Impact on costs for adolescent pregnancies 15 to 18 years in a hospital in the department of Atlantic 2013 to 2017

Abstract

Introduction: Adolescence is the transition between childhood and adulthood. The beginning of reproductive sexual life in this phase means to 1 in 5 adolescents becoming pregnant. 64% of these pregnancies are not planned, which entails high costs in health institutions. Objective: Show by proportional analysis the costs of care for pregnant adolescents in a hospital in the Atlantic department in 2013 and 2017. Materials and methods: Cross-sectional descriptive study, by means of proportional analysis, estimated costs of vaginal delivery by caesarean section and ICU care in 2013 and 2017 periods. Results: It was found that the costs of patients attended in 2013 and 2017, the 2013 proportion is lower (chi-square: 2,287; P> 0.05). In the costs of patients attended by vaginal delivery in 2013 and 2017, the proportion of 2013 is lower (chi-square: 17,340; P <0.05). The costs of patients attended by Cesarean in 2013 and 2017, the proportion of 2013 is lower (chi-square: 5,771; P <0.05). The costs of patients cared for by Caesarean section and patients referred to the ICU for the year 2013, the proportion of patients referred to the ICU is lower. (chi-square: 5,771; P = 0.00 for Cesarean section in 2013 and a chi-square value: 2,276; P = 0.03 for ICU referral in 2013). Conclusions: adolescent pregnancy is a public health problem with an increasing trend that leads to obstetric complications that can occur during this period, plus the high rate of caesarean sections, which therefore increases costs in the provision of health services.