International Journal of Contraception, Gynaecology and Obstetrics

International Journal of Contraception, Gynaecology and Obstetrics


International Journal of Contraception, Gynaecology and Obstetrics
International Journal of Contraception, Gynaecology and Obstetrics
Vol. 2, Issue 1 (2020)

Extreme morbidity in pregnant adolescents: Case series and review of literature


Ibargüengoitia Ochoa Francisco, Lira-Plascencia Josefina, Ruiz-Beltrán Arturo Maximiliano, Dávila Bricio José Luis, Sepúlveda Rivera Cintia María

Background: In Mexico, between the years of 2014 to 2017, adolescent pregnancies corresponded to 19.2, 18.2 and 17.9%, respectively. Approximately 15,000 women die each year in Latin America and the Caribbean due to pregnancy related causes. Objective: To describe a case series of pregnant adolescents that required intensive care at Instituto Nacional de Perinatologia. Methodology: Retrospective case series of pregnant adolescents that had a life-threatening condition, and that were attended at Instituto Nacional de Perinatologia between January of 2015 and December of 2018. Results: A total of 122 adolescents were included. Mean age was 16.9 +/- 1.5 years. Most frequent associated pathologies were: cardiopathy (n=22), nephropathy (n=13), and diabetes mellitus (n=5). Obstetric morbidity was mostly due to hypertensive disorders of pregnancy (n=65): preeclampsia in 59 patients, and eclampsia in 6 patients. Cesarean delivery was required in 60% of deliveries. Regarding contraception, 38% didn’t have a contraceptive method. Conclusions: Pregnancy repercussion during adolescence is considered a global health issue, and the adolescent mother needs to understand the consequences associated with this, as well as potential risk factors, such as: low scholarity, early sexual activity onset, partner absence, maternal history of adolescent pregnancy, and lack of knowledge and access to contraceptive methods.
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How to cite this article:
Ibargüengoitia Ochoa Francisco, Lira-Plascencia Josefina, Ruiz-Beltrán Arturo Maximiliano, Dávila Bricio José Luis, Sepúlveda Rivera Cintia María. Extreme morbidity in pregnant adolescents: Case series and review of literature. International Journal of Contraception, Gynaecology and Obstetrics, Volume 2, Issue 1, 2020, Pages 07-09
International Journal of Contraception, Gynaecology and Obstetrics International Journal of Contraception, Gynaecology and Obstetrics