Examinando por Materia "Adolescent pregnancy"

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(Universidad Privada Norbert Wiener, 2017-11-18) Calderón Collazos, Damaris Loani; Carrillo Poma, Pamela Kasandra; Marín Guevara, Leticia Gloria
The study aimed to determine the factors influencing depression in adolescent pregnant women aged 10 to 19 years in the Gyneco-Obstetrics service at the "Hipólito Unanue" National Hospital between July and August 2017. The study was quantitative, descriptive-correlational, and cross-sectional, involving 224 adolescent pregnant women. Two surveys, "Related Factors" and Zung and Conde's Depression Self-Scale, were used. Results revealed that the average age of the participants was 17 years, with 46.4% having incomplete secondary education, 73.7% being housewives, and 63.8% living with their partners. Regarding family factors, 49.6% of the adolescents came from nuclear families, with 48.7% reporting family conflicts during pregnancy. Additionally, 22.8% experienced psychological violence. In terms of marital factors, 58.9% of the partners were older than 21 years, and 58% had conflicts with their partners during the pregnancy. Regarding depression, 85.3% of the adolescents had depression, with 46% experiencing severe depression, 26.3% moderate, and 13% mild. Statistically significant relationships were found between depression and factors such as suicidal ideation, discussions with partners, and family conflicts (p-values = 0.001, 0.002, and 0.004, respectively).
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Adolescent pregnancy and its relationship with low knowledge of contraceptive methods
(Universidad Privada Norbert Wiener, 2022-02-10) Palomino Diaz, Leydy Fanny; Marín Guevara, Leticia Gloria
The objective of this research was to determine the scientific evidence from observational studies related to adolescent pregnancies and their relationship with low knowledge of contraceptive methods. This study is a quantitative publication review. Observational studies, descriptive, systematic reviews, quasi-experimental, cross-sectional, ecological, case-control, and retrospective studies were selected, found in the PubMed, REDIB, Lilacs, Dialnet, and Google Scholar databases from 2015 to 2021. A total of 30 scientific articles were considered for this study. According to the findings from the reviewed articles, low knowledge about contraceptive methods is related to adolescent pregnancies, as lacking knowledge about contraceptive methods increases the probability of experiencing a pregnancy by 75%. Furthermore, sexual education is an effective strategy to decrease the adolescent pregnancy rate. Low knowledge of contraceptive methods is related to adolescent pregnancies.
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Consequences of gender-based violence during pregnancy in adolescents treated at Hospital Nacional Hipólito Unánue 2020.
(Universidad Privada Norbert Wiener, 2021-03-02) Meza Ccoya, Lizeth Denisse; Alfaro Fernández, Paul Rubén
Objective: To determine the consequences of gender-based violence during pregnancy in adolescents attended at the National Hospital Hipólito Unanue in 2020. Materials and Methods: This was a quantitative, observational, non-experimental study with an analytical cohort and prospective design. The sample consisted of 284 pregnant adolescents who received care at the obstetric center of the National Hospital Hipólito Unanue. Results: The prevalence of psychological violence was 55.6%, physical violence 19%, and sexual violence 8.3%. Among adolescents experiencing psychological violence, the primary perpetrator was the father in 47% of cases. For physical violence, the partner was responsible in 69% of cases, while for sexual violence, the partner was responsible in 92% of cases. Maternal consequences in pregnant adolescents who were victims of gender-based violence included altered weight gain, urinary tract infections, hemorrhage, and pregnancy termination, with a statistically significant association (p<0.05). Conclusion: The study concludes that maternal consequences were statistically associated with gender-based violence, with psychological violence occurring in 55.6% of pregnant adolescents, physical violence in 19%, and sexual violence in 8.3%.
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Family factors that influence adolescent pregnancy and its relationship with sexually transmitted infection HIV AND SYPHILIS
(Universidad Privada Norbert Wiener, 2022-02-08) Corrales Yepez, Angela Ana; García Puicón, Lady Yanina
Objective: To evaluate the family factors that influence adolescent pregnancy and their relationship with sexually transmitted infections (STIs) such as HIV and syphilis. This study is a secondary research, systematic review, analytical, and retrospective. The study population consisted of 30 articles from the internet related to adolescent pregnancy, HIV, and syphilis, which met the inclusion criteria. No instruments were used for this study as it is an analytical secondary review study. The average age of adolescent pregnancy is 15-17 years, with 59.8% not finishing secondary school, 71.76% being single, and 34% not using contraceptive methods. Additionally, 51.48% did not receive proper sexual education. On the other hand, 65% had 3-4 sexual partners before pregnancy, and 45% began their sexual life between the ages of 12-13. 11% contracted HIV, and 2% contracted syphilis. Family factors: 70.20% come from separated parents, 62.5% have weak family support, 15.60% experienced family rejection, 18.75% faced family abuse, and 0.06% were victims of rape by an unknown person. Family factors influence adolescent pregnancy and are related to HIV and syphilis.
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Risk factors associated with the recurrence of pregnancy in adolescents: systematic review 2014-2019.
(Universidad Privada Norbert Wiener, 2022-08-11) Huallpa Palomino, Danixa Mirresha; Alfaro Fernández, Paul Rubén
Objective: To determine the evidence from research articles on the risk factors associated with adolescent pregnancy recurrence. Methodology: Qualitative systematic review of secondary data. The sample consisted of 24 studies published between 2014 and 2019 that met the inclusion and exclusion criteria. The GRADE scale was used for assessment. The data obtained were used to compare studies according to the risk factors associated with adolescent pregnancy recurrence. Results: The sociodemographic factors that showed statistical significance were age between 10 to 16 years, with an OR greater than 1.31. Primary and secondary education had an OR greater than 1.91. Regarding marital status, being single had an OR of 4.53. Being a housewife had an OR greater than 2.80. Harmful habits such as alcoholism and smoking had an OR greater than 3.63. Concerning gynecological-obstetric factors, early menarche had an OR of 2.72, starting sexual relations before 15 years old had an OR greater than 2.8, having more than 3 sexual partners had an OR of 3.03, not using contraceptives had an OR greater than 1.88, and an unplanned current pregnancy had an OR of 6.33. Regarding psychosocial factors, family type had an OR greater than 1.18, and financial support from a partner had an OR of 3.33. Conclusion: The scientific evidence on the risk factors associated with adolescent pregnancy recurrence showed a high-level recommendation strength.
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Secondary syphilis in a pregnant adolescent at the central military hospital in 2019
(Universidad Privada Norbert Wiener, 2022-05-03) Serna Cruz, Juliana; Salazar Granada, Alberto Alcibiades
The clinical case of secondary syphilis in an adolescent pregnant woman is presented. Syphilis is a sexually transmitted infectious disease exclusive to humans, bloodborne, and perinatal, caused by the spirochete Treponema pallidum. When pregnant women acquire the infection, they must receive treatment, as it can infect the fetus at any stage of its clinical phases. A 13-year-old patient with secondary syphilis during pregnancy began her first prenatal visit with specialized care. The pregnant woman did not receive a thorough clinical examination during the first consultation, no risk factors were identified, no clinical manifestations were reported, no laboratory tests were performed, and she did not attend her prenatal visits, making her a high-risk obstetric case due to her age. She returned at 26 weeks and 6 days of gestation through the emergency department of the Military Hospital, presenting clinical manifestations of syphilis with an RPR result of 32 dilutions. Obstetrically, she had no uterine contractions, fetal heartbeats were 138 beats per minute, and fetal movements were present. She was hospitalized, received 2 doses of treatment for syphilis, and the third dose was administered at the end of the pregnancy. The pregnancy ended with a cesarean section and a live newborn, with a negative non-treponemal test. Follow-up for the neonate continued.
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Sociocultural characteristics and obstetric complications of pregnancy in teenagers
(Universidad Privada Norbert Wiener, 2022-08-26) Llamoca Huarcaya, Evelyn; Marín Guevara, Leticia Gloria
Objective: To determine the scientific evidence regarding the sociocultural characteristics and obstetric complications of pregnancy in adolescents. Materials and methods: The study was a qualitative narrative review and consisted of 30 articles published between 2016 and 2021 in the following virtual databases: Scielo, Pubmed, Lilacs, and Elsevier. The GRADE system was used to evaluate the strength of recommendation of each reviewed article. Results: 26% of the studies were case-control studies. Regarding the level of recommendation, 33% of the reviewed studies were of moderate level. The social characteristics according to the reviewed scientific evidence were age between 15 to 19 years, single, housewife occupation, cohabiting marital status, and sexual initiation between the ages of 14 to 19. The cultural characteristics according to the reviewed scientific evidence were secondary education, school dropout, lack of knowledge about contraceptive methods, and coming from dysfunctional families. The obstetric complications of pregnancy in adolescents were urinary infection, anemia, hypertensive diseases, premature rupture of membranes, fetal distress, and abortion. Conclusion: There is high-level scientific evidence regarding the sociocultural characteristics and obstetric complications of pregnancy in adolescents.