Author:

• Affonso Henrique A. Cesar-e-Silva - Cesar-e-Silva, A. H. A. - <affonsoh41@gmail.com>
ORCID: https://orcid.org/0000-0002-9902-2052

Co-author(s):

• Isabella F. Michelon - Michelon, I. F. - <isabella.michelon@sou.ucpel.edu.br>
ORCID: https://orcid.org/0000-0002-7062-0403
• Luana P. Marmitt - Marmitt, L. P. - <luanamarmitt@gmail.com>
ORCID: https://orcid.org/0000-0003-0526-7954
• Juraci A. Cesar - Cesar, J. A. - <juraci.a.cesar@gmail.com>
ORCID: https://orcid.org/0000-0003-0864-0486

Abstract:

This study aims to measure prevalence and evaluate trends for a set of indicators of
prenatal care among pregnant adolescents in Rio Grande, Southern Brazil. Between 01/01
and 31/12 of the years 2007, 2010, 2013, 2016 and 2019, was applied a standardized
questionnaire in the maternity ward to all parturient women residing in this municipality
who had children in the local hospitals. Chi-square test was used to compare proportions
and assess trends. Among the 12,645 pregnant women identified, 2,184 (17.3%) were
adolescents. Of the 36 indicators evaluated, there was a worsening in 2 (pregnancy
planning and occurrence of diabetes mellitus), stability in 5 (abdominal ultrasound,
immunization against tetanus, possession of the pregnancy card and occurrence of low
birth weight and prematurity) and improvement in 29, with emphasis on the reduction in
the occurrence of teenage pregnancy, maternal education, clinical and laboratory
examinations and adequate prenatal care, rising13.8% (95%CI:10.8%-16.7 %) in
2007 to 52.5% (46.8%-58.1%) in 2019. There was a substantial improvement in
pregnancy and childbirth care, but almost half of the adolescents in the municipality were
unable to receive adequate prenatal care, at the same time as the occurrence of unplanned
pregnancies increased.

Keywords:

Prenatal Care; Adolescent health; Pregnancy in Adolescence; Adolescent Mothers;

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