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首页> 外文期刊>Frontiers in Public Health >Risks of Adverse Neonatal Outcomes in Early Adolescent Pregnancy Using Group Prenatal Care as a Strategy for Public Health Policies: A Retrospective Cohort Study in Brazil
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Risks of Adverse Neonatal Outcomes in Early Adolescent Pregnancy Using Group Prenatal Care as a Strategy for Public Health Policies: A Retrospective Cohort Study in Brazil

机译：青少年妊娠早期新生儿成果的风险使用群产前护理作为公共卫生政策的战略：巴西的回顾性队列研究

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Background: Adolescent pregnancy is a public health concern and many studies have evaluated neonatal outcomes, but few have compared younger adolescents with older using adequate prenatal care. Objective: To compare the risks of adverse neonatal outcomes in younger pregnant adolescents who are properly followed through group prenatal care (GPC) delivered by specialized public services. Methods: This retrospective cohort study followed pregnant adolescents (aged 10–17 years) who received GPC from specialized public services in Brazil from 2009 to 2014. Data were obtained from medical records and through interviews with a multidisciplinary team that treated the patients. The neonatal outcomes (low birth weight, prematurity, Apgar scores with 1 and 5 min, and neonatal death) of newborns of adolescents aged 10–13 years were compared to those of adolescents aged 14–15 years and 16–17 years. Incidence was calculated with 95% confidence intervals (CIs) and compared over time using a chi-squared test to observe trends. Poisson Multivariate logistic regression was used to adjust for confounding variables. The results are presented as adjusted relative risks or adjusted mean differences. Results: Of the 1,112 adolescents who were monitored, 758 were included in this study. The overall incidence of adverse neonatal outcomes (low birth weight and prematurity) was measured as 10.2% (95% CI: 9.7–11.5). Apgar scores collected at 1 and 5 min were found to be normal, and no instance of fetal death occurred. The incidence of low birth weight was 16.1% for the 10–13 age group, 8.7% for the 14–15 age group and 12.1% for the 16–17 age group. The incidence of preterm was measured at 12, 8.5, and 12.6% for adolescents who were 10–13, 14–15, and 16–17 years of age, respectively. Neither low birth weight nor prematurity levels significantly differed among the groups ( p 0.05). The infants born to mothers aged 10–13 years presented significantly ( p 0.05) lower Apgar scores than other age groups, but the scores were within the normal range. Conclusions: Our findings showed lower incidence of neonatal adverse outcomes and no risk difference of neonatal outcomes in younger pregnancy adolescents. It potentially suggests that GPC model to care pregnant adolescents is more important than the age of pregnant adolescent, however further research is needed.
机译：背景：青少年怀孕是公共卫生问题，许多研究评估了新生儿结果，但很少有人比较年轻的青少年使用足够的产前护理。目的：比较专业公共服务群体产前护理（GPC）的年轻怀孕青少年的不良新生儿结果的风险。方法：这项回顾性队列研究遵循2009年至2014年巴西专业公共服务的怀孕青少年（10-17岁）。从医疗记录和通过对处理患者的多学科团队的采访获得了数据。与14-13岁和16-17岁的青少年相比，新生儿新生儿新生儿的新生儿结果（低出生体重，早产，Apgar评分为1和5分钟，新生儿死亡）。用95％的置信区间（顺式）计算发病率，并随着时间的推移进行比较，以观察趋势。泊松多变量逻辑回归用于调整混杂变量。结果显示为调整后的相对风险或调整的平均差异。结果：在本研究中包含758名监测的1,112名青少年。将不良新生儿结果（低出生体重和早熟）的总发生率测量为10.2％（95％CI：9.7-11.5）。发现在1和5分钟内收集的APAGE评分是正常的，并且没有发生胎儿死亡的实例。 10-13岁年龄组出生体重的发病率为16.1％，14-15岁年龄组为8.7％，16-17岁年龄组的12.1％。在10-13,14-15和16-17岁的青少年分别测量早产的发生率为12,8.5和12.6％。既不低出生体重也不是群体中的早熟水平（p＆ 0.05）显着不同。出生于10-13岁的母亲的婴儿显着提高（P <0.05）较低的APGAR评分比其他年龄段，但得分在正常范围内。结论：我们的研究结果显示出新生儿不良结果的发病率较低，妊娠青少年新生儿结果没有风险差异。它可能表明，GPC模型照顾怀孕青少年比怀孕青少年的年龄更重要，但需要进一步研究。

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