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  • Title: [Pregnancy in the adolescent. I. Primigravidas of 9 to 15 years old].
    Author: Mathias L, Nestarez JE, Kanas M, Neme B.
    Journal: J Bras Ginecol; 1985; 95(3):89-91. PubMed ID: 12267371.
    Abstract:
    From January 1975 to June 1980, 13,951 births took place at the Obstetric Clinic of the Medical School of the University of Sao Paulo, Brazil. Of these births, 105 (0.7%) were 1st births to adolescents between the ages of 9 and 15. 92.3% of the adolescents were unmarried, indicating that they failed to use adequate methods of birth control. 89.5% of the adolescents did not receive adequate prenatal care, contributing to the high incidence of complications during the pregnancy-puerperal cycle. Among complications occurring during pregnancy, the most common were toxemia (29.5%), urinary infection (16.1%), and anemia (8.5%). Premature birth took place in 30.5% of the adolescent pregnancies, a rate a prematurity greater than in the general population. Analgesia at birth was necessary in 20.9% of the cases. This tendency was more a consequence of nulliparity and emotional factors than of age of patient. Contrary to expectations, cesarean sections were required with no greater frequency than in the general population. Complications in birth and puerperium did not differ from patients in general. No cases of fetal death occurred; neonatal deaths occurred in 5.5% of the cases, the consequence of prematurity. Jaundice occurred as the most frequent complication in newborns (70.0%); no cases of serious malformations were observed.
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