Profile of pregnant adolescents attended at the Mineira Maternal and Child Health Center (Huambo, Angola)

Authors

DOI:

https://doi.org/10.31211/rpics.2022.8.1.226

Keywords:

Adolescence, Angola, Pregnancy, Descriptive study

Abstract

Aim: The research aimed to describe the profile of pregnant adolescents assisted at the Mineira Maternal and Child Health Center (Huambo, Angola). Method: This was a descriptive study, where the data was submitted to a univariate analysis. A total of 170 pregnant adolescents between 14 and 19 years old were randomly surveyed in one of the largest maternal and child care centres in Huambo in Angola from July to December 2019.  Results: The average age of the adolescents was 17.53 years old (SD = 1.28); most were single (85%), had completed the first cycle of primary education (59.0%), did not work (92.4%), lived (50.6%) and grew up (56.5%) with their parents, with the majority having the Catholicism as their religious confession (47.1%). The obstetric data reported that most of the adolescents were nulliparous (84.1%), had had no complications from childbirth (84.7%), and had no previous abortion (91.2%). The majority of the adolescents had their first sexual intercourse between 16–19 years (68.2%) with their boyfriend (77.1%), and it was consensual (91.2%). The majority of the partners were aged between 20–22 years, were working (57.0%) and had assumed paternity (89.0%). Conclusion: The results indicated the presence of multiple factors that may influence adolescent pregnancy and showed a need for a profound rethinking of public health policies regarding adolescence.

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References

Abate, B. B., Kassie, A. M., & Kassaw, M. W. (2020). Prevalence and determinants of early initiation of sexual intercourse among youth girls in Ethiopia. Journal of Pediatric Nursing, 55, e305–e312. https://doi.org/hgbv

Ayoola, A. B., Brewer, J., & Nettleman, M. (2006). Epidemiology and prevention of unintended pregnancy in adolescents. Primary Care, 33(2), 391–403. https://doi.org/fq53dk

Bareiro, A. O. G. (2005). Gravidez na adolescência: seus entornos, suas peculiaridades e o ponto de vista da adolescente. Revista Brasileira de Medicina de Família e Comunidade, 1(3), 60–71. https://bit.ly/3HOT0j2

Belo, M. A. V., & Silva, J. L. P. (2004). Conhecimento, atitude e prática sobre métodos anticoncepcionais entre adolescentes gestantes. Revista de Saúde Pública, 38(4), 479–487. https://doi.org/bw5f2k

Braga, A. S., Rios, L. A. O., & Valle, V. N. S. B. (2008). Aborto "uma consequência da gravidez na adolescência". Revista Educação, Meio Ambiente e Saúde, 3(1), 76–88. https://bit.ly/3K1J9Yg

Briggs, M. M., Hopman, W. M., & Jamieson, M. A. (2007). Comparing pregnancy in adolescents and adults: Obstetric outcomes and prevalence of anemia. Journal of Obstetrics and Gynaecology, 29(7), 546–555. https://doi.org/hm6h

Browne, A. W. & Barrett, H. R. (1991). Female education in sub-Saharan Africa: The key to development? Comparative Education, 27(3), 275–285. https://doi.org/d6ttw5

Candori, J. A. S. (2015). Cómo escribir una tesis. Bioestadístico EIRL.

Chipalanga, S. I. (2014). Gravidez na adolescência em Angola: estudo do funcionamento familiar e satisfação com a vida [Dissertação de mestrado, Universidade de Coimbra, Faculdade de Psicologia e de Ciências da Educação]. https://estudogeral.sib.uc.pt/handle/10316/27945

Cerqueira-Santos, E., Paludo, S. dos S., dei Schirò, E. D. B., & Koller, S. H. (2010). Early pregnancy: A contextual analysis about risk and protection. Psicologia em Estudo, 15, 72–85. https://bit.ly/3wCNTQf

Coutinho, R. Z., & Miranda Ribeiro, P. (2014). Religião, religiosidade e iniciação sexual na adolescência e juventude: lições de uma revisão bibliográfica sistemática de mais de meio século de pesquisas. Revista Brasileira De Estudos De População, 31(2), 333–365. https://bit.ly/3gvbxoG

Creatsas, G. G., N., Deligeoroglou, E., Karagitsou, T., Calpaktsoglou, C., & Arefetz, N. (1991). Teenage pregnancy: Comparison with two groups of older pregnant women. Journal of Adolescent Health, 12(2), 77–81. https://doi.org/dkwcmh

da Silva, E. L. C., Lamy, Z. C., Rocha, L. J. L. F., Mendonça, F. D. M. A., & de Lima, J. R. (2014). Gravidez e dinâmica familiar na perspectiva de adolescentes. Boletim Academia Paulista de Psicologia, 34(86), 118-138. https://bit.ly/3wGZKwP

da Silva Duarte, E., Pamplona, T. Q., & Rodrigues, A. L. (2018). A gravidez na adolescência e suas consequências biopsicossociais. DêCiência em FOCO, 2(1), 45–52. https://bit.ly/3tEEOEY

Daniel, W. W. (2009). Bioestatística: A fundação para a análise em ciências da saúde (9ª ed.). Wiley.

Diniz, E., & Koller, S. H. (2012). Fatores associados à gravidez em adolescentes brasileiros de baixa renda. Paidéia, 22(53), 305–314. https://doi.org/hgb9

East, P. L., Khoo, S. T., & Reyes, B. T. (2006). Risk and factors predictive of adolescent pregnancy: A longitudinal, prospective study. Applied Developmental Science, 10(4), 188–199. https://doi.org/d867w4

Ewerton, M. L. A. (2010). Estrutura familiar e gravidez na adolescência: um estudo sistêmico [Dissertação de Mestrado, Universidade Federal do Maranhão, Centro de Ciências Biológicas e da Saúde]. https://bit.ly/34LouIc

Figueiró, A. C. (2002). Condições de vida e saúde reprodutiva de adolescentes residentes na comunidade de Roda de Fogo, Recife. Revista Brasileira de Saúde Materno Infantil, 2(3), 291–302. https://doi.org/cwrsc5

Fleming, N., Ng, N., Osborne, C., Biedermanexpe, S., Yasseen, A. S., III, Dy, J., Rennicks White, R., & Walker, M. (2013). Adolescent pregnancy outcomes in the province of Ontario: A cohort study. Journal of Obstetrics and Gynaecology Canada, 35(3), 234–245. https://doi.org/bq6s

Fossa, A. M., Ingrid da Silva, T., Salles de Oliveira, T., Pauli da Rocha, M. C., & Horibe, T. M. (2015). O perfil de adolescentes grávidas em Piracicaba. Saúde em Revista, 15(40), 97–109. https://doi.org/hgb8

Hernández-Ávila, A., Barrera-Rodríguez, J., & Castañeda Porras, O. (2017). Prevalencia de embarazo en adolescentes, Yopal-Casanare, Colombia, 2013–2014. Revista Colombiana de Obstetricia Y Ginecología , 68(3), 168–175. https://doi.org/hgb7

Human Rights Committee. (2019). Concluding observations on the second periodic report of Angola (Relatório Nº. CCPR/C/AGO/2). https://bit.ly/3No6Nk4

Júnior, G. M. P., & Neto, F. R. G. X. (2004). Gravidez na adolescência no município de Santana do Acaraú-Ceará-Brasil: uma análise das causas e riscos. Revista Eletrônica de Enfermagem, 6(1), 25–37. https://bit.ly/3LdW6yv

Minuchin, P., Minuchin, S., & Colapinto, J. M., S. (1999). Trabalhando com famílias pobres. Artemed Editora.

Moreira, T. M. M., Viana, D. de Sousa, Queiroz, M. V. O., & Jorge, M. S. B. (2008). Conflitos vivenciados pelas adolescentes com a descoberta da gravidez. Revista Escola de Enfermagem da Universidade de São Paulo, 42(2), 312–320. https://doi.org/ch3936

Naz, U. (2014). Comparison of obstetric outcome in terms of the risk of low birth weight, preterm delivery, cesarean section rate and anemia in primigravid adolescents and older primigravida. Journal of the College of Physicians and Surgeons Pakistan, 24(2), 131–134. https://bit.ly/3qBtsiR

Ogland, C. P., Xu, X., Bartowiski, J. P., & Ogland, E. G. (2011). The association of religion and virginity status among Brazilian adolescents. Journal of Adolescent Health, 48(6), 651–653. https://doi.org/b2n4n3

Organização das Nações Unidas. (2019, July 15). O poder de rainhas e guerreiras que Angola trouxe para reflexão sobre igualdade de género. ONU News. https://bit.ly/3JzyvId

Pan American Health Organization., United Nations Population Fund., & United Nations Children’s Fund. (2017). Accelerating progress toward the reduction of adolescent pregnancy in Latin America and the Caribbean [Relatório]. PAHO. https://bit.ly/3wJNgo6

Ramakuela, N. J., Lebese, T. R., Maputle, S. M., & Mulaudzi, L. (2016). Views of teenagers on termination of pregnancy at Muyexe high school in Mopani District, Limpopo Province, South Africa. African Journal of Primary Health Care & Family Medicine, 8(2), e1–e6. https://doi.org/hm6p

Ratlabala, M. E., Makofane, M. D., & Jali, M. N. (2007). Perceptions of adolescents in low resourced areas towards pregnancy and the Choice on Termination of Pregnancy (CTOP). Curationis, 30(1), 26–31. https://doi.org/hm6k

Santos, N. L. A. C., Costa, M. C. O., Amaral, M. T. R. A., Vieira, G. O., Bacelar, E. B., & Vale de Almeida, A. H. V. (2014). Gravidez na adolescência: análise de fatores de risco para baixo peso, prematuridade e cesariana. Ciência e Saúde Colectiva, 19(03), 1413–8123. https://doi.org/hgb6

Spinola, M. C. R., Béria, J. U., & Schermann, L. B. (2017). Fatores associados à iniciação sexual em mães de 14 a 16 anos em Porto Alegre/RS, Brasil. Ciência e Saúde Colectiva, 22(11), 3755–3762. https://doi.org/hgb5

Tanner, J. M. (1962). Growth at adolescence (2ª ed.). Charles C. Thomas, Springfield.

Tavares, H. P. (2011). Aspectos obstétricos, sóciodemográficos e psicossociais, de puérperas adolescentes assistidas na Maternidade do Hospital Central do Huambo, Província do Huambo-Angola [Dissertação de mestrado, Universidade Estácio de Sá]. https://bit.ly/3rAgF19

Ujah, I. A., Aisien, O. A., Mutihir, J. T., Vanderjagt, D. J., Glew, R. H., & Uguru, V. E. (2005). Maternal mortality among adolescent women in Jos, north-central, Nigeria. Journal of Obstetrics and Gynaecology, 25(1), 3–6. https://doi.org/cfjz3j

Vieira, E. M., Bousquat, A., Barros, C. R., & Alves, M. C. (2017). Adolescent pregnancy and transition to adulthood in young users of the SUS. Revista de Saúde Pública, 51(0), 25. https://doi.org/f92shb

Verona, A. P. A., & Dias Júnior, C. S. (2012). Religião e fecundidade entre adolescentes no Brasil. Revista Panamericana de Salud Pública, 31(1), 25–31. https://bit.ly/3GAOdR5

Willan S. (2013). A review of teenage pregnancy in South Africa – experiences of schooling, and knowledge and access to sexual & reproductive health services. Partners in Sexual Health. https://bit.ly/3LjWjkE

World Bank. (2020). Adolescent fertility rate (births per 1000 women ages 15–19). Databank: World Development Indicators (2020). https://bit.ly/3uyIVD8

World Bank. (2022). Adolescent fertility rate (births per 1000 women ages 15–19). Databank: World Development Indicators (2020). https://bit.ly/3wCV4YT

World Health Organization. (1986). Young people’s health - a challenge for society. Report of a WHO study group on young people and “Health for All by the year 2000” (Technical Report Series Nº 731). WHO. https://bit.ly/35Sr4wJ

Ximenes Neto, F. R., Dias, M., Rocha, J., & Cunha, I. C. (2007). Gravidez na adolescência: motivos e percepções de adolescentes. Revista Brasileira de Enfermagem, 60(3), 279–285. https://doi.org/btzp7r

Yakubu, I., & Salisu, W. J. (2018). Determinants of adolescent pregnancy in sub-Saharan Africa: A systematic review. Reproductive Health, 5(1), Artigo 15. https://doi.org/gcxw5z

Published

2022-05-05

How to Cite

Chitumba, H. O., Nungulo, V. N., & Kahuli, C. N. (2022). Profile of pregnant adolescents attended at the Mineira Maternal and Child Health Center (Huambo, Angola). Portuguese Journal of Behavioral and Social Research, 8(1), 1–15. https://doi.org/10.31211/rpics.2022.8.1.226

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Original Paper