Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study
ABSTRACT Objective: analyze trends in fertility rates and associations with perinatal outcomes for adolescents in Santa Catarina, Brazil. Methods: a population-based study covering 2006 to 2013 was carried out to evaluate associations between perinatal outcomes and age groups, using odds ratios, a...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
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| Series: | Revista Latino-Americana de Enfermagem |
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| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692017000100325&lng=en&tlng=en |
| _version_ | 1811330950294929408 |
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| author | Maria de Lourdes de Souza Fiona Ann Lynn Linda Johnston Eduardo Cardoso Teixeira Tavares Odaléa Maria Brüggemann Lúcio José Botelho |
| author_facet | Maria de Lourdes de Souza Fiona Ann Lynn Linda Johnston Eduardo Cardoso Teixeira Tavares Odaléa Maria Brüggemann Lúcio José Botelho |
| author_sort | Maria de Lourdes de Souza |
| collection | DOAJ |
| description | ABSTRACT Objective: analyze trends in fertility rates and associations with perinatal outcomes for adolescents in Santa Catarina, Brazil. Methods: a population-based study covering 2006 to 2013 was carried out to evaluate associations between perinatal outcomes and age groups, using odds ratios, and Chi-squared tests. Results: differences in the fertility rate among female adolescents across regions and time period were observed, ranging from 40.9 to 72.0 per 1,000 in mothers aged 15-19 years. Adolescents had fewer prenatal care appointments than mothers ≥20 years, and a higher proportion had no partner. Mothers aged 15-19 years were more likely to experience preterm birth (OR:1.1; CI:1.08-1.13; p<0.001), have an infant with low birthweight (OR:1.1; CI:1.10-1.15; p<0.001) and low Apgar score at 5 minutes (OR:1.4; CI:1.34-1.45; p<0.001) than mothers ≥20 years, with the odds for adverse outcomes greater for those aged 10-14 years. Conclusion: this study provides evidence of fertility rates among adolescents remaining higher in regions of social and economic deprivation. Adolescent mothers and their infants more likely to experience adverse perinatal outcomes. Nurses, public health practitioners, health and social care professionals and educators need to work collaboratively to better target strategies for adolescents at greater risk; to help reduce fertility rates and improve outcomes. |
| first_indexed | 2024-04-13T16:11:39Z |
| format | Article |
| id | doaj.art-3093ad5b50e6493b8b765f0d30ff2e38 |
| institution | Directory Open Access Journal |
| issn | 1518-8345 |
| language | English |
| last_indexed | 2024-04-13T16:11:39Z |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista Latino-Americana de Enfermagem |
| spelling | doaj.art-3093ad5b50e6493b8b765f0d30ff2e382022-12-22T02:40:14ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-834525010.1590/1518-8345.1820.2876S0104-11692017000100325Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based studyMaria de Lourdes de SouzaFiona Ann LynnLinda JohnstonEduardo Cardoso Teixeira TavaresOdaléa Maria BrüggemannLúcio José BotelhoABSTRACT Objective: analyze trends in fertility rates and associations with perinatal outcomes for adolescents in Santa Catarina, Brazil. Methods: a population-based study covering 2006 to 2013 was carried out to evaluate associations between perinatal outcomes and age groups, using odds ratios, and Chi-squared tests. Results: differences in the fertility rate among female adolescents across regions and time period were observed, ranging from 40.9 to 72.0 per 1,000 in mothers aged 15-19 years. Adolescents had fewer prenatal care appointments than mothers ≥20 years, and a higher proportion had no partner. Mothers aged 15-19 years were more likely to experience preterm birth (OR:1.1; CI:1.08-1.13; p<0.001), have an infant with low birthweight (OR:1.1; CI:1.10-1.15; p<0.001) and low Apgar score at 5 minutes (OR:1.4; CI:1.34-1.45; p<0.001) than mothers ≥20 years, with the odds for adverse outcomes greater for those aged 10-14 years. Conclusion: this study provides evidence of fertility rates among adolescents remaining higher in regions of social and economic deprivation. Adolescent mothers and their infants more likely to experience adverse perinatal outcomes. Nurses, public health practitioners, health and social care professionals and educators need to work collaboratively to better target strategies for adolescents at greater risk; to help reduce fertility rates and improve outcomes.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692017000100325&lng=en&tlng=enAdolescenteEmbarazo en AdolescenciaFertilidadAtención PrenatalSalud MaternaSalud Publica |
| spellingShingle | Maria de Lourdes de Souza Fiona Ann Lynn Linda Johnston Eduardo Cardoso Teixeira Tavares Odaléa Maria Brüggemann Lúcio José Botelho Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study Revista Latino-Americana de Enfermagem Adolescente Embarazo en Adolescencia Fertilidad Atención Prenatal Salud Materna Salud Publica |
| title | Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study |
| title_full | Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study |
| title_fullStr | Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study |
| title_full_unstemmed | Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study |
| title_short | Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study |
| title_sort | fertility rates and perinatal outcomes of adolescent pregnancies a retrospective population based study |
| topic | Adolescente Embarazo en Adolescencia Fertilidad Atención Prenatal Salud Materna Salud Publica |
| url | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692017000100325&lng=en&tlng=en |
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