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

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.

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Adverse maternal outcomes of pregnancy induced hypertension among pregnant women in Tigray Regional State, Ethiopia: a prospective cohort study

10.21203/rs.2.13630/v1 ◽

2019 ◽

Author(s):

Abadi Kidanemariam Berhe ◽

Abiodun O. ILESANMI ◽

Christopher O. AIMAKHU ◽

Afework Mulugeta

Keyword(s):

Cohort Study ◽

Data Analysis ◽

Prospective Cohort Study ◽

Medical Records ◽

Prospective Cohort ◽

Total Sample ◽

Maternal Outcomes ◽

Pregnancy Induced Hypertension ◽

Regional State ◽

Induced Hypertension

Abstract Objective The objective of this study was to assess the effect of pregnancy-induced hypertension on adverse maternal outcomes in Tigray Regional State, Ethiopia. A prospective cohort study was conducted on a total sample of 782 pregnant women attending antenatal care in hospitals of Tigray regional state, Ethiopia. Data were collected using interviewer-administered questionnaire and review of their medical records from February 1, 2018, to February 30, 2019. Data analysis was performed using Stata version 14.0.Results The overall adverse maternal outcome was 67.7% among women with pregnancy-induced hypertension and 25.1% among normotensive women. Specifically women with pregnancy-induced hypertension were at higher risk of developing Antepartum hemorrhage (Adjusted RR=1.4(1.1,2.5)), postpartum hemorrhage (RR=2.6(1.3,4.9)), induction of labor (RR=5.9(4.0,8.7)) and delivering by cesarean section (RR=2.1(1.6,2.8)) compared to normotensive women.

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Migraine-Asthma Comorbidity and Risk of Hypertensive Disorders of Pregnancy

Journal of Pregnancy ◽

10.1155/2012/858097 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 10

Author(s):

Stefanie Czerwinski ◽

Jolana Gollero ◽

Chunfang Qiu ◽

Tanya K. Sorensen ◽

Michelle A. Williams

Keyword(s):

Medical Records ◽

Symptom Management ◽

Perinatal Outcomes ◽

Reproductive Age ◽

Pregnancy Induced Hypertension ◽

Hypertensive Disorders Of Pregnancy ◽

Hypertensive Disorders ◽

Reproductive Age Women ◽

Asthma Status ◽

Induced Hypertension

Background. To evaluate the association of migraine and asthma and to estimate the risk of hypertensive disorders of pregnancy in relation to maternal comorbid migraine and asthma.Methods. Reproductive age women (N=3.731) were interviewed during early pregnancy. At the time of interview, we ascertained participants’ migraine and asthma status. From medical records, we collected information to allow the diagnosis of pregnancy-induced hypertension (PIH) and preeclampsia. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic regression procedures.Results. After adjusting for confounders, migraineurs had 1.38-fold increased odds of asthma as compared with nonmigraineurs (95% CI 1.09–1.38). The odds of hypertensive disorders of pregnancy were highest among women with comorbid migraine-asthma. The ORs for PIH preeclampsia and the two disorders combined were 2.53 (95% CI 1.39–4.61), 3.53 (95% CI 1.51–8.24), and 2.64 (95% CI 1.56–4.47), respectively, for women with comorbid migraine-asthma as compared with those who had neither disorder.Conclusion. These findings confirm prior reports and extend the literature by documenting particularly high odds of pregnancy-induced hypertension and preeclampsia among women with comorbid migraine-asthma. Increased knowledge about the prevalence and sequelae of comorbidities during pregnancy may lead to improved symptom management and perinatal outcomes.

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The cult of the body and its psychological consequences among adolescent girls

Polish Journal of Public Health ◽

10.2478/pjph-2018-0008 ◽

2018 ◽

Vol 128 (1) ◽

pp. 44-48

Author(s):

Aleksandra Iwanicka ◽

Jolanta Masiak ◽

Joanna Księska-Koszałka ◽

Gabriela Zdunek ◽

Andy R. Eugene ◽

...

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Social Networking Sites ◽

The Body ◽

Sociocultural Context ◽

Psychological Consequences ◽

Potential Influence ◽

Adolescent Women ◽

The Social ◽

The Media

Abstract Taking into consideration the problem of “the cult of the body” among young women, the sociocultural context of their upbringing should be analyzed. Nowadays, it can be observed that many young women actively participate in promoting “the cult of the body”. The aim of the aforementioned actions is to get a slim, attractive figure consistent with the trends of women’s attractiveness promoted in the media. The analysis of the social networking sites and blogs indicates that more and more often women themselves are encouraged to promote their attractive, thin image in the Internet. This article will attempt to characterize the phenomenon of “the cult of the body”, in which adolescent women are engaged and which shapes their image of the body and has a potential influence on psychological and physical aspects of their existence. The analysis of the results of the research takes into account the analyzed subject and developmental conditioning of the time of adolescence in the context of sociocultural changes.

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RETINAL CHANGES IN PREGNANCY INDUCED-HYPERTENSION

International Journal of Current Pharmaceutical Research ◽

10.22159/ijcpr.2021v13i1.40797 ◽

2021 ◽

pp. 18-20

Author(s):

MANDAR ZADE ◽

V. PANIMALAR A. VEERAMANI ◽

DIVYA N. ◽

BINDU BHASKARAN

Keyword(s):

Blood Pressure ◽

Gestational Hypertension ◽

Tertiary Hospital ◽

The Body ◽

Hypertensive Retinopathy ◽

Pregnancy Induced Hypertension ◽

Cross Sectional ◽

Induced Hypertension ◽

Changes In Pregnancy ◽

In Pregnancy

Objective: The aim is to determine the prevalence of retinal changes in Pregnancy Induced Hypertension (PIH) and its association with age, parity, proteinuria, blood pressureand severity of PIH. Methods: This is a tertiary hospital based Cross-Sectional study including all patients, clinically diagnosed with Pregnancy Induced Hypertension. General demographic details along with age, gravida, gestation period, proteinuria, blood pressure and severity of PIH were noted. Ophthalmic examination was performed and detailed fundus examination was done. Results: A total of 52 patients were included in this study. Their mean age was 24.9 y; 32 out of 52 patients were primigravida (61%) and 20 patients were multi gravida (39%). Out of 52 patients 34 (65.38%) had Gestational Hypertension, 16 (30.76%) had preeclampsia, and 2 (3.8%) had eclampsia. 3 (5.76%) out of 29 patients with BP<160/100 mmHg and 10 (19.23%) out of 23 patients with BP>160/100 mmHg had developed Hypertensive Retinopathy. Hypertensive Retinopathy was seen in 13 (25%). Proteinuria was seen in 10 (19.23%) patients ranging between+to+++on the dipstick. Conclusion: Statistically significant correlation between retinal changes and proteinuria, blood pressure and severity of Disease.The most important requisite in a case of Pregnancy Induced Hypertension is Fundoscopic examination of retina. The retinal vessels during PIH form a gateway to visualize changes in the body and placental vessels, and may play a key role in early detection and treatment of PIH for protection of the mother as well as the fetus.

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Maternal-child nursing care for adolescent mothers: health education

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0769 ◽

2020 ◽

Vol 73 (4) ◽

Author(s):

Raquel Dully Andrade ◽

Jeniffer Stephanie Marques Hilário ◽

Jaqueline Silva Santos ◽

José de Paula Silva ◽

Luciana Mara Monti Fonseca ◽

...

Keyword(s):

Health Care ◽

Child Care ◽

Adolescent Mothers ◽

Educational Intervention ◽

Adolescent Women ◽

Adolescent Motherhood ◽

Children Health ◽

Third Stage ◽

Women And Children ◽

Care Technology

ABSTRACT Objectives: to develop an educational intervention through a game that addresses aspects related to adolescent motherhood and child care. Methods: this is an action research based on diagnosis, intervention and apprehension stages. Results: the situational diagnosis was based on a literature review on adolescent motherhood and child care. In the intervention stage, the educational game’s first version was elaborated. In the third stage constituted by apprehension, the game was submitted to assessment of interdisciplinary experts. Suggestions of experts were adopted and the game had its second version. Final Considerations: the educational intervention in the present study appears a care technology that adds knowledge and practices to the work of nurses in Primary Health Care, focusing on adolescent women and children health care.

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The Value of Magnesium Sulfate in the Pre-Hospital Phase of the Management of Eclampsia

Journal of Gynecology Research Reviews & Reports ◽

10.47363/jgrrr/2020(2)120 ◽

2020 ◽

pp. 1-2

Author(s):

Yassine Smiti ◽

◽

Yousra Lamarti ◽

Hniad Adnane ◽

◽

...

Keyword(s):

Mortality Rate ◽

Magnesium Sulfate ◽

Young Women ◽

Maternity Hospital ◽

Anesthetic Technique ◽

Pregnancy Induced Hypertension ◽

Cesarean Sections ◽

Antenatal Consultation ◽

Induced Hypertension ◽

First Time

Eclampsia is a very serious complication of pregnancy, its occurrence is responsible of maternal and fetal morbidity and mortality. The aim of this study is to clarify the value of Magnesium Sulfate in the prevention of convulsive state and in the choice of anesthetic technique for cesarean section during eclampsia. We realized a prospective descriptive, analytical and comparative study over a period of 5 months, concerning a series of 49 pregnant women admitted to the anesthesia-intensive care unit of the Souissi Maternity Hospital in Rabat, with eclampsia. The diagnosis of eclampsia was made due to the occurrence of convulsive seizure (s) linked to pregnancy-induced hypertension. It was found that eclampsia mainly affected young women (age less than or equal to 25 years) with a percentage of 57.3%. The majority of patients were first-time mothers (55.1%). This condition manifests itself most often in the last trimester of pregnancy (72.9%), especially in pre-partum. The majority of patients did not receive an antenatal consultation. The treatment of choice in our study was magnesium sulfate. So, 51% of patients had not received magnesium sulfate before their admission to our hospital and 56% of them had had more than one seizure. And the 49% of patients, on the other hand, had received magnesium sulfate and only 18% of them had had the seizure again. Our obstetric attitude was based on immediate delivery with a caesarean section. 34.5% cesarean sections were performed under general anesthesia, compared with 65.5% under spinal anesthesia. The fetus morbidity was mainly represented by prematurity (30.6%) and neonatal distress (28.5%). The prognosis of eclampsia remains bleak both for the mother with a maternal mortality rate of 4%, and for the fetus with a perinatal mortality rate of 16.3%.

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

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n21p25 ◽

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.

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ASSESSMENT OF KNOWLEDGE ON PREGNANCY INDUCED HYPERTENSION AMONG THE ANTENATAL MOTHERS ATTENDING ANTENATAL OPD WITH A VIEW TO DEVELOPAN INFORMATION BOOKLET IN SELECTED HOSPITAL, GUWAHATI, ASSAM.

10.36106/ijsr/8504014 ◽

2021 ◽

pp. 33-35

Author(s):

Suzie Mandy Kharbyngar ◽

Ruth Lalhmingthang

Keyword(s):

Sampling Technique ◽

Knowledge Score ◽

Demographic Variables ◽

The Body ◽

Pregnancy Induced Hypertension ◽

Chi Square ◽

Information Booklet ◽

Knowledge Questionnaire ◽

Induced Hypertension ◽

Level Of Knowledge

Hypertension is one of the common disorders of pregnancy; it can impact the body in different ways and contributes signicantly to the maternal and perinatal morbidity and mortality. The main aim of the study is to assess the knowledge on pregnancy induced hypertension with a view to develop an information booklet among the antenatal mothers attending antenatal OPD.A Non-Experimental, Descriptive design was adopted for the study. In the study, 150 antenatal mothers were selected by using purposive sampling technique. The tools used for the study were demographic variables, self-structured knowledge questionnaire and information booklet. The analysis was done by using descriptive and inferential statistics in terms of frequency, percentage distribution and chi-square. The study reveal that 112(75%) have poor knowledge and 38(25%) of the antenatal mothers has good knowledge on pregnancy induced hypertension. There was a signicant association between the level of knowledge score on pregnancy induced hypertension with the selected demographic variables. By providing the information booklet, it will help the society to prevent any problem with pregnancy induced hypertension.

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