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Gac Med Mex. 2014 Dec;150:67-72.

[Comparison of perinatal clinical profiles in newborns of adolescent and non-adolescent mothers].

Gaceta medica de Mexico

[Article in Spanish]
Juan Carlos Barrera-de León, Martha Alicia Higareda-Almaraz, Tanya Lizbeth Barajas-Serrano, Mónica Villalvazo-Alfaro, Cesáreo González-Bernal

Affiliations

  1. Hospital Materno Infantil Esperanza López Mateos SSJ, División Educación en Salud UMAE Hospital de Pediatría CMNO, IMSS, Guadalajara, Jal.
  2. Coordinación de Investigación en Salud, IMSS, Tepic, Nay.
  3. UMAE Hospital de Pediatría CMNO, IMSS, Guadalajara, Jal.
  4. UMAE Hospital de Ginecología y Obstetricia CMNO, IMSS, Guadalajara, Jal.

PMID: 25643680

Abstract

Objective. To compare the clinical profiles in newborns of adolescent and non-adolescent mothers. Materials and Methods. Comparative cross-sectional study. Newborns selected by cluster sampling registered in the hospital. Two groups were formed according to the mother's age: adolescent and non-adolescent. The clinical profile was evaluated with: weight, length, Apgar score, gestational age, and presence of neonatal pathology. For the comparison between proportions, we used chi-squared test and student´s t-test between the mean. Results. Of the 2,155 clinical profiles of newborns analyzed, 819 (38%) were newborns of adolescent mothers and 1,336 (62%) of non-adolescent mothers. Differences between birth weight groups 2,859 ± 459 vs. 3,265 ± 486 grams (p = 0.000), male gender 518 (63%) vs. 725 (54%) female (p = 0.000); intrauterine growth restriction in full-term newborns 62 (7.5%) vs. 66 (4.9%) (p = 0.012); prematurity 171 (21%) vs. 213 (16%) (p = 0.003). Factors that favor the alteration of clinical profiles in newborns: adolescent mother OR: 1.58 (1.99-2.99), male gender OR: 1.80 (1.50-2.17), neonatal pathology OR: 3.73 (2.50-5.30), association of low birth weight in newborns of adolescent mothers OR: 2.4 (1.72-3.42). Conclusion. We found a high frequency of observing in newborns of adolescent mothers greater risk of prematurity, intrauterine growth restriction, and neonatal pathology. No differences were seen in length and Apgar score.

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