Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012

ABSTRACT: The intervention of maternal complications and the minimization of its impact on mother and child health is a priority for this population's health care. Identifying factors associated with maternal complications is critical to devising policies and intervention strategies against thi...

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Autores:
Lina María, Díaz Blandon
Chávez Guerrero, Blanca Myriam
Tipo de recurso:
Article of investigation
Fecha de publicación:
2015
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/4374
Acceso en línea:
http://hdl.handle.net/10495/4374
Palabra clave:
Complicación materna
Adolescentes embarazadas
Factores asociados
Exposición
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/4374
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
dc.title.alternative.spa.fl_str_mv Maternal Complications in Adolescents and Adults Affiliated to the subsidized regime, 2012
title Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
spellingShingle Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
Complicación materna
Adolescentes embarazadas
Factores asociados
Exposición
title_short Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
title_full Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
title_fullStr Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
title_full_unstemmed Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
title_sort Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012
dc.creator.fl_str_mv Lina María, Díaz Blandon
Chávez Guerrero, Blanca Myriam
dc.contributor.author.none.fl_str_mv Lina María, Díaz Blandon
Chávez Guerrero, Blanca Myriam
dc.subject.none.fl_str_mv Complicación materna
Adolescentes embarazadas
Factores asociados
Exposición
topic Complicación materna
Adolescentes embarazadas
Factores asociados
Exposición
description ABSTRACT: The intervention of maternal complications and the minimization of its impact on mother and child health is a priority for this population's health care. Identifying factors associated with maternal complications is critical to devising policies and intervention strategies against this problem. Objective: to determine the factors associated with complications during the third trimester of pregnancy, delivery and puerperium of the mothers belonging to the subsidized health regime who receive care in a second level health care providing institution in Medellin. Methodology: an ambispective study whose exposure factors are age (exposed: adolescents aged 14 to 19, non-exposed:individuals aged 20 to 34) and maternal complications. Absolute and relative frequencies were calculated for the qualitative variables. Likewise, the mean, median and interquartile range were calculated for the quantitative variables. Moreover, the ratio of incidence was calculated for the complications along with the crude relative risk and the risk adjusted for confounding variables. Results: the main risk factor associated with maternal complications was inadequate prenatal care (Kessner criterion). In addition, attendance to the psychoprophilactic course was found to be a protecting factor. Conclusion: No significant differences were found between adolescents and adults. However, social (family relations), educational and health care aspects were found which may affect the health of the mothers belonging to the subsidized regime who receive health care in a second level institution in Medellin.
publishDate 2015
dc.date.issued.none.fl_str_mv 2015
dc.date.accessioned.none.fl_str_mv 2016-09-09T20:49:09Z
dc.date.available.none.fl_str_mv 2016-09-09T20:49:09Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.spa.fl_str_mv Díaz LM, Chávez BM. Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012. Rev Fac Nac Salud Pública 2015;33(2): 206-217. DOI: 10.17533/udea.rfnsp.v33n2a08.
dc.identifier.issn.none.fl_str_mv 0120-386X
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/4374
dc.identifier.doi.none.fl_str_mv 10.17533/udea.rfnsp.v33n2a08
dc.identifier.eissn.none.fl_str_mv 2256-3334
identifier_str_mv Díaz LM, Chávez BM. Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012. Rev Fac Nac Salud Pública 2015;33(2): 206-217. DOI: 10.17533/udea.rfnsp.v33n2a08.
0120-386X
10.17533/udea.rfnsp.v33n2a08
2256-3334
url http://hdl.handle.net/10495/4374
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Rev. Fac. Nac. Salud Pública
dc.rights.*.fl_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.extent.spa.fl_str_mv 11
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad Nacional de Salud Pública
dc.publisher.group.spa.fl_str_mv Gestión y políticas de salud
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Lina María, Díaz BlandonChávez Guerrero, Blanca Myriam2016-09-09T20:49:09Z2016-09-09T20:49:09Z2015Díaz LM, Chávez BM. Complicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012. Rev Fac Nac Salud Pública 2015;33(2): 206-217. DOI: 10.17533/udea.rfnsp.v33n2a08.0120-386Xhttp://hdl.handle.net/10495/437410.17533/udea.rfnsp.v33n2a082256-3334ABSTRACT: The intervention of maternal complications and the minimization of its impact on mother and child health is a priority for this population's health care. Identifying factors associated with maternal complications is critical to devising policies and intervention strategies against this problem. Objective: to determine the factors associated with complications during the third trimester of pregnancy, delivery and puerperium of the mothers belonging to the subsidized health regime who receive care in a second level health care providing institution in Medellin. Methodology: an ambispective study whose exposure factors are age (exposed: adolescents aged 14 to 19, non-exposed:individuals aged 20 to 34) and maternal complications. Absolute and relative frequencies were calculated for the qualitative variables. Likewise, the mean, median and interquartile range were calculated for the quantitative variables. Moreover, the ratio of incidence was calculated for the complications along with the crude relative risk and the risk adjusted for confounding variables. Results: the main risk factor associated with maternal complications was inadequate prenatal care (Kessner criterion). In addition, attendance to the psychoprophilactic course was found to be a protecting factor. Conclusion: No significant differences were found between adolescents and adults. However, social (family relations), educational and health care aspects were found which may affect the health of the mothers belonging to the subsidized regime who receive health care in a second level institution in Medellin.RESUMEN: La intervención de las complicaciones maternas y la minimización de sus efectos en la salud materno-infantil es prioridad para el cuidado en salud de esta población. La identificación de factores asociados a la complicación materna es de vital importancia para definir políticas y estrategias de intervención de esta problemática. Objetivo: determinar los factores asociados a complicaciones durante el tercer trimestre del embarazo, parto y puerperio de las maternas pertenecientes al régimen subsidiado atendidas en una institución de segundo nivel de complejidad de Medellín. Metodología: investigación de cohorte ambiespectivo, que tiene como factor de exposición la edad (expuesto: adolescentes entre 14 y 19 años, no expuesto: entre 20 y 34 años de edad) y la complicación materna. Se calcularon frecuencias absolutas y relativas para las variables cualitativas y media, mediana y rango intercuartílico para las variables cuantitativas, se calculó proporción de incidencia de las complicaciones y el riesgo relativo crudo y ajustado por variables de confusión. Resultados: el principal factor de riesgo asociado a complicación materna fue la atención prenatal inadecuada (criterio de Kessner). Se encontró como factor protector la asistencia al curso psicoprofiláctico. Conclusión: no se encontraron grandes diferencias entre la población adolescente y adulta, pero sí se identificaron aspectos sociales (relaciones familiares), educacionales y de atención en salud que pueden afectar la salud materna de la población del régimen subsidiado atendida por una institución de segundo nivel de complejidad.COL000701411application/pdfspaUniversidad de Antioquia, Facultad Nacional de Salud PúblicaGestión y políticas de saludMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Complicación maternaAdolescentes embarazadasFactores asociadosExposiciónComplicaciones maternas en adolescentes y adultas afiliadas al régimen subsidiado, 2012Maternal Complications in Adolescents and Adults Affiliated to the subsidized regime, 2012Rev. Fac. Nac. Salud PúblicaRevista Facultad Nacional de Salud Pública49333CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD55ORIGINALDiazLina_2015_ComplicacionesMaternasAdolescentes.pdfDiazLina_2015_ComplicacionesMaternasAdolescentes.pdfArtículo de investigaciónapplication/pdf471335https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/1/DiazLina_2015_ComplicacionesMaternasAdolescentes.pdffde706b8e1c01d9d965c27da653664c4MD5110495/4374oai:bibliotecadigital.udea.edu.co:10495/43742021-09-01 12:25:19.314Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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