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Desfecho da gravidez nas jovens adolescentes

Published on Dec 1, 2008in Revista Brasileira de Ginecologia e Obstetrícia
· DOI :10.1590/S0100-72032008001200006
José Luis Metello1
Estimated H-index: 1
,
Mariana Torgal3
Estimated H-index: 3
+ 4 AuthorsManuel Hermida2
Estimated H-index: 2
Abstract
OBJETIVO: comparar parto e seguimento de gravidez entre gravidas adolescentes e nao-adolescentes que pariram num hospital terciario da regiao de Lisboa (Portugal). METODOS: estudo retrospectivo com 10.656 partos. Foram avaliados: seguimento da gravidez, idade gestacional no parto, tipo de parto, necessidade de episiotomia e laceracoes graves, indice de Apgar no quinto minuto e peso ao nascer. As gravidas foram divididas em dois grupos, acima e abaixo dos 20 anos. O grupo abaixo dos 20 anos foi depois subdividido entre gravidas com menos ou mais de 16 anos. Foi usado o teste do χ2 para analise estatistica. RESULTADOS: as adolescentes tiveram pior seguimento: primeira consulta apos as 12 semanas (46,4 versus 26,3%) e menos de quatro consultas (8,1 versus 3,1%), menos distocia (21,5 versus 35,1%), menos cesarianas (10,6 versus 20,7%) e menor necessidade de inducao do trabalho de parto (16,5 versus 26,5%). Nao houve diferenca significativa para idade gestacional no parto e taxa de recem-nascidos de baixo peso. Entre adolescentes, as menores de 16 anos tiveram mais recem-nascidos de baixo peso (12 versus 7,4%) e mais partos entre 34 e 37 semanas (10,8 versus 4,2%). CONCLUSOES: num hospital com servico dedicado a gravidas adolescentes com apoio social e psicologico, apesar de pior seguimento pre-natal vigilância, o seu desempenho nao foi pior. Uma atencao especial deve, no entanto, ser dada a gravidas abaixo dos 16 anos.
  • References (18)
  • Citations (28)
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