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...
- 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)
id |
UDEA2_b9164a0b15c3234b2fb546a0491f7dc7 |
---|---|
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 |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.hasversion.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.redcol.spa.fl_str_mv |
https://purl.org/redcol/resource_type/ART |
dc.type.local.spa.fl_str_mv |
Artículo de investigación |
format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
status_str |
publishedVersion |
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 |
dc.rights.uri.*.fl_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/co/ |
dc.rights.accessrights.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.creativecommons.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc-sa/4.0/ |
rights_invalid_str_mv |
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO) https://creativecommons.org/licenses/by-nc-sa/2.5/co/ http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by-nc-sa/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.extent.spa.fl_str_mv |
11 |
dc.format.mimetype.spa.fl_str_mv |
application/pdf |
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 |
bitstream.url.fl_str_mv |
https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/2/license_url https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/3/license_text https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/4/license_rdf https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/5/license.txt https://bibliotecadigital.udea.edu.co/bitstream/10495/4374/1/DiazLina_2015_ComplicacionesMaternasAdolescentes.pdf |
bitstream.checksum.fl_str_mv |
4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e 8a4605be74aa9ea9d79846c1fba20a33 fde706b8e1c01d9d965c27da653664c4 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositorio Institucional Universidad de Antioquia |
repository.mail.fl_str_mv |
andres.perez@udea.edu.co |
_version_ |
1812173300644708352 |
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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 |