pregnant adolescents from a community in ecuador. presence of a smoking and alcoholic habit
Abstract
Adolescent pregnancy carries important sexual, reproductive, psychological and social health risks. The objective was to analyze the characteristics of pregnant adolescents (PA) and the presence of smoking and alcohol abuse in a community in Ecuador. Forty-five pregnant women attended at the Colón Health Center, Manabí province (2019), were studied. Sociodemographic data were collected (chronological and gestational age, origin, marital status, level of education, number of pregnancies, tobacco and alcohol consumption in the last 12 months). Alcohol and tobacco metabolites were also determined in urine. There was a predominance of late adolescents (17 to 21 years), the average age was 16.93 ± 1.67 years, 95.56% were primigravid and 97.78% were in the second trimester of gestation, 82.22% were from rural areas, 84.22% were students of higher education and high school. The 28.89% showed positivity for tobacco and alcohol metabolites, which in turn presented the greatest morbidity in the mother and the newborn. It is advisable to implement strategies aimed at reducing adolescent pregnancy and the use of drugs, licit or illicit, due to the effect they have on maternal and fetal health.
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References
Asociación Médica Mundial (AMM). (2015) Manual de ética médica. 3era edición. https://www.wma.net/wp-content/uploads/2016/11/Ethics _manual_
3rd_Nov 2015 _es. pdf
Bottorff J.L., Poole N., Kelly M.T., Greaves L., Marcellus L., & Jung M. (2014). Tobacco and alcohol use in the context of adolescent pregnancy and postpartum: A scoping review of the literature.Health and Social Care in the Community, 22(6), 561-574. doi: 10.1111/hsc.12091
Campero L, Herrera C, Benítez A, Atienzo E, GonzálezG, Marín E. (2014). Incompatibility between pregnancy and educational projects, from the perspective of socially vulnerable adolescent women and men in Mexico. Gender Educ, 26(2), 151-167
Carswell J.M., & Stafford D.E. (2008). Normal physical growth and development. En: Neinstein LS, Gordon C.M., Katzman D.K., Rosen D.S., Woods E.R. (2012). Adolescent Health Care. A Practical Guide, 5.ª ed. Baltimore: Williams and Wilkins. p.3-26.
Castañeda Paredes J., Santa-Cruz-Espinoza H. (2021). Factores de riesgo asociados al embarazo en adolescentes. Enferm Glob, 20(62), 109-128. https://dx.doi.org/10.6018/eglobal.438711
Chimbo Oyaque C.L., Mariño Tapia M.E., Chimbo Oyaque T.A., Caicedo Torres, C.E. (2018). Factores de riesgo y predictores de preeclampsia: una mirada al future. Rev Latinoam Hipertensión, 13 (1). https://www. revhipertension.com/rlh_1_2018/factores_riesgo_predictores.pdf
DrugCheck. (2021). Tiras de prueba de alcohol en la orina. https://diinsel.com/ alcoholimetro_tiras.html
Fernández Borbón H., Gerez Mena S., Ramírez Pérez N., & Pineda Bouzón A. (2014). Caracterización de la terminación voluntaria del embarazo en adolescents. Revista Cubana de Ginecología y Obstetricia, 40(2),197-205.
Fondo de Población de las Naciones Unidas (UNFPA). (2018). Estado de la población mundial 2018. El poder de decidir: Derechos reproductivos y transición demográfica. https://www.unfpa.org/sites/default/files/pub-pdf/ UNFPA_PUB_2018_ES_SWP_ Estado _ de _la_Poblacion_Mundial. pdf
Fox DJ, Pettygrove S, Cunniff C, et al. (2015). Centers for Disease Control and Prevention (CDC).Fetal alcohol syndrome among children aged 7–9 years—Arizona, Colorado, and New York, 2010. MMWR Morb Mortal Wkly Rep, 64(3), 54–57.
García G. (2012). Embarazo y maternidad adolescente en contextos de pobreza: una aproximación a los significados de las trayectorias sexuales reproductivas. México, DF: El Colegio de México, 2012
Gogtay N., Giedd, J.N., Lusk L., Hayashi K.M., Greenstein D., Vaituzis A.C., Nugget T.F., Herman D.H., Clasen L.S., Toga A.W., Rapoport L., & Thompson P.M. (2004). Dynamic mapping of human cortical development during childhood through early adulthood. Proceedings of the National Academy of Sciences, 101, 8174-8179.
Guzmán-Mercado E., Vásquez-Garibay E.M., Troyo-Sanroman R., Romero-Velarde E. (2016). Food habits in Mexican pregnant adolescents according
to their civil status. Nutr Hosp, 33, 226-231.
Hernández-Sampieri R., Fernández-Collado C. & Baptista-Lucio P. (2014). Metodología de la Investigación (6 ed.) México: McGraw-Hill. págs.88-101
Hidalgo Vicario M.I., Redondo Romero A.M., Castellano Barca. (2012). Medicina de la adolescencia. Atención integral, 2.ª ed. Majadahonda, Madrid: Ergon.
Hyland A, Piazza K, Hovey K, Ockene J, Andrews C, Rivard C, et al. (2015). Associations of lifetime active and passive smoking with spontaneousn abortion, stillbirth and tubal ectopic pregnancy: A cross-sectional analysis of historical data from the women ́s health initiative. Tob Control, 24, 328-35, doi: 10.1136/tobaccocontrol-2013-051458
Instituto Nacional de Estadística y Censo (INEC). (2010). Cantón Portoviejo. https://www.ecuadorencifras.gob.ec/documentos/web-inec/Bibliotecas/
Fasciculos_Censales/Fasc_Cantonales/Manabi/Fasciculo_Portoviejo.pdf)
Jacome-Gallegos C.S., Parra-Torres S.Y., Paccha-Tamay C.L. (2021). Factores que inciden en el embarazo precoz de las adolescentes de Pasaje, Ecuador. Pol Con (Edición núm. 60), 6 (7), 1200-1211. http://polodel conocimiento.com/ojs/index.php/es
Jonas K., Crutzen R., van den Born B., Sewpaul R., Reddy P. (2016). Teenage pregnancy rates and associations with other health risk behaviours: a three- wave cross-sectional study among South African school-going adolescents. Reproductive Health, 13, 50. https://doi.org/10.1186/ s12978-016-0170-8)
Lange S., Probst C., Heer N., Roerecke M., Rehm J., Monteiro M. G., Shield K., de Oliveira C., Popova S. (2017). Actual and predicted prevalence of alcohol consumption during pregnancy in Latin America and the Caribbean: systematic literature review and meta-analysis. Rev Panam Salud Publica, 41(1), e89-e89.
Lange S., Probst C., Rehm J., Popova S. (2018). National, regional, and global prevalence of smoking during pregnancy in the general population: a systematic review and meta-analysis. Lancet Glob Health, 6(7), e769-e76
Magri R. Míguez H., Parodi V., Hutson J., Suárez H., Menéndez A., Koren G., Bustos R. (2007). Consumo de alcohol y otras drogas en embarazadas. Arch Pediatr Urug, 78(2).
Mateos-Vílchez P.M., Aranda-Regules J.M., Díaz-Alonso G., Mesa-Cruz P., Gil-Barcenilla B., Ramos-Monserrat M., Moreno-Peral P., Castro- Barea J., & Luna del Castillo J.D. (2014). Prevalencia de tabaquismo durante el embarazo
y factores asociados en Andalucía 2007-2012(*). Revista Española de Salud Pública, 88(3),369-381. https://dx.doi.org/10.4321/ S1135-572720114000300007
Martínez E.A., Montero G.I., & Zambrano R.M. (2020). El embarazo adolescente como un problema de salud pública en Latinoamérica. Rev Espacios, 41 (47). DOI: 10.48082/espacios-a20v41n47p01.
Mendoza Tascón L.A., Claros Benítez D.I., & Peñaranda Ospina C.B. (2016). Actividad sexual temprana y embarazo en la adolescencia: estado del arte. Revista chilena de obstetricia y ginecología, 81(3), 243-253. https://dx.doi.org/10.4067/S0717- 752620 16000300012
Mideloy diagnostics everywhere. (2021). Test de detección de drogas en orina. https://www.mideloy. com/pdf/prospecto%20ORINA.pdf Ministerio de Salud Pública de Ecuador, Senplades, Unfpa, Sendas. (2017). Estudio Costos de Omisión en Salud Sexual y Salud Reproductiva en Ecuador. Quito, Ecuador
Morales Castro M., González Rabelino G., Sosa Fuertes C., Umpiérrez Vazquez E., Ghione da Rosa A., Berta López S., Izubiajerez Fulco C., Voitouret
Baez P., Barceló Cal J., Duarte Moraes, V., Baez Petrocelli P., & Borbonet Legnani D. (2014).Identificación de consumo de alcohol y derivados de Cocaína en el embarazo en meconio. Anales De La Facultad De Medicina, 1(2), 43-50.
Neal S.E., Chandra-Mouli V., & Chou D. (2015). Adolescent first births in East Africa: disaggregating characteristics, trends and determinants. Reproductive health, 12, 13. https://doi.org/10.1186/1742-4755-12-13
Onwuka C.I., Ugwu E.O., Dim C.C., Menuba I.E., Iloghalu E.I., & Onwuka C.I. (2016). Prevalence and predictors of alcohol consumption during pregnancy in South-Eastern Nigeria. Journal of Clinical and Diagnostic Research, 10(9), QC10–QC13. doi: 10.7860/JCDR/2016/21036.8449
Organización Mundial de la Salud (OMS). (2020). El embarazo en la adolescencia. https://www.who.int/es/news-room/fact-sheets/detail/ adolescent-
pregnancy.
Organización Mundial de la Salud (OMS) (2019). Recomendaciones e la OMS sobre la prevención y la gestión del consumo del tabaco. 8. http://www.who.int/tobacco/
Organización Mundial de la Salud. (2021).Tabaco. https://www.who.int/ es/news-room/fact-sheets/ detail/tobacco
Páez O. Implicaciones de la fecundidad adolescente para el desarrollo humano: el caso comparado con y sin carencias sociales en la infancia. XI Reunión Nacional de Investigación Demográfica en México. Inegi. Sesión: Reproducción y familia de los adolescentes y jóvenes en México; 2012 30-31 mayo; Aguascalientes, Aguascalientes, México
Popova S., Lange S., Probst C., Parunashvili N., & Rehm J. (2017). Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States. European Journal of Medical Genetics, 60(1), 32-48. doi: 10.16.1016/j.ejmg.2016.09.010
Ramírez C., Tulio A. (1997), Como Hacer un Proyecto de Investigación. Caracas. Editor Tulio A. Ramírez C
Rodríguez Valencia M.A. (2017). Complicaciones del embarazo en adolescentes primigestas en el Hospital de la Mujer Aguascalientes. Tesis.Universidad Autónoma de Aguas Calientes.http://bdigital.dgse.uaa.mx: 8080/xmlui/handle/11317/332.
Roozen S, Peters GJ, Kok G, Townend D, Nijhuis J, Curfs L. (2016). Worldwide prevalence of fetal alcohol spectrum disorders: a systematic literature review including meta-analysis. Alcohol Clin Exp Re, 40(1):18–32
Ruisch I.H., Dietrich A., Glennon J.C., Buitelaar J.K., & Hoekstra P.J. (2017). Maternal substance use during pregnancy and offspring conduct problems:
A meta-analysis. Neuroscience and Biobehavioral Reviews, 84(1), 325-336. doi: 10.1016/j.neubiorev.2017.08.014
Samaniego Namicela E.G., Calva Bereche W.B., & Vera Rentería P.A. (2021). Complicaciones obstétricas en adolescentes primigestas con infección de vías urinarias. Revista Científica “Conecta Libertad’’,5(2), 62–71
Santiago-Pérez M.I., Pérez-Ríos M., Malvar Pintos A., & Hervada Vidal X. (2019). Consumo de tabaco en el embarazo: prevalencia y factores asociados
al mantenimiento del consumo. Rev Esp Salud Pública, 93, e1-8. www.msc.es/respUNICEF. (2020). ¿Qué es la adolescencia? https://www.unicef.org/uruguay/ que-es-la-adolescencia
Villalobos-Hernández, Aremis, Campero, Lourdes, Suárez-López, Leticia, Atienzo, Erika E, Estrada, Fátima, & De la Vara-Salazar, Elvia. (2015). Embarazo adolescente y rezago educativo: análisis de http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342015 000200 008&lng=es&tlng=es.
Vinueza Lescano M.A., & Bello-Zambrano H. I. (2018). Embarazo en la adolescencia. CaracterísticasEpidemiológicas. Características Epidemiológicas.
Dom Cienc, 4(1), 311–321.
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