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Perinatal complications associated with pregnancy in adolescents from Atacames

Abstract:

Introduction: Perinatal complications in pregnant adolescents is a major public health concern. The risks in adolescent mothers determine the increase in maternal morbidity and mortality and an increase of 2 to 3 times neonatal mortality. Objective: To determine the perinatal complications in pregnant adolescents in the emergency service of Juan Carlos Guasti Hospital, in the city of Atacames, between January and June 2016. Methods: Non-experimental, quantitative, cross-sectional and correlational study; data were obtained from clinical records, daily emergency service reports, birth records, cesareans, and cesarean sections, which were tabulated, analyzed and represented in graphs and boards. Results: It was determined that of the 69 pregnant adolescents who presented perinatal complications, 28% were abortions and 23% were hospitalized for threat of abortion, threat of premature birth, urinary tract infection, oligohydramnios and premature membrane rupture, among other. Hysterectomy and postpartum hemorrhage corresponded to 1%. In newborns, 12% presented complications, 6% being respiratory distress. Conclusions: Abortion was the main complication presented in pregnant women, followed by others such as premature rupture of the membrane, threatened abortion, urinary tract infection, cephalic pelvic disproportion, fetal distress, personal pathological history, among others.