1. Análisis de la morbilidad y los costes en la resolución del embarazo adolescente.
- Author
-
Bustamante-Puente, Zulema, Roa-Meggo, Ysis Judith, and Juárez-Coello, Patricia Marianella
- Subjects
MATERNAL health services ,SCIENTIFIC observation ,CONFIDENCE intervals ,CROSS-sectional method ,PREGNANT women ,DISEASES ,MEDICAL care costs ,RETROSPECTIVE studies ,RISK assessment ,TEENAGE pregnancy ,PREGNANCY complications ,DESCRIPTIVE statistics ,ODDS ratio ,DISEASE risk factors - Abstract
Objective: To establish the difference in morbidity and costs in the resolution of pregnancy between adolescents and adults treated in a public hospital in Lima (Peru). Material and methods: Cross-sectional, retrospective, observational study. Adolescent women and adult women between 20 and 30 years of age, primiparous and without underlying chronic diseases, were treated at the Hipólito Unanue National Hospital, Lima (Peru), during 2018. The variables were studied: demographic and obstetric characteristics, morbidity and costs of obstetric care. Results: 105 adolescents and 210 adults participated. Adolescents and adult women developed some morbidity in pregnancy (63.8 % [n= 67] vs. 56.2 % [n= 118]) and delivery (71.4 % [n= 75] vs. 73.3 % [n= 154]) without significant differences. The most prevalent in pregnancy were: anemia and urinary tract infection; in childbirth: tear of the birth canal, followed by dystocia of labor. Newborns of adolescent mothers had twice the risk of presenting some morbidity at birth (OR= 2.45; 95 % CI: 1.51-3.97). The costs in the resolution of the pregnancies did not have significant differences in the study groups ($ 51.01 ± 83.50 vs. $ 64.61 ± 79.40). Conclusions: A greater number of neonatal morbidities was found in newborns of adolescent mothers. The maternal pathologies found in both groups were anemia, urinary tract infection, labor tear and dystocia. The costs of obstetric care for adolescents and adults did not show significant differences. [ABSTRACT FROM AUTHOR]
- Published
- 2022