao nascer, prematuridade e óbito perinatal. 19 Neste estudo, o número de consultas superior a sete durante a assistência pré-natal mostrouse significantemente associada ao peso do recém-nascido à análise univariada, resultando em maiores médias de peso ao nascer. No entanto, essa variável não permaneceu no modelo final da análi- certificados de nascimento podem conter informações pouco acuradas a respeito do número de consultas realizadas, levando a erro de classificação, consequentemente, associações poderiam não ser encontradas.…”

Section: Discussionunclassified

“…19 Apesar de a literatura mundial evidenciar que a relevância da maternidade na adolescência transcende os aspectos clínicos, na qual fatores sociais, econômicos e culturais interagem, causando impacto positivo ou negativo no estado de saúde materno e fetal, 20 ainda são necessárias investigações que tentem explicar os possíveis mecanismos envolvidos na maior ocorrência de baixo peso ao nascer entre filhos de mães adolescentes, e se estes são de ordem social ou biológica. 23 .…”

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Socioeconomic and gestational determinants of birth weight of term infants

Moreira¹,

Silva²,

Freitas³

et al. 2017

Medicina (Ribeirão Preto)

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Objetivo: Identificar os fatores sociais e gestacionais associados ao peso ao nascer de crianças nascidas a termo. Métodos: Trata-se de estudo transversal realizado entre setembro de 2004 e julho de 2005. As informações foram obtidas por meio da Declaração de Nascidos Vivos e de visita domiciliar subsequente ao nascimento da criança. Resultados: O peso médio ao nascer na amostra estudada foi de 3,146 (±375 g), sendo que a incidência de nascidos vivos com baixo peso ao nascer foi de 7,5%. Observou-se, na análise multivariada, que crianças do gênero feminino, idade materna inferior a 19 anos, o hábito de fumar durante a gestação e maior aglomeração de pessoas no domicílio associaramse significantemente com menor média de peso ao nascer. A diferença mais expressiva ocorreu entre as crianças cujas mães eram tabagistas, com uma média de peso dessas crianças menor que 258grs quando comparadas com mães não tabagistas (p=0,001). De forma conjunta, esses fatores responderam por 16% da variação do peso ao nascer. Conclusão: Considera-se necessário maior investimento na atenção básica, na tentativa de reduzir o número de gestantes adolescentes e do hábito de fumar durante a gestação, dentre outros fatores relevantes para a saúde do recém-nascido

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“…Undoubtedly, quality prenatal care seeks health promotion and the prevention of risks related to pregnancy and the neonatal period, and assists in reducing maternal and neonatal morbidity and mortality (22) . Within the scope of prenatal care to pregnant adolescents, we need to pay attention to the peculiarities of these patients; that is to understand the differences of values and culture, favoring the establishment of dialogue and the autonomy of the subjects in the progressive organization of care (23) .…”

Section: Discussionmentioning

confidence: 99%

Child care and health rights: perspectives of adolescent mothers

Santos

Andrade

Pina

et al. 2015

Rev. esc. enferm. USP

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OBJECTIVETo analyze child health care and the defense of their rights from the perspective of adolescent mothers.METHODSAn exploratory study with qualitative thematic analysis of data, based on conceptual aspects of care and the right to health, from semi-structured interviews with 20 adolescent mothers ascribed by Family Health teams.RESULTSMaternal reports indicate that child health care requires responsibility and protection, with health practices that promote child advocacy. Gaps in assistance which preclude the full guarantee of the right to child health care were also highlighted.CONCLUSIONThe right to health care assumed different meanings, and the forms to guarantee them were linked to individual behavior in detriment to broader actions that consider health as a social product, connected to the guarantee of other fundamental rights.

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Gravidez na adolescência: análise de fatores de risco para baixo peso, prematuridade e cesariana

Abstract: Gravidez na adolescência: análise de fatores de risco para baixo peso, prematuridade e cesariana

Cited by 65 publications

References 23 publications

Maternal and neonatal factors related to prematurity

Maternal and neonatal factors related to prematurity

Socioeconomic and gestational determinants of birth weight of term infants

Child care and health rights: perspectives of adolescent mothers

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