ATENCION OBSTETRICA EN ADOLESCENTES MENORES DE 15 ANOS

Abstract

Pregnancy in teenager is a problem with psichical, social and medical implications. In the 'Rafael Calvo' maternity, Cartagena, Colombia, 1944 were attended 12.416 birth deliveries, being 3.161 patients (25.4%) younger than 20 years old: being in early adolescence 57 (1.8%) and later adolescence 3.104 (98.2%). Are compared the obstetrical results of the early teenagers attention withe the results of 180 maternal adults. The average age of teenagers was 13.9 years old. In them was presented a higher secuency of preterm birth and post term birth, early membranes breakdown, hipertensure induced by pregnancy, post part bleeding, altered uterine contractility and delay of uterine growth, although differences weren't statistically significatives. Low weight at birth was more frecuent in teenagers with statistically significative difference, with a relative risk 2 times higher. The fetal presentation, maternal perineal breaks, sire and Apgar of the neonates was simmilar in both groups. Pregnancy in the adolescence must be prevented, and that's gotten with a correct education in reproductive health, indiced in a wide and adequated sexual education program.