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Factores de riesgo asociados a la prematuridad en recién nacidos de madres adolescentes

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TLDR
The aim of this study was to determine risk factors associated with prematurity in infants children of 205 teenagers at the Dr. Armando Castillo Plaza”, Maracaibo, maternity leave from January - August 2012.
Abstract
(71,13 %); no estudiaban (41,46.%), no completaron la secundaria (78,54.%), dedicadas a oficios del hogar (68,29 %); en concubinato (55,12 %), estrato socioeconomico: nivel V (52,68 %); sin consumo de alcohol, drogas o tabaco (100 %); venezolanas (97,56 %), raza mestiza (61,46.%); residenciadas en zonas urbanas (62,44.%); viven con familia materna y padre del nino (41,95.%), familias disfuncionales (55,61 %); rechazo familiar (65,85 %); embarazos no deseados (88,29 %); sin intentos de aborto en 82,93 %. Menarquia con media de 11,81 ±1,09 anos, inicio de relaciones sexuales: 14,67±1,11 anos; mal control prenatal (64,39 %), primiparidad (72,68.%) nacimiento por parto (56,59 %), entre 34 y menores de 38 semanas de gestacion (79,51 %); neonato hembra (58,05 %); peso entre 1 501-2.500 g (45,37 %); adecuados para la edad gestacional (79,51 %); buen Apgar al minuto (56,59 %), a los cinco (74,63 %). Presentaron patologias maternas (100 %) y del neonato (89 %). Conclusiones: El bajo nivel socioeconomico y factores de riesgo familiar se relacionan con la prematuridad en el embarazo de estas adolescentes. Palabras clave: Factores de riesgo. Prematuridad. Embarazo. Adolescencia SUMMARY Objective: To determine risk factors associated with prematurity in infants children of 205 teenagers at the Dr. Armando Castillo Plaza”, Maracaibo, maternity leave from January - August 2012. Method: Descriptive, prospective and transversal study was interviewing the mother and review of clinical histories, the mother and the newborn; collected indicators: personal, socio-economic, demographic, gyneco-obstetrical and birth factors. Results: There were 15.13 % adolescents with premature children; between 17 and 19 years old (67.31 %); body mass index: 18, 5-24, 99 kg/m 2 (71.13 %); not studied (41.46 %), have not completed high school (78.54 %), dedicated to offices of the household (68,29 %); in concubinage (55.12.%), socio-economic stratum: level V (52.68 %); no consumption of alcohol, drugs or tobacco (100.%). Venezuelans (97.56 %), mixed race (61.46 %); domiciled in urban areas (62.44 %); living with mother’s family and the father of the child (41.95 %), dysfunctional families (55.61 %); family rejection (65,85 %) and unwanted pregnancies (88.29 %); no attempts of abortion in 82.93 %. Menarche with average of 11.81 ±1, 09 years, home of intercourse: 14, 67±1, 11 years; poor prenatal care (64.39 %), primiparidad (72.68 %) birth by birth (56.59 %), between 34 and 38 weeks of gestation (79.51 %) children; female neonate (58.05 %), weight between 1 501-2 500 g (45.37 %); appropriate for gestational age (79.51 %); good Apgar score at the minute (56.59 %), five (74.63 %). They presented maternal diseases (100 %) and neonatal (89 %). Conclusions: Low socioeconomic and family risk factors is related to prematurity in these teen pregnancy.

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References
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TL;DR: A classification of newborn infants based upon gestational age and birth weight is proposed, and the possibility of superimposing neonatal mortality rates upon Gestational-age and birth-weight data is presented.
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Teenage Pregnancy and the Influence of Paternal Involvement on Fetal Outcomes

TL;DR: It is suggested that increased paternal involvement can have a positive impact on birth outcomes for teenage mothers, which may be important for decreasing the racial disparities in infant morbidities.
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Does rural or urban residence make a difference to neonatal outcome in premature birth? A regional study in Australia.

TL;DR: Premature births from rural mothers have a higher risk of stillbirth and mortality in neonatal intensive care than urban infants and this trend was consistently seen in all subgroups and significantly for the tertiary hospital born population and the 30–31 weeks gestation subgroup.
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TL;DR: Despite a decline in the late 1990s, early discharge of late-preterm newborns remains common, and differences according to state, hospital teaching affiliation, and patient insurance are observed.