Correlações entre maternidade na adolescência e bebê prematuro e de baixo peso: uma revisão integrativa

O presente trabalho apresenta uma revisão integrativa da produção científica nacional e internacional, dos últimos cinco anos, sobre estudos existentes na literatura que abordem a correlação entre a maternidade na adolescência ao nascimento de um bebê prematuro e de baixo peso. Foram acessadas publicações indexadas nas bases de dados Lilacs, Pubmed Central, SciELO (Web of Science), e Scopus (Elsevier), através dos descritores: adolescent, mother, baby ou infant newborn, preterm e low birth weight em artigos de língua inglesa e portuguesa. Entre 206 publicações encontradas, 11 trabalhos foram selecionados de acordo com os critérios de inclusão e por avaliação entre juízes, os quais permitiram compreender temáticas especificas da maternidade adolescente frente ao parto prematuro e de baixo peso ao nascimento. Algumas temáticas foram destacadas como: aspectos emocionais das mães, questões psicossociais, associação entre IMC (índice de massa corporal – peso) materno (pré e peri gestacional) as taxas relativas do nascimento prematuro e/ou baixo peso do bebê e o risco da maternidade adolescente e suas comorbidades. Conclui-se que programas de acompanhamento para prevenção da gravidez adolescente, educação em saúde são essenciais para minimizar as taxas de nascimentos prematuros e com baixo peso, assim como a assistência pré-natal direcionada a problemática relativa a condição de saúde do adolescente.

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Neonatal Outcome Among Adolescent and Adult Pregnancy in a Tertiary Care Center of Nepal

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v14i2.21541 ◽

2018 ◽

Vol 14 (2) ◽

pp. 56-59

Author(s):

Jyoti Adhikari ◽

Shristi Kharel ◽

Lalita Bahl ◽

Deepal Poudel ◽

Rajesh K.C.

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Preterm Delivery ◽

Adolescent Mothers ◽

Neonatal Outcome ◽

Birth Asphyxia ◽

Adolescent Mother ◽

P Value ◽

The Common ◽

Mother Group

Background: Teenage pregnancy is a common public health problem worldwide which is detrimental to the health of mother and child and has long been considered a high-risk situation. The risk of low birth weight (LBW) and preterm delivery is particularly high among teenagers.Methods: A comparative study was conducted in Nepalgunj Medical College Teaching Hospital, Kohalpur during the period of July 2015 to June 2016. The study was carried out to compare the immediate neonatal outcome and morbidity pattern in neonates of 50 adolescent and 50 adult mothers.Results: In the present study, 84% belonged to adolescent mother group (17-19 years) whereas 50% belonged to adult mother group (20-23 years). Illiteracy was seen more in adolescent mothers (62%) and most were from rural areas (68%). The common immediate neonatal outcome found in adolescent and adult mothers were preterm delivery (96% vs. 52%; p value 0.001), low birth weight (LBW) (70% vs. 38%; p value 0.001). The common neonatal morbidities seen significantly high in neonates of adolescent mothers, viz: Neonatal sepsis (NNS)(54% vs. 20% p value <0.02), apnea (30% vs. 14% P value <0.02), neonatal jaundice(NNJ)(44% vs. 30% p value <0.01) while the other morbidities found were birth asphyxia (20% vs. 14%; p value <0.1), Respiratory distress syndrome (RDS) (36% vs. 24% p value<0.1), anemia (16% vs. 8%; p value <0.1), seizure (10% vs. 8%; p value <0.1), meconium aspiration syndrome (MAS) (6% vs. 18%; p value<0.1) and intrauterine growth retardation(IUGR)(22% vs. 20%; p value <0.5). Similarly mortality was found to be more in neonates of adolescent mothers (14% vs. 8%; p value <0.1).Conclusion: Adolescent pregnant mothers are at risk of having poor neonatal outcome and morbidities like NNS, NNJ, RDS, apnea, IUGR, birth asphyxia, anemia and seizure. JNGMC, Vol. 14 No. 2 December 2016, Page: 56-59

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The association between endometriosis and the risk of LBW: A meta-analysis

Journal of Endometriosis and Pelvic Pain Disorders ◽

10.1177/2284026518774997 ◽

2018 ◽

Vol 10 (2) ◽

pp. 72-78 ◽

Cited By ~ 2

Author(s):

Ensiyeh Jenabi ◽

Bita Fereidooni

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Cohort Studies ◽

Assisted Reproductive Technology ◽

Subgroup Analysis ◽

Odds Ratio ◽

Web Of Science ◽

Meta Analysis ◽

Reproductive Technology ◽

Random Effects Model

Background: Many observational services have been conducted to evaluate the risk factors of low birth weight, but the results showed no consistency. Therefore, we conducted this meta-analysis to investigate the association between endometriosis (body mass index) and the risk of low birth weight. Methods: Relevant works that were published in major international electronic databases such as PubMed, Scopus, Web of Science, LILACS, SciELO, and Cochrane were systematically searched until February 2018. Begg’s and Egger’s tests were used to determine publication bias in included studies. The random-effects model was carried out to determine the odds ratio. Results: A meta-analysis of the 12 studies proposed a significant association between endometriosis and the risk of low birth weight (odds ratio = 1.34, 95% confidence interval = 1.08–1.60). The subgroup analysis was carried out based on the design, adjusted form, and use of assisted reproductive technology in studies. The pooled results based on subgroup analysis in case–control and cohort studies were 1.46 (0.79–2.12) and 1.32 (1.02–1.62), respectively. There was significant correlation between endometriosis and low birth weight in cohort studies. Also, heterogeneity was not reported among studies in the subgroup based on adjusted form. There was no significant correlation between endometriosis and low birth weight in studies using assisted reproductive technology methods Conclusion: The systematic review and meta-analysis showed that endometriosis increases the risk of low birth weight. Therefore, it is a risk factor for low birth weight.

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Incidence and risk factors of low birth weight babies born in Dhulikhel Hospital

Journal of Institute of Medicine ◽

10.3126/jiom.v32i3.4959 ◽

1970 ◽

Vol 32 (3) ◽

pp. 39-42

Author(s):

SD Singh ◽

S Shrestha ◽

SB Marahatta

Keyword(s):

Risk Factors ◽

Weight Gain ◽

Birth Weight ◽

Low Birth Weight ◽

Adolescent Mother ◽

Normal Birth Weight ◽

Maternal Height ◽

Maternal Weight ◽

Normal Birth ◽

Low Birth Weight Babies

Introduction: WHO defines low birth weight (LBW) as a birth weight less than 2500 grams. Almost a third of the newborn in South East Asia Region is a low birth weight baby. Many risk factors contributing to LBW have been recognized, which in order of importance are low maternal weight, low maternal hemoglobin, low maternal height, primi-parity, adolescent mother and poor or inadequate maternal nutrition during pregnancy. Low birth weight babies have a higher risk of morbidity and mortality than an infant of normal birth weight. The present study was carried out to explore the associated risk factors of low birth weight which will be beneficial to undertake effective measures to reduce the burden of the low birth weight. Methods: This was a hospital based case control study conducted in Dhulikhel hospital, Kavre, Nepal from Jan 1st 2008 to 30th May 2010. A total of 401 cases and an equal number of age matched controls were taken to assess the different risk factors of the mother for LBW babies. Ethical approval for the study was taken from KUSMS-Institutional research committee. Data analysis was done using SPSS version 10.0. Results: Data of 401 LBW and equal number of normal birth weight babies were analyzed. The incidence of LBW in this study was 11.07%. LBW was more common in female (n=236) than in male (n=165) babies. However this difference was statistically insignificant. Among the case and the control group, maternal hemoglobin (p<0.001), maternal height (p<0.001), maternal weight gain (p<0.0001), number of ANC visits (p<0.0001) were statistically significant. However with regards to ethnicity, nutrition during pregnancy, parity and age of the mother the association were insignificant. Ethnical group, nutrition during pregnancy, age of mother and parity was found to be statically insignificant for LBW Conclusions: LBW is a common problem of the developing world, which is an important factor for perinatal mortality and morbidity. Maternal height, hemoglobin, total weight gain and ANC visit were found to be the significant risk factors contributing to LBW DOI: http://dx.doi.org/10.3126/joim.v32i3.4959 Journal of Institute of Medicine, December, 2010; 32:3 39-42

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LOW BIRTH WEIGHT DETERMINANTS

Journal of Research in Public Health Sciences ◽

10.33486/jrphs.v1i2.22 ◽

2019 ◽

Vol 1 (2) ◽

Author(s):

Legawati Legawati

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Web Of Science

Latar belakang: Bayi Berat lahir rendah (BBLR) adalah salah satu masalah kesehatan masyarakat utama pada bayi baru lahir yang mempengaruhi bayi baru lahir dengan banyak gangguan kesehatan, seperti hipoglikemia, hipotermia, keterbelakangan mental, fisik, dan masalah perkembangan saraf. Akibatnya, risiko kematian tinggi pada bayi BBLR. Menurut estimasi WHO 2014, 4,53% dari total kematian di Ethiopia disebabkan oleh BBLR. Secara global, 15 hingga 20% bayi baru lahir adalah BBLR; 13% di Afrika sub-Sahara dan 15,9% di sepuluh negara berkembang (Armenia, Kamboja, Kolombia, Indonesia, Yordania, Nepal, Pakistan, Tanzania, Uganda, dan Zimbabwe). Sebagai akibatnya, BBLR melakukan beban luar biasa pada sistem politik, sosial, ekonomi, dan kesehatan baik di negara berkembang maupun negara maju. Oleh karena itu, pada akhir 2025, Badan Kesehatan Dunia menetapkan target kebijakan untuk mengurangi BBLR sebesar 30%. Tujuan : untuk mengidentifikasi determinan dan faktor risiko kejadian bayi berat lahir rendah (BBLR) Metode: PubMed, Web of Science, perpustakaan Cochrane, dan Google Cendekia dicari. Sebuah plot funnel dan uji regresi Egger digunakan untuk melihat bias publikasi. Statistik I-square diterapkan untuk memeriksa heterogenitas studi. Model varian acak-efek terbalik diterapkan untuk memperkirakan prevalensi nasional dan ukuran efek faktor terkait. Analisis subkelompok dilakukan berdasarkan wilayah, desain penelitian, dan tahun publikasi. Hasil: Kesimpulan: Prevalensi bayi berat lahir rendah di Ethiopia tetap tinggi. Tinjauan ini dapat membantu pembuat kebijakan dan petugas program untuk merancang intervensi pencegahan kejadian bayi berat lahir rendah.

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