Adolescent pregnancy: Maternal and fetal outcomes in patients with and without preeclampsia

Felly Bakwa-Kanyinga; Edimárlei Gonsales Valério; Vera Lúcia Bosa; Cecília Ogando Alfama; Marianna Sperb; Edison Capp; Janete Vettorazzi

doi:10.1016/j.preghy.2017.06.009

Adolescent pregnancy: Maternal and fetal outcomes in patients with and without preeclampsia

Pregnancy Hypertens. 2017 Oct:10:96-100. doi: 10.1016/j.preghy.2017.06.009. Epub 2017 Jun 30.

Authors

Felly Bakwa-Kanyinga¹, Edimárlei Gonsales Valério², Vera Lúcia Bosa³, Cecília Ogando Alfama³, Marianna Sperb³, Edison Capp⁴, Janete Vettorazzi²

Affiliations

¹ Postgraduate Program in Health Sciences: Obstetrics and Gynecology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
² Postgraduate Program in Health Sciences: Obstetrics and Gynecology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Department of Obstetrics and Gynecology of Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Department of Obstetrics and Gynecology, Hospital de Clínicas de Porto Alegre, Brazil.
³ Department of Nutrition of Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
⁴ Postgraduate Program in Health Sciences: Obstetrics and Gynecology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Department of Obstetrics and Gynecology of Federal University of Rio Grande do Sul, Porto Alegre, Brazil; Department of Obstetrics and Gynecology, Hospital de Clínicas de Porto Alegre, Brazil; Department of Gynecological Endocrinology and Reproductive Medicine, University Women's Hospital, 69120 Heidelberg, Germany. Electronic address: edcapp@ufrgs.br.

PMID: 29153698
DOI: 10.1016/j.preghy.2017.06.009

Abstract

Objective: To determine the prevalence of preeclampsia (PE) in adolescents and to evaluate its association with risk factors for, and the occurrence of, adverse maternal and fetal outcomes.

Results: Of 3006 deliveries, 533 (17.7%) were from teenage mothers, with twenty-eight (5.3%) presenting PE; 17.8% of these cases were classed as severe. Vitamin and mineral supplementation was associated with the occurrence of PE (p=0.034). Puerperal complications and prematurity were more frequent in the PE group.

Conclusions: Prevalence of PE among adolescents was similar to the literature data and was associated with high rates of preterm birth and puerperal complications.

Keywords: Adolescent; Maternal outcomes; Neonatal outcomes; Preeclampsia; Pregnancy.

MeSH terms

Adolescent
Brazil / epidemiology
Child
Female
Humans
Pre-Eclampsia / epidemiology*
Pre-Eclampsia / etiology
Pregnancy
Pregnancy Outcome
Pregnancy in Adolescence
Prenatal Care
Risk Factors