scholarly journals Resultados Perinatales De Hijos De Madres Adolescentes, Comparados Con Hijos De Madres No Adolescentes En Un Hospital De Segundo Nivel En México

2016 ◽  
Vol 12 (21) ◽  
pp. 25
Author(s):  
Genaro Vega-Malagón ◽  
Tannia De Icaza-Llera ◽  
Alma Becerril-Santos ◽  
Javier Ávila-Morales
Keyword(s):  
Pregnant Women ◽  
Adolescent Mothers ◽  
Apgar Score ◽  
Medical Records ◽  
Perinatal Outcomes ◽  
Health Department ◽  
Case Control Studies ◽  
Adolescent Women ◽  
Qualitative Variables ◽  
Age Range

OBJECTIVE: To determine perinatal outcomes of children of adolescent mothers against the ones of children of non-adolescent mothers in a second level class hospital in Mexico. METHODOLOGY: Case-control studies applied at “Hospital del Niño y la Mujer” from the National Health Department of Queretaro, Qro. from September 1st, 2015 to January 30th, 2016. A sample of 60 medical records of teenage pregnant women was studied. In addition to 90 medical records of women between 20 to 35 years old who had an obstetric event. The analysis was performed using descriptive and inferential statistics. With a 95% confidence interval and a value of p < 0.05. RESULTS: The average age range was 17.38 and 25.33 respectively. The quantitative variables, statistically significant with a p<0.05, were: weight and Apgar score one minute after birth, whereas in weeks of gestation, height and Apgar score five minutes after birth and after days of hospitalization, there was no change. The most frequent qualitative variables among adolescent women were: complications during childbirth (15%), complications with the newborn (18.3%), and route of termination of pregnancy by caesarean section (70%), while in pregnant women between 20 to 35 years old, the complications during the pregnancy were more frequent (51.1%). CONCLUSIONS: Pregnancy among adolescent women continues to have a higher mortality rate than in 20 to 35 year-old women, although it is less frequent than in previous years. It is necessary to promote sexual education to reduce the incidence in this age group.

scholarly journals A perspective of the epidemiology of malaria and anaemia and their impact on maternal and perinatal outcomes in Sudan

2010 ◽  
Vol 5 (02) ◽  
pp. 83-87 ◽  
Author(s):  
Ishag Adam ◽  
Elhassan M Elhassan ◽  
Abd Elrahium D Haggaz ◽  
Abdel Aziem A Ali ◽  
Gamal K Adam
Keyword(s):  
Risk Factor ◽  
Pregnant Women ◽  
Placental Malaria ◽  
Vitamin B12 Deficiency ◽  
Perinatal Outcomes ◽  
Plasmodium Falciparum Malaria ◽  
Malaria Prevention ◽  
Bed Nets ◽  
Case Control Studies ◽  
Cross Sectional

Introduction: Both malaria and anaemia have adverse effects on maternal and perinatal outcomes. Thus there is an urgent need to investigate the co-epidemiology of malaria and anaemia and their combined impact on maternal and perinatal outcomes in the different regions of Sudan Methodology: Various cross-sectional and case control studies conducted during the years 2003-2010 to investigate the epidemiology of malaria and anaemia and their impact on maternal and perinatal outcomes in different regions of Sudan were compared. Results: While 13.7% of antenatal attendants in New Halfa had peripheral microscopically detected Plasmodium falciparum malaria, placental malaria (using histological examinations) was prevalent in 32.0-40% and 19.5% of parturient women in New Halfa and Gadarif Hospitals, respectively. Malaria was a risk factor for anaemia in New Halfa and for stillbirths in Omdurman Maternity Hospital. Anaemia was present in 52.5%, 62.6% and 80.2% of pregnant women in Medani, New Halfa, and Gadarif Hospitals, respectively. In Gadarif, 57.3% of pregnant women had a folate deficiency, while 1% had a vitamin B12, deficiency. In Medani, zinc and copper deficiencies were detected in 45.0% and 4% of pregnant women, respectively. Anaemia was a risk factor for low birth weight in Al-Fashir, for fetal anaemia in New Halfa, and for stillbirth in Kassala Hospital. Conclusion: More care should be taken to ensure proper nutrition and malaria prevention such as bed nets and intermittent preventive treatments to avoid these diseases and their effects on maternal and perinatal outcomes.

scholarly journals ECLAMPTIC PATIENTS

2015 ◽  
Vol 22 (11) ◽  
pp. 1464-1470
Author(s):  
Sadia Zahoor ◽  
Tahira Malik ◽  
Sonia Zulfiqar
Keyword(s):  
Pregnant Women ◽  
Tertiary Care ◽  
Perinatal Outcomes ◽  
Basic Care ◽  
Induced Hypertension ◽  
Qualitative Variables ◽  
Unfavorable Cervix ◽  
Hospital Study ◽  
Very High

Background: Hypertensive disorders are the second most common cause ofmaternal death worldwide. Eclampsia is the extension of pregnancy induced hypertension tothe point of conclusions, coma or both. Objectives: To find out the incidence of eclampsiaamong pregnant women and to identify the maternal and perinatal outcomes of eclampticpatients treated in a tertiary care referral hospital. Study Design: Discretional cross sectionalstudy. Setting: Department of Obstetrics & Gynecology, Sheikh Zayed Hospital, Rahim YarKhan. Period: January 2014 to December 2014. Methods: A total number of 96 patients out of10513 who were diagnosed as being eclamptic during the study period were included in thisstudy. While normal pregnant women and Patient’s with uncertain diagnosis was excluded. Allpatient variables were entered and analyzed using SPSS v20. Frequency and percentages wereused to express qualitative variables. Results: There were total ninety six patients (0.913%) outof 10,513 who presented with eclampsia. Most of eclamptic patients were of having age >21years. Among patients who developed eclampsia 52 (54.16%) were in Ante partum period and40 (41.66%) were in postpartum period. Out of 96, five patients died before delivery and thirteenafter delivery, seventy eight patients developed one or more complications during delivery.Out of total 91 deliveries, 54 (59.30%) were delivered by cesarean section (C/S). Main reasonfor C/S was unfavorable cervix. Out of total ninety one deliveries two were twins and eightynine singletons. Fifty eight (62.36%) babies were born at a gestational age <37 weeks. Birthasphyxia occurred in sixty one (65.60%) newborns. There were twenty two (23.65%) perinataldeaths, fourteen (63.64%) were stillbirths and eight (36.36%) were early neonatal deaths.Conclusion: Eclampsia is found to be associated with very high rates of maternal mortality andmorbidity as well as perinatal mortality. Early diagnosis of eclampsia and its timely managementcan reduce the risk of this mortality. This can be made possible by provision of basic facilitiesand improvements in the quality of basic care provided by our antenatal clinics.

scholarly journals The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China

2020 ◽  
Author(s):  
Ting Zhang ◽  
Huien Wang ◽  
Xinling Wang ◽  
Yue Yang ◽  
Yingkui Zhang ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Pregnant Women ◽  
Adolescent Pregnancy ◽  
Pregnancy Outcomes ◽  
Neonatal Death ◽  
Perinatal Outcomes ◽  
Hebei Province ◽  
Adolescent Group ◽  
Adolescent Women ◽  
Adverse Pregnancy

Abstract Background The adverse pregnancy outcomes caused by teenage pregnancy are major public health problems with significant social impact, especially in developing countries. While China is the most populous country in the world, and 8.5% of the women aged 10-50 years are adolescent women, we aimed to analyze the adverse maternal and perinatal outcomes of the adolescent pregnant women in Hebei Province, China.Methods There were 238,598 singleton pregnant women aged 10-34 years from January 1, 2013 to December 31, 2017 in the database of Hebei Province Maternal Near Miss Surveillance System (HBMNMSS). The 238,598 pregnant women were divided into two groups: adolescent group (aged 10-19 years) and adult group (aged 20-34 years), the adolescent group was divided into two subgroups (aged 10-17 years, aged 18-19 years). The information that was collected included sociodemographic characteristics, obstetric history, place and mode of delivery, pregnancy outcome, complications during pregnancy. We compared the risk of adverse pregnancy outcomes between the two groups and two subgroups using univariate and multivariate Logistic regression. Results Compared with women aged 20-34 years, women aged 10-19 years had lower risk of cesarean delivery [adjusted risk ratio (aRR): 0.75, 95% confidence interval (CI): 0.70-0.80], gestational diabetes mellitus (GDM) (aRR: 0.55, 95% CI: 0.41-0.73). The women aged 10-19 years had higher risk of preterm birth (aRR: 1.76, 95% CI: 1.54-2.01), small for gestational age (SGA) (aRR: 1.19, 95% CI: 1.08-1.30), stillbirth (aRR: 2.58, 95% CI: 1.83-3.62), neonatal death (aRR: 2.63, 95% CI: 1.60-4.32). The adolescent women aged 10-17 years had significantly higher risk of stillbirth (aRR: 4.83, 95% CI: 2.86-8.14) and neonatal death (aRR: 6.35, 95% CI: 3.16-12.77) compared with the women aged 20-34 years, but there was no association with the risk of incidence of GDM (aRR: 1.03, 95% CI: 0.63-1.68) and SGA (aRR: 1.11, 95% CI: 0.89-1.39). Conclusions The adolescent pregnancy was related to adverse perinatal (fetal and neonatal) outcomes, such as preterm birth, stillbirth and neonatal death, especially in younger adolescent pregnancies (aged 10-17 years).

scholarly journals Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)

2021 ◽  
Author(s):  
Marzena Kaźmierczak ◽  
Karolina Tymanowska ◽  
Grażyna Gebuza ◽  
Maciej W. Socha
Keyword(s):  
Adolescent Mothers ◽  
Young Women ◽  
Medical Records ◽  
The Body ◽  
Pregnancy Induced Hypertension ◽  
Related Complication ◽  
Adolescent Women ◽  
Adolescent Motherhood ◽  
Induced Hypertension ◽  
Biological Development

Introduction: Adolescent motherhood is associated with a high risk of health problems due to the unfinished process of biological development of the body. Aim: To compare the course of labour among adolescent mothers (aged up to 17 years) and young women (aged 18–19 years). Material and methods: The study was performed on the basis of a retrospective analysis of medical records from 2010 to 2018 in one of the clinical hospitals in Poland. The analysis included the births given by 133 adolescent mothers and 169 young women. Results and discussion: There was a downward trend in the percentage of births given by adolescent mothers and young women over a 9-year period. The placenta of adolescent women was lighter, by 25 g on average (P = 0.011), and had a smaller size (P = 0.038) than the placenta of young women. In adolescent women, pregnancy-related complications were significantly more often associated with pregnancy-induced hypertension (P = 0.037), and in young women with gestational diabetes (P = 0.003). The rapture of membranes was observed significantly more often at the first stage of labour among mothers aged 18–19 years than in mothers aged up to 17 years (P = 0.043). Conclusions: A decrease in the number of births given by adolescent mothers and young women over 9 years was demonstrated. Among adolescent mothers a pregnancy-related complication was pregnancy-induced hypertension. The placenta of adolescent mothers was significantly lighter and smaller than of young women. The rapture of membranes (in the first stage of labour) concerned more often women aged 18–19 years.

scholarly journals Karakteristik Ibu Hamil dengan Covid-19 dan Luaran Persalinannya di Rumah Sakit Kasih Ibu Surakarta

2021 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Nabila Arnest Amorita ◽  
Ira Syahriarti
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Apgar Score ◽  
Medical Records ◽  
Maternal Age ◽  
Central Java ◽  
Weight One ◽  
Referral Hospitals ◽  
Maternal And Neonatal Outcomes ◽  
Maternal Fetal Transmission

Background: Kasih Ibu Hospital as one of the referral hospitals for COVID-19 in Surakarta City, Central Java, had treated 1333 confirmed cases of COVID-19, including among them obstetric patients with COVID-19. Pregnant women are considered to be more susceptible to COVID-19 infection than those who are not pregnant and it is feared that it will result in unfavorable conditions for both mother and fetus. Until now, research on pregnant women with COVID-19 in Indonesia is still very few and limited.Objective: To provide an overview of the characteristics of maternal and neonatal outcomes at the Kasih Ibu Hospital Surakarta.Method: Data were collected from medical records of pregnant women confirmed with COVID-19 who gave birth at the Kasih Ibu Hospital, Surakarta. Data was presented in the form of a distribution based on maternal age, parity, gestational age, complication of delivery, typical complaints of COVID-19 in mothers, birth weight of infant, infant APGAR score, and infant COVID-19 status.Results and Discussion: A total of 62 pregnant women confirmed with COVID-19 gave birth at the Kasih Ibu Hospital Surakarta by sectio caesarean procedure. Of all pregnant women, most were asymptomatic and had mild symptoms, only 3.2% had moderate symptoms and no severe or critical symptoms were found. Out of 20 out of 62 babies born (32%) confirmed with COVID-19. All babies were born with good APGAR score and 4 babies were found with low birth weight, one of whom also had hypospadias.Conclusions: Further research is needed regarding the maternal-fetal transmission of COVID-19. Keywords: COVID-19; neonates; pregnancy

scholarly journals Thyroid Function of Pregnant Women and Perinatal Outcomes in North Macedonia

2021 ◽  
Vol 43 (10) ◽  
pp. 736-742
Author(s):  
Maja Avramovska ◽  
Neda Milevska Kostova ◽  
Borislav Karanfilski ◽  
Sandra Hunziker ◽  
Olivija Vaskova ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Thyroid Function ◽  
Apgar Score ◽  
Low Birthweight ◽  
Perinatal Outcomes ◽  
Overt Hypothyroidism ◽  
Endocrine Disorders ◽  
Thyroid Function Tests

Abstract Objective Thyroid diseases are the second most common endocrine disorders in the reproductive period of women. They can be associated with intrauterine growth restriction (IUGR), preterm delivery, low Apgar score, low birthweight (LBW) or fetal death. The aim of the present study is to explore thyroid dysfunction and its relationship with some poor perinatal outcomes (Apgar Score, low birthweight, and preterm delivery). Methods Dried blood spot samples from 358 healthy pregnant women were analyzed for thyroid stimulating hormone (TSH), total thyroxine (TT4), and thyroglobulin (Tg). Neonatal data were collected upon delivery. Four groups were formed based on thyroid function tests (TFTs). Results Of the 358 tested women, 218 (60.72%) were euthyroid. Isolated hypothyroxinemia was present in 132 women (36.76%), subclinical hyperthyroidism in 7 women (1.94%), and overt hypothyroidism in 1 (0.28%). The perinatal outcomes IUGR (p = 0.028) and Apgar score 1 minute (p = 0.015) were significantly different between thyroid function test [TFT]-distinct groups. In the multiple regression analysis, TT4 showed a statistically significant inverse predictive impact on LBW (p < 0.0001), but a positive impact of Tg on LBW (p = 0.0351). Conclusion Thyroid hormones alone do not have a direct impact on neonatal outcomes, but the percentage of their participation in the total process cannot be neglected. Based on the regression analysis, we can conclude that TT4 and Tg can be used as predictors of neonatal outcome, expressed through birthweight and Apgar score. The present study aims to contribute to determine whether a test for thyroid status should become routine screening during pregnancy.

scholarly journals Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy

2019 ◽  
Vol 7 (5) ◽  
pp. 760-766 ◽  
Author(s):  
Meral Rexhepi ◽  
Florin Besimi ◽  
Nagip Rufati ◽  
Arian Alili ◽  
Sani Bajrami ◽  
...  
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
School Attendance ◽  
Perinatal Outcomes ◽  
Neonatal Outcomes ◽  
Adult Women ◽  
Perinatal Complications ◽  
Neonatal Complications ◽  
Adolescent Women ◽  
Tract Infections

BACKGROUND: Adolescent pregnancy, defined as a pregnancy in girls aged 10 to 19 years. Adolescent mothers are at high risk for maternal and neonatal complications. AIM: To compare maternal, perinatal and neonatal outcomes in adolescents and adult women aged 20-24 years. MATERIAL AND METHODS: This retrospective cohort study included all singleton pregnancies during a three-year period (January 2016-December 2018) who gave birth in a Clinical Hospital in Tetovo, Republic of Macedonia. After exclusion criteria, a total of 932 cases were reviewed and divided into two groups: one of the teenage mothers (< 19 years old) (115 women) and the other of adult mothers (20-24 years old) (817 women). RESULTS: Of the total number of 5643 births, 128 (2.27%) were from adolescent pregnancies. Of them, nulliparous adolescent women were 115 (2.04%). Adolescents compare to adult mothers had a higher rate of urinary tract infections (33% vs. 22%), increased rate of maternal anemia (26% vs. 15%), preterm birth, small for gestational age newborns (25.2% vs. 17.1%), lower high school attendance (0 vs. 21.9%) and inadequate prenatal care. Spontaneous labour was more common in adolescents (73% vs 63.5%), while Caesarean sections were less common than in women aged 20-24 years (25.2% vs 33.5%). The rate of other perinatal outcomes was not significantly different between the 2 groups. CONCLUSIONS: The results of the study showed that the frequencies of some maternal, perinatal and neonatal complications were considerably higher in adolescent mothers. nal and perinatal complications were considerably higher in adolescent mothers.

scholarly journals Clinical and epidemiological aspects of prematurity in a Normal Delivery Center, São Paulo, Brazil

2011 ◽  
Vol 9 (4) ◽  
pp. 483-488
Author(s):  
Miriam Siqueira do Carmo Rabello ◽  
Sonia Maria Oliveira de Barros
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Adolescent Mothers ◽  
Apgar Score ◽  
Medical Records ◽  
Perinatal Outcome ◽  
Preterm Births ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Normal Delivery

ABSTRACT Objective: To present clinical and epidemiological aspects of prematurity in a Normal Delivery Center, and to describe outcomes. Methods: A cross-sectional retrospective study, with 189 medical records of premature, single, and living fetuses, with gestational ages between 25 and 36.6 weeks. Results: The prevalence of preterm births was 7.8%, and 23.2% in adolescent mothers. The most frequent obstetric complication was premature rupture of ovular membranes (35.4%), followed by hypertensive syndrome (18.5%). Cesarean section was performed in 33% of cases. The Apgar score in the 1st minute was < 7 in 36.0% of cases, and in the 5th minute of life, in 9.5% of cases. Conclusion: Among the aspects studied, results showed that the prevalence of preterm births was higher than expected for the adolescent mothers, however, with a satisfactory perinatal outcome.

scholarly journals Hypertensive Disorders: Prevalence, Perinatal Outcomes and Cesarean Section Rates in Pregnant Women Hospitalized for Delivery

2020 ◽  
Vol 42 (11) ◽  
pp. 690-696
Author(s):  
Francisco Lírio Ramos Filho ◽  
Carlos Maurício de Figueiredo Antunes
Keyword(s):  
Pregnant Women ◽  
Preterm Infants ◽  
Apgar Score ◽  
Low Birthweight ◽  
Case Control Study ◽  
Perinatal Outcomes ◽  
Cesarean Deliveries ◽  
Hypertensive Disorders ◽  
Belo Horizonte ◽  
Control Study

Abstract Objective To evaluate the prevalence of hypertensive disorders, perinatal outcomes (preterm infants, low birthweight infants and Apgar score < 7 at the 5th minute and fetal deaths) and the cesarean rates in pregnant women hospitalized for delivery at the Maternidade Hilda Brandão da Santa Casa de Belo Horizonte, Belo Horizonte, state of Minas Gerais, Brazil, from March 1, 2008 to February 28, 2018. Methods A case-control study was performed, and the groups selected for comparison were those of pregnant women with and without hypertensive disorders. Out of the 36,724 women, 4,464 were diagnosed with hypertensive disorders and 32,260 did not present hypertensive disorders Results The prevalence of hypertensive disorders was 12.16%; the perinatal outcomes and cesarean rates between the 2 groups with and without hypertensive disorders were: preterm infants (21.70% versus 9.66%, odds ratio [OR] 2.59, 95% confidence interval [CI], 2.40–2.80, p < 0.001); low birthweight infants (24.48% versus 10.56%; OR 2.75; 95% CI, 2.55–2.96; p < 0.001); Apgar score < 7 at the 5th minute (1.40% versus 1.10%; OR 1.27; 95% CI, 0.97–1.67; p = 0.84); dead fetuses diagnosed prior to delivery (1.90% versus 0.91%; OR 2.12; 95% CI, 1.67–2.70; p < 0.001); cesarean rates (60.22% versus 31.21%; OR 3.34; 95% CI, 3.14–3.55; p < 0.001). Conclusion Hypertensive disorders are associated with higher rates of cesarean deliveries and higher risk of preterm infants, low birthweight infants and a higher risk of fetal deaths.

Comparison of Perinatal Outcomes of Pregnant Women with SARS, MERS and COVID-19: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Pengming Sun ◽  
Hangjing Gao ◽  
Xiqi Huang ◽  
Huanrui Zheng ◽  
Hongning Cai ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pregnant Women ◽  
Meta Analysis ◽  
Perinatal Outcomes
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