Pregnant adolescents admitted to the intensive care unit have better outcomes than pregnant adult women: A retrospective cohort study in Brazil

Alves, Pietro Pinheiro; Volpon, Leila Costa; Carmona, Fábio

doi:10.1002/ijgo.13612

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…Women’s place of residence was reported in fifteen studies, six from low-lower-middle-income countries (India [ 56 – 59 ], Nepal [ 60 ] and Pakistan [ 61 ]), eight upper-middle-income countries (Brazil [ 51 , 53 , 62 ], China [ 63 , 64 ], Colombia [ 65 , 66 ] and Venezuela [ 54 ]) and one high-income country (Canada [ 67 ]) (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies reported data on drug use from 0.0% in India [ 30 ] and Peru [ 35 ] to 15.0% in USA [ 86 ]. Eight were from high-income countries (Austria [ 87 ], Hong-Kong [ 79 , 84 ] and USA [ 30 , 39 , 78 , 86 ], including Hawaii [ 43 ], two upper-middle-income countries (Brazil [ 62 ] and Peru [ 35 ]) and one lower-income country (India [ 30 ]) (Table 2 ). Substance use disorder (aOR 2.10, 95% CI 1.61, 2.74) had an increased likelihood for ICU admission among pregnant and postpartum women in Hawaii [ 43 ].…”

Section: Resultsmentioning

confidence: 99%

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Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Ayala Quintanilla,

Taft,

McDonald

et al. 2023

BMC Pregnancy Childbirth

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Background Studying severe acute maternal morbidity in the intensive care unit improves our understanding of potential factors affecting maternal health. Aim To review evidence on maternal exposure to intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit. Methods The protocol for this review was registered in PROSPERO (registration number CRD42016037492). A systematic search was performed in MEDLINE, CINAHL, ProQuest, LILACS and SciELO using the search terms “intensive care unit”, “intensive care”, “critical care” and “critically ill” in combination with “intimate partner violence”, “social determinants of health”, “severe acute maternal morbidity”, pregnancy, postpartum and other similar terms. Eligible studies were (i) quantitative, (ii) published in English and Spanish, (iii) from 2000 to 2021, (iv) with data related to intimate partner violence and/or social determinants of health, and (v) investigating severe acute maternal morbidity (maternity patients treated in the intensive care unit during pregnancy, childbirth or within 42 days of pregnancy termination). Of 52,866 studies initially identified, 1087 full texts were assessed and 156 studies included. Studies were independently assessed by two reviewers for screening, revision, quality assessment and abstracted data. Studies were categorised into high/middle/low-income countries and summarised data were presented using a narrative description, due to heterogenic data as: (i) exposure to intimate partner violence and (ii) social determinants of health. Results One study assessed intimate partner violence among mothers with severe acute maternal morbidity in the intensive care unit and found that women exposed to intimate partner violence before and during pregnancy had a nearly four-fold risk of severe acute maternal morbidity requiring ICU admission. Few social determinants of health other than age were reported in most studies. Conclusion This review identified a significant gap in knowledge concerning intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit, which is essential to better understand the complete picture of the maternal morbidity spectrum and reduce maternal mortality.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Ayala Quintanilla,

Taft,

McDonald

et al. 2023

BMC Pregnancy Childbirth

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“…América Latina y el Caribe, una región que ya enfrenta numerosos desafíos en salud materna e infantil. Los resultados indican que las adolescentes embarazadas tienen un riesgo elevado de desarrollar eclampsia en comparación con las mujeres adultas, lo cual es una complicación grave que puede llevar a la muerte (21) materna y perinatal si no se maneja adecuadamente .…”

Section: Pg 115unclassified

Maternal complications and adolescent pregnancy in Latin America: A systematic review and meta-analysis

Oviedo-Mendoza,

del Pilar Calsin Alvarado,

Rubín-De-Celis

2024

RFMH

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Objective: To assess whether maternal complications are a risk in adolescent pregnancy in Latin America and the Caribbean during the period 2012 to 2021. Methods: A systematic search was carried out in 6 databases: PubMed, SCOPUS, Web of Science, EMBase, LILACS and Scielo. The articles included were from Latin American countries and had any of the following variables: preeclampsia, eclampsia, puerperal hemorrhage and puerperal sepsis published from 2012 to 2021 and comparing pregnant adolescents and adults. Articles that did not present separate findings from Latin America and/or the Caribbean, that the full version was not available, and that were focused on patients with a specific disease were excluded. For risk of bias, the Newcastle-Ottawa Scale Case-Control Studies was used. The summary measure used was the Odds Ratio with a 95% confidence interval for each study. Results: 4 studies were included. The risk of preeclampsia in pregnant adolescents and postpartum hemorrhage (OR = 0.86, 95% CI 0.74 – 0.99) were not evidenced (OR = 0.93, 95% CI 0.69 – 1.25). On the other hand, the risk of eclampsia (OR = 2.43, 95% CI 1.29 – 4.58) in pregnant adolescents was shown, but with high heterogeneity between studies (I2 = 76%). Conclusions: A risk of eclampsia was evidenced in pregnant adolescents, but not in preeclampsia nor postpartum hemorrhage. However, these results should be taken with caution. Protocol record: CRD42021286725 (PROSPERO) Keywords: pre-eclampsia, eclampsia, postpartum hemorrhage, Adolescent, Pregnant Women. (Source: MeSH NLM)

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Pregnant adolescents admitted to the intensive care unit have better outcomes than pregnant adult women: A retrospective cohort study in Brazil

Abstract: Objective: To compare the outcomes of adolescent versus adult women during pregnancy and puerperium admitted to a dedicated intensive care unit (ICU) in Manaus,

Cited by 2 publications

References 25 publications

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Maternal complications and adolescent pregnancy in Latin America: A systematic review and meta-analysis

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