Adolescent pregnancy in Cruzeiro do Sul, Acre, Brazil: socioeconomic characteristics, prenatal and obstetric care

Author(s):Show less -

Ana Alice de Araújo Damasceno ; Marly Augusto Cardoso ^[2] ; Alicia Matijasevich ; Bárbara Hatzlhoffer Lourenço ; Jenny Abanto ; Maíra Barreto Malta ; Marcelo Urbano Ferreira ; Paulo Augusto Ribeiro Neves ; Ana Alice Damasceno ; Bruno Pereira da Silva ; Rodrigo Medeiros de Souza ; Simone Ladeia-Andrade ; Márcia Caldas de Castro

• Document type: Journal article
• Source: Ciênc. saúde coletiva; v. 29, n. 1 2024-01-08.

Abstract

Abstract The present study aimed to investigate the socioeconomic and obstetric characteristics of adolescent mothers and the complications they cause to maternal and neonatal health. This baseline data analysis of the MINA-Brazil birth cohort was conducted in the municipality of Cruzeiro do Sul, state of Acre, Brazil. The chi-square test was used to compare characteristics of adolescent and adult postpartum women, and multiple Poisson regression models with robust variance were used to assess associated factors. Among the postpartum women, 26.2% (95%CI: 24.0-28.4) were adolescents. Factors associated with childbirth in adolescence included: nine years or less of schooling (adjPR:1.36; 95%CI: 1.14-1.61), belongs to the lowest quartiles of the wealth index (1st quartile: adjPR:1.40; 95%CI: 1.08-1.80) (2nd quartile: adjPR:1.37; 95%CI: 1.08-1.74), primigravidae (adjPR:3.69; 95%CI: 2.98-4.57), low pre-pregnancy BMI (adjPR:1.28; CI95%: 1.04-1.57), urinary tract infection during pregnancy (adjPR:1.25; CI95%: 1.07-1.46) and less than six prenatal consultations (adjPR:1.42; 95%CI: 1.21-1.66). Poverty, little schooling, primigravidae, low pre-pregnancy BMI, urinary tract infection during pregnancy and few prenatal consultations were associated with childbirth during adolescence in a municipality in the Northern region of Brazil. (AU)

• FAPESP's process: 16/00270-6 - MINA study - Maternal and child health in Acre: birth cohort in the Western Brazilian Amazon
• Grantee: Marly Augusto Cardoso
• Support Opportunities: Research Projects - Thematic Grants