experiência de gravidez na adolescência, fatores associados e resultados perinatais entre puérperas de baixa renda pregnancy in adolescence, associated factors, and perinatal results among low-income post-partum women

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ID: 217135
2002
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Abstract
Este trabalho tem como objetivo comparar as características sócio-econômicas, a assistência pré-natal e o estilo de vida de três grupos de puérperas, um composto por adolescentes (< 20 anos) e os demais por mulheres de 20-34 anos, categorizadas segundo experiência (ou não) de gravidez na adolescência. Foram entrevistadas 3.508 puérperas no pós-parto em maternidades municipais e federais do Município do Rio de Janeiro. A análise estatística consistiu em utilizar testes qui-quadrado (chi2) para testar hipóteses de homogeneidade de proporções. Ao comparar os três grupos, observou-se uma situação mais desfavorável entre as mães de 20-34 anos com história de gravidez na adolescência. Estas têm pior nível de instrução, mostram com maior freqüência hábitos de fumo e uso de drogas ilícitas durante a gestação e apresentam menor número de consultas de atendimento pré-natal. A assistência pré-natal se apresentou neste estudo como uma política compensatória eficiente para a prevenção da prematuridade e do baixo peso ao nascer, sobretudo entre as puérperas adolescentes.
This paper compares socioeconomic characteristics, prenatal care, and life styles of three groups of post-partum women, one consisting of adolescents (< 20 years) and the other two of women 20-34 years old, classified according to their history of pregnancy during adolescence. A sample of 3,508 post-partum women was selected from public hospitals in the city of Rio de Janeiro, Brazil, and interviewed just after childbirth. To verify the hypothesis of homogeneity of proportions, chi-square tests (chi2) were used. Comparing the three groups, the most adverse conditions were found among the 20-34-year-old mothers with a history of pregnancy during adolescence. These women have the least schooling, the highest rates of smoking and use of illegal drugs during pregnancy, and the fewest prenatal appointments. According to this study, prenatal care proved to be an effective compensatory policy for the prevention of prematurity and low birth weight, especially among adolescent mothers.
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Authors ;Silvana Granado Nogueira da Gama;Célia Landmann Szwarcwald;Maria do Carmo Leal
Journal iberian conference on information systems and technologies, cisti
Year 2002
DOI
10.1590/S0102-311X2002000100016
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2002000100016
Keywords
pregnancy in adolescence maternal and child health estilo de vida low birth weight infant saúde materno infantil

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