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Hazards of Repeat Pregnancy during Adolescence: A Case-control Study

Objective To evaluate the social, obstetric and psychological risk factors related to repeat pregnancy in teenagers. Methods A case control study conducted at Centro de Atenção à Saúde Integral da Mulher (Caism, in the Portuguese acronym), in Campinas, Brazil, from 2015 to 2017. Three groups were se...

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Autores principales: Galvão, Rafael Bessa de Freitas, Figueira, Camilla Olivares, Borovac-Pinheiro, Anderson, Paulino, Daiane Sofia de Morais, Faria-Schützer, Debora Bicudo, Surita, Fernanda Garanhani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316929/
https://www.ncbi.nlm.nih.gov/pubmed/30142663
http://dx.doi.org/10.1055/s-0038-1666811
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author Galvão, Rafael Bessa de Freitas
Figueira, Camilla Olivares
Borovac-Pinheiro, Anderson
Paulino, Daiane Sofia de Morais
Faria-Schützer, Debora Bicudo
Surita, Fernanda Garanhani
author_facet Galvão, Rafael Bessa de Freitas
Figueira, Camilla Olivares
Borovac-Pinheiro, Anderson
Paulino, Daiane Sofia de Morais
Faria-Schützer, Debora Bicudo
Surita, Fernanda Garanhani
author_sort Galvão, Rafael Bessa de Freitas
collection PubMed
description Objective To evaluate the social, obstetric and psychological risk factors related to repeat pregnancy in teenagers. Methods A case control study conducted at Centro de Atenção à Saúde Integral da Mulher (Caism, in the Portuguese acronym), in Campinas, Brazil, from 2015 to 2017. Three groups were selected: a case-group of adolescents who had repeat pregnancy and two control-groups, one consisting of adolescents who had delivered at first time and another one of adult women with more than one deliveries. Participants were asked about habits, socio-demographics characteristics, reproductive and obstetric history and assessed psychological issues. Results Ninety women were enrolled, 30 in each study group. Adolescents with repeat pregnancy have lower self-esteem scores and more ineffective contraceptive use. When compared with teens at first delivery, they had less schooling level (odds ratio [OR] 4.03 [1.37–11.8]), more school abandon (OR 8.16 [2.36–28.2]) and drugs use (OR 4.97[1.39–17.8]). Non-white skin color (OR 6.2 [1.15–41.0]), drugs use (OR 17.5 [2.62–116.6]) and first sexual intercourse under 15y (OR 18.0[2.82–115.0]) were found as higher risk factors for repeat pregnancy when comparing adolescents and adults. Moreover, adolescents with more than one gestation had lower self-esteem and greater susceptibility to unplanned pregnancy. Conclusion There was an association between repeat pregnancy among adolescents and lower education, early onset of sexual activity, non-white skin color, low use of contraception and increased use of drugs.
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spelling pubmed-103169292023-07-27 Hazards of Repeat Pregnancy during Adolescence: A Case-control Study Galvão, Rafael Bessa de Freitas Figueira, Camilla Olivares Borovac-Pinheiro, Anderson Paulino, Daiane Sofia de Morais Faria-Schützer, Debora Bicudo Surita, Fernanda Garanhani Rev Bras Ginecol Obstet Objective To evaluate the social, obstetric and psychological risk factors related to repeat pregnancy in teenagers. Methods A case control study conducted at Centro de Atenção à Saúde Integral da Mulher (Caism, in the Portuguese acronym), in Campinas, Brazil, from 2015 to 2017. Three groups were selected: a case-group of adolescents who had repeat pregnancy and two control-groups, one consisting of adolescents who had delivered at first time and another one of adult women with more than one deliveries. Participants were asked about habits, socio-demographics characteristics, reproductive and obstetric history and assessed psychological issues. Results Ninety women were enrolled, 30 in each study group. Adolescents with repeat pregnancy have lower self-esteem scores and more ineffective contraceptive use. When compared with teens at first delivery, they had less schooling level (odds ratio [OR] 4.03 [1.37–11.8]), more school abandon (OR 8.16 [2.36–28.2]) and drugs use (OR 4.97[1.39–17.8]). Non-white skin color (OR 6.2 [1.15–41.0]), drugs use (OR 17.5 [2.62–116.6]) and first sexual intercourse under 15y (OR 18.0[2.82–115.0]) were found as higher risk factors for repeat pregnancy when comparing adolescents and adults. Moreover, adolescents with more than one gestation had lower self-esteem and greater susceptibility to unplanned pregnancy. Conclusion There was an association between repeat pregnancy among adolescents and lower education, early onset of sexual activity, non-white skin color, low use of contraception and increased use of drugs. Thieme Revinter Publicações Ltda 2018-08 /pmc/articles/PMC10316929/ /pubmed/30142663 http://dx.doi.org/10.1055/s-0038-1666811 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Galvão, Rafael Bessa de Freitas
Figueira, Camilla Olivares
Borovac-Pinheiro, Anderson
Paulino, Daiane Sofia de Morais
Faria-Schützer, Debora Bicudo
Surita, Fernanda Garanhani
Hazards of Repeat Pregnancy during Adolescence: A Case-control Study
title Hazards of Repeat Pregnancy during Adolescence: A Case-control Study
title_full Hazards of Repeat Pregnancy during Adolescence: A Case-control Study
title_fullStr Hazards of Repeat Pregnancy during Adolescence: A Case-control Study
title_full_unstemmed Hazards of Repeat Pregnancy during Adolescence: A Case-control Study
title_short Hazards of Repeat Pregnancy during Adolescence: A Case-control Study
title_sort hazards of repeat pregnancy during adolescence: a case-control study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316929/
https://www.ncbi.nlm.nih.gov/pubmed/30142663
http://dx.doi.org/10.1055/s-0038-1666811
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