Manejo de las complicaciones gineco obstétricas durante el embarazo y puerperio en adolescentes

Abstract

Adolescent pregnancy is considered a public health problem due to the various maternal and fetal complications. Worldwide, 16 million cases of pregnant adolescents are reported. Objectives: 1. Define the therapeutic management of gynecological-obstetric complications during adolescent pregnancy and puerperium through a review of scientific articles. 2. To identify the most prevalent prenatal, perinatal and postnatal complications of adolescent pregnancy. 3. To establish recommendations for the management of adolescent pregnancy in primary care. Methods: Descriptive study, reviewing documents in different databases Pubmed, Medscape, EBSCOhost, Google Academic and Elsevier from the last five years. Conclusions: Within the management of hypertensive disorders of pregnancy, the use of nifedipine is mainly recommended. In ectopic pregnancy, methotrexate is used based on clinical criteria, and in case of failure to meet them, the treatment of choice is salpingectomy. Misoprostol is the most commonly used alternative for abortion. In gestational anemia, management with iron plus folic acid is recommended. In premature rupture of membranes, expectant management is expected in pregnancies of less than 34 weeks, and in pregnancies of more than 34 weeks, induction of labor is expected. In situations such as cephalopelvic disproportion the only option is cesarean section.