Abstract
Abstract Objectives: to analyze factors associated with neonatal death among adolescent mothers. Methods: randomized hospital-based cross-sectional study in a tertiary institution,, data from the Sistema de Informação sobre Nascidos Vivos (Sinasc), (Live Birth Information System), Sistema de Informação sobre Mortalidade (SIM) (Mortality Information System), and medical records. The study population was comprised of 1,341 adolescents aged 10-19 who had assisted childbirth at the institution between 2012 to 2016. The independent variables were sociodemographic characteristics, care, prenatal, childbirth, birth, and newborn’s hospitalization, as well as the baby’s characteristics. Logistic regression analysis was carried out to assess the association between neonatal death and explanatory variables. Results: the factors associated with death were from the countryside or other States (OR=2.68; CI95% =1.24-5.81), Apgar scores lower than 7 in the 1st (OR= 9.52; CI95% = 4.15-21.81) and the 5th (OR=4.17; CI95%=1.53-11.34) minutes of life; and birth weight less than 999g (OR=13.37; CI95% =3, 64-49.04) and between 1,500 to 2,499g (OR=3.43; CI95%=1.37-8.58). Conclusions: apgar and low birth weight were associated with the neonatal death among adolescent mothers, as well as the fact they come from the countryside and other States. These findings show, in addition to classic risks, potential difficulties for adolescents in having access to healthcare services in their hometown. To reduce the risks, there is a need for restructuring the maternal and child healthcare network and ensure a social protection network for these girls.
Highlights
Motherhood is part of a broad and complex social context, involving the whole family, the teenage mothers, and their children.[1]
This study included adolescent mothers between ages 10 and 192 who had their births assisted at the institution between 2012 and 2016, selected from the Sistema de Informação sobre Nascidos Vivos (Sinasc) (Live Birth Information System) and all the neonatal deaths that occurred within less than 28 days of life, are collected from the Sistema de Informação sobre Mortalidade (SIM) (Mortality Information System)
The data of all live births of adolescent mothers that occurred during the study period was identified through the annual reports at Sinasc and the data of all neonatal deaths was identified by SIM, all provided by the hospital epidemiology center
Summary
Motherhood is part of a broad and complex social context, involving the whole family, the teenage mothers, and their children.[1] It occurs in high, middle and low income countries, it predominates in marginalized populations fostered by poverty. It is estimated that developing regions concentrate 21 million pregnant girls aged 15-19 and other 2 million younger ones.[2] In Brazil, in 2015, 18% of live births were of teenage mothers, and the Northeast region concentrates 32% within the country.[3]. The understanding of adolescence as a phase of transition in life between childhood and adulthood is consensual as well as its close relationship with the sociocultural contexts of societies.[4,5] there is some disagreement concerning the age to start and end adolescence.[4,5] The delimitation of this age group most considered internationally is between the ages of 10 and 19, there are propositions to extend it up to 24.5 The Ministry of Health adopts the age range of 10-19, even in disagreement with the Estatuto da criança e do adolescente (Brazilian Child and Adolescent Constitution) that defines between 12 and 18.4,5
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
