Characteristics and risks of pregnant adolescents

• Autores: Bendezú, Guido, Espinoza, Daisy, Bendezú Quispe, Guido, Torres Román, Junior Smith, Huamán Gutiérrez, Roberto M.
• Formato: artículo
• Fecha de Publicación: 2016
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/1882
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/1882
• Nivel de acceso: acceso abierto

Objectives: To determine incidence, risks and complications of pregnancy and delivery in adolescents. Design: Retrospective case-control study. Setting: Augusto Hernández Mendoza Hospital IV, EsSalud, Ica, Peru. Patients: Pregnant adolescents. Methods: Between 1 July 2013 and 30 June 2014, 177 adolescents who delivered at the hospital were studied and their characteristics compared with a control group consisting in 177 pregnant women 20 to 34 years old. Data were obtained from medical records and delivery registries. Main outcome measures: Obstetrical and perinatal outcomes. Results: Teenage pregnancy represented 6.63% of all obstetrical patients attended. Pregnancy complications like anemia (18.2%) and urinary tract infections (14.1%) were predominant in adolescents, and hypertension (17.5%) occurred more in the older group. Cephalo-pelvic disproportion and acute fetal distress were main indications for caesarean section in teenagers. The frequency of postpartum complications in the observed cases was significantly higher than in controls (p <0.05). Conclusions: Pregnancy in adolescence represents a high obstetrical risk. Health and sexual education and sanitary policies are necessary to reduce pregnancy rates in these teenagers.