20 de outubro de 2020

Repeat pregnancies among adolescents in a tertiary hospital in Brazil

21 de setembro de 20123min

Journal of Reproductive and Infant Psychology
Repeat pregnancies among adolescents in a tertiary hospital in Brazil

DOI: 10.1080/02646838.2012.677139

Maria de Fátima Rato Padina*, Rebeca de Souza e Silvab, Sandro Sendin Mitsuhiroa, Elisa Chalema, Marina Moraes Barrosc, Ruth Guinsburgc & Ronaldo Laranjeiraa

  • a Department of Psychiatry of the Federal, University of São Paulo, São Paulo, Brazil
  • b Department of Preventive Medicine of the Federal, University of São Paulo, São Paulo, Brazil
  • c Department of Pediatrics of the Federal, University of São Paulo, São Paulo, Brazil

pages 193-200

Received: 01 Sep 2011
Accepted: 14 Mar 2012
Version of record first published: 05 Apr 2012

Abstract

Objective: to investigate factors associated with repeat pregnancies among adolescents in a tertiary hospital in the city of São Paulo, Brazil. Background: Teenage mothers present a high risk of repeat pregnancies during adolescence. Most of these pregnancies are unplanned. Methods: A cross-sectional study conducted in a tertiary hospital in São Paulo, Brazil. The study population included 745 first-time pregnancies and 170 two or more times pregnant teenagers hospitalised for childbirth. Logistic regression models were used to identify independent factors associated with repeat pregnancy in this population. Results: Older age at first pregnancy was associated with a decreased risk of repeat pregnancies (odds ratio and 95% confidence interval 0.78 (0.68–0.89)). Prenatal examinations (0.13 (0.05–0.32)), higher education (0.83 (0.76–0.91)) and higher monthly income (0.79 (0.67–0.95)) were also protective against repeat pregnancies. Those who used contraceptives (2.76 (1.80–4.21)) and lived with their partners (2.44 (1.53–3.88)) had an increased risk of becoming pregnant more than once. Conclusion: Preventive programmes aiming to avoid repeat pregnancies in adolescents should not be restricted to the transmission of information. Behavioural changes in family planning must include access not only to adequate information but also to adequate healthcare, contraceptive methods, education and training.


Sobre a UNIAD

A Unidade de Pesquisa em álcool e Drogas (UNIAD) foi fundada em 1994 pelo Prof. Dr. Ronaldo Laranjeira e John Dunn, recém-chegados da Inglaterra. A criação contou, na época, com o apoio do Departamento de Psiquiatria da UNIFESP. Inicialmente (1994-1996) funcionou dentro do Complexo Hospital São Paulo, com o objetivo de atender funcionários dependentes.



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