0064/2022 - Reincidência de gravidez na adolescência: fatores associados e desfechos maternos e neonatais Recurrence of teenage pregnancy: associated maternal and neonatal factors outcomes
O objetivo é analisar os fatores socioeconômicos e demográficos associados à reincidência de gravidez na adolescência, assim como verificar a associação com desfechos maternos e neonatais desfavoráveis. É um estudo transversal, a partir dos dados do “Nascer no Brasil”, composto por puérperas adolescentes e seus recém-nascidos. Utilizou-se regressão logística univariada e múltipla para indicar os fatores associados à essa reincidência. A reincidência da gravidez na adolescência esteve associada à idade materna de 17-19 anos (OR=3,35; IC95%=2,45-4,59), à escolaridade inadequada para a idade (OR=4,34; IC95%=3,50-5,39), sem intenção de engravidar (OR=2,34; IC95%=1,77-3,08), à residência na capital do estado (OR=1,40; IC95%=1,10-1,78) e ao fato do companheiro ser chefe da família (OR=2,07; IC95%=1,47-2,91). No entanto, as adolescentes primíparas apresentaram maior chance de doença hipertensiva (OR=1,54; IC95%=1,01-2,35) e crescimento intrauterino restrito (OR=1,90; IC95%=1,23-2,91). Conclui-se que há um elevado percentual de reincidência de gravidez na adolescência no Brasil. Adolescentes com companheiro, pouca escolaridade e sem planejamento reprodutivo são as mais expostas a ter duas ou mais gestações antes dos 20 anos, demostrando dificuldades em postergar a primeira gestação. Todavia as adolescentes primíparas apresentam maior chance de intercorrências do que as multíparas.
Palavras-chave:
Gravidez na Adolescência; Cuidado Pré-Natal; Complicações na Gravidez; Resultado da Gravidez; Fatores Socioeconômicos.
Abstract:
The objective is to analyze the socioeconomic and demographic factors associated with the recurrence of teenage pregnancy, as well as to verify the association with unfavorable maternal and neonatal outcomes. It is a cross-sectional study, based on data“Nascer no Brasil”, composed of adolescent mothers and their newborns. Univariate and multiple logistic regression were used to indicate the factors associated with this recurrence. Recurrence of teenage pregnancy was associated with maternal age of 17-19 years (OR = 3.35; 95%CI = 2.45-4.59), and inadequate education for age (OR = 4.34; 95%CI = 3.50-5.39), with no intention of becoming pregnant (OR = 2.34; 95%CI = 1.77-3.08), to reside in the state capital (OR = 1.40; 95%CI = 1, 10-1.78) and the fact that the partner is the head of the family (OR = 2.07; 95%CI = 1.47-2.91). However, as independent primiparous adolescents, there is a greater chance of hypertensive disease (OR = 1.54; 95%CI = 1.01-2.35) and restricted intrauterine growth (OR = 1.90; 95%CI = 1.23-2, 91). It is concluded that there is a high percentage of adolescent pregnancies in Brazil. Adolescents with a partner, little education and no reproductive planning are more exposed to having two or more pregnancies before the age of 20, demonstrating difficulties in postponing the first pregnancy. However, as primipara adolescents, they are more likely to have complications than multiparas.
Recurrence of teenage pregnancy: associated maternal and neonatal factors outcomes
Resumo (abstract):
The objective is to analyze the socioeconomic and demographic factors associated with the recurrence of teenage pregnancy, as well as to verify the association with unfavorable maternal and neonatal outcomes. It is a cross-sectional study, based on data“Nascer no Brasil”, composed of adolescent mothers and their newborns. Univariate and multiple logistic regression were used to indicate the factors associated with this recurrence. Recurrence of teenage pregnancy was associated with maternal age of 17-19 years (OR = 3.35; 95%CI = 2.45-4.59), and inadequate education for age (OR = 4.34; 95%CI = 3.50-5.39), with no intention of becoming pregnant (OR = 2.34; 95%CI = 1.77-3.08), to reside in the state capital (OR = 1.40; 95%CI = 1, 10-1.78) and the fact that the partner is the head of the family (OR = 2.07; 95%CI = 1.47-2.91). However, as independent primiparous adolescents, there is a greater chance of hypertensive disease (OR = 1.54; 95%CI = 1.01-2.35) and restricted intrauterine growth (OR = 1.90; 95%CI = 1.23-2, 91). It is concluded that there is a high percentage of adolescent pregnancies in Brazil. Adolescents with a partner, little education and no reproductive planning are more exposed to having two or more pregnancies before the age of 20, demonstrating difficulties in postponing the first pregnancy. However, as primipara adolescents, they are more likely to have complications than multiparas.
Campos, T. S., Martinelli, K.G, Gama, S.G.N, Santos Netto, E. T. dos. Reincidência de gravidez na adolescência: fatores associados e desfechos maternos e neonatais. Cien Saude Colet [periódico na internet] (2022/Abr). [Citado em 11/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/reincidencia-de-gravidez-na-adolescencia-fatores-associados-e-desfechos-maternos-e-neonatais/18320?id=18320&id=18320
