Anemia in pregnant adolescents: impact of treatment on perinatal outcomes.
| Autor: | Pinho-Pompeu M; a School of Medical Science, University of Campinas, Campinas , Sao Paulo , Brazil., Surita FG; a School of Medical Science, University of Campinas, Campinas , Sao Paulo , Brazil., Pastore DA; a School of Medical Science, University of Campinas, Campinas , Sao Paulo , Brazil., Paulino DSM; a School of Medical Science, University of Campinas, Campinas , Sao Paulo , Brazil., Pinto E Silva JL; a School of Medical Science, University of Campinas, Campinas , Sao Paulo , Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2017 May; Vol. 30 (10), pp. 1158-1162. Date of Electronic Publication: 2016 Jul 17. |
| DOI: | 10.1080/14767058.2016.1205032 |
| Abstrakt: | Objective: This study sought to evaluate the anemia prevalence and effect of anemia treatment in pregnant adolescents. Methods: A cross-sectional study. Data from perinatal outcomes, serum hemoglobin level and iron supplementation were collected. Samples were divided into three groups: pregnant adolescents without anemia, with treated anemia and with untreated anemia. Frequencies, means, standard deviations and Chi-squared values were calculated. The significance level was 5%, and the software used was Epi-info 7. Results: The study included 458 pregnant adolescents. The mean age was 16 years old, and the prevalence of anemia was 41.27% (189). Mild, moderate or severe anemia were presented in 65.60%, 33.86% and 0.52%, respectively, of study participants. Among pregnant adolescents with anemia, 87.24% received treatment with iron supplementation. Preterm labor (p = 0.003), gestational age at birth <37 weeks (p = 0.036) and stillbirth (p = 0.004) showed an association with nontreated anemia. Positive HIV was more prevalent in adolescents with nontreated anemia (p = 0.018). The cesarean rate was 36.90%, with no difference between groups. Conclusion: Anemia is a public health problem among pregnant adolescents, and iron supplementation reduces negative neonatal outcomes. Treatment adherence by a multidisciplinary and qualified prenatal care team can be key in reducing adverse neonatal outcomes associated with pregnancy during adolescence. |
| Databáze: | MEDLINE |
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