Analysis of children in adolescents and perinatal repercussoes

Abstract

INTRODUCTION: Adolescent pregnancy occurs frequently in developing countries and is associated with social issues, including poverty, lower levels of health and education. Although prevalent in European countries of the 20th century today, teenage pregnancy represents only 4% in these countries. These are unplanned pregnancies and are considered a vulnerability factor during pregnancy and the postnatal period, for both mother and child OBJECTIVES: Analyze and compare the frequency of deliveries between adolescents and adult women and the results perinatal examinations at the Hospital and Maternidade Dona Íris from January to December 2019. METHODS: This is a prospective cross-sectional study conducted with pregnant women referred for delivery at Maternidade Dona Íris from July 2019 to December 2019. RESULTS: The study included 1741 pregnant women, 1442 adult pregnant women and 189 adolescents, with an incidence of 10.85% of adolescent births performed on pregnant women referred for delivery at Maternidade Dona Íris from July 2019 to December 2019. study the incidence was 10.85% of births in adolescents. Normal births are significantly higher in adult women with p <0.001 in the Chi-square test. Profile of adult pregnant women undergoing cesarean delivery, pregnant women 1 (31.8%) who underwent prenatal care (98.3%) with an average of 8.5 consultations without HIV (97.5%), with female babies ( 50.8%), cephalic (92.9%), with a score of 5 greater than 7, at term (91.4%), AIG (91.5%) and who had skin-to-skin contact (65.3%) , without meconium (85.5%) and with immediate cord clamping (97.9%), without insertion of IUD (83.2%) destined for ALCON (91.6%). Profile of pregnant adolescents undergoing cesarean delivery, women in pregnancy 1 (82.1%) who underwent prenatal care (99.1%) with an average of 6.2 consultations without HIV (96.2%), with female babies ( 51.9%), cephalic (92.5%), with a score of 5 greater than 7, at term (98.1%), AIG (94.3%) and who had skin-to-skin contact (58.5%) , without meconium (82.1%) and with immediate cord clamping (97.2%), without insertion of IUD (86.8%) destined for ALCON (92.2%). After the chi-square test, women adults who had cesarean sections had significantly more premature births and more HIV than adolescents. Profile of adult pregnant women with normal delivery, women in pregnancies 1 and 2 (32.8%) who underwent prenatal care (97.2%) with an average of 7 consultations without HIV (88.6%), with male babies ( 54%), cephalic (99.7%), having a score greater than 7, at term (92.3%), AGA (92.6%) and who had skin-to-skin contact (81.6%), without meconium (84.6%) and with clamping for 1 to 3 minutes (54.5%), breastfeeding in the first hour (66.1%), without insertion of IUD (85.3%). During delivery, she did not use analgesia (100%), non-pharmacological methods (88.4%), did not use oxytocin during delivery (58.4%), without episiotomy (93.4%), with laceration (59.2 %), without aminiotomy (75.8%), without using a vacuum (96.1%), without Kristeler maneuver (96.4%) and in the semiseated position (73.7%). Profile of pregnant teenagers with normal birth, women in gestation 1 (69.9%) who underwent prenatal care (97.5) with an average of 6 consultations without HIV (100%), with male babies (55.4%) , cephalic (98.8%), having a 5 th greater than 7, term (88%), AIG (91.1%) and who had skin-to-skin contact (78.3%), without meconium (81.9 %) and with clamping for 1 to 3 minutes (61.4%), did not breastfeed in the first hour (50.6%) and without insertion of IUD (87.6%). During delivery, she did not use analgesia (81.9%), non-pharmacological methods (81.9%), did not use oxytocin during delivery (67.5%), without episiotomy (80.7%), with laceration (55 , 4%), without aminiotomy (80.7%), without using a vacuum (97.6%), without Kristeler’s maneuver (81.9%) and in the semi-seated position (83.1%). After the chi-square test, adolescents who had a normal delivery had significantly more analgesia, oxytocin, episiotomy and kristeler maneuver than adults. The adults breastfed more in the first hour than the adolescents. CONCLUSION: The incidence of 10.85 births in adolescents. Normal births are significantly more in adult women compared to adolescent women. Adult women who had cesarean sections had the following variables significantly in relation to adolescents: premature births and HIV positive. Adolescents who had a normal birth had the following variables significantly in relation to adult women: analgesia, oxytocin, episiotomy and kristeler maneuver in relation to adults. The adults in normal delivery, on the other hand, breastfed more in the first hour than the adolescents.