Postergación de la maternidad en Chile: Una realidad oculta



Document title: Postergación de la maternidad en Chile: Una realidad oculta
Journal: Revista médica de Chile
Database: PERIÓDICA
System number: 000423840
ISSN: 0034-9887
Authors: 1
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Institutions: 1Universidad de Chile, Instituto de Investigaciones Materno Infantil, Santiago de Chile. Chile
2Clínica Las Condes, Unidad de Medicina Reproductiva, Santiago de Chile. Chile
Year:
Season: Oct
Volumen: 147
Number: 10
Pages: 1240-1245
Country: Chile
Language: Español
Document type: Artículo
Approach: Caso clínico
English abstract Background: Delayed motherhood is a common phenomenon in the developed world, where the age at first delivery is around 30 years. In Chile the National Institute of Statistics established that this age has remained around 23 years for more than two decades. Motherhood postponement may be modulated by socioeconomic status. Aim: To determine whether the age at first delivery is higher in a private clinic compared to a public hospital. Patients and Methods: Two cohorts of primiparous women delivering in 1998 and 2008 in the public hospital San Borja Arriarán (HSBA) and a private setting Clínica Las Condes (CLC), were analyzed. Results: The age of all delivering women was significantly lower in HSBA than in CLC in both study periods (26.3 ± 0.8 and 25.7 ± 0.9 compared to 31.6 ± 0.1 and 32.7 ± 0.1 years, respectively). Likewise, the frequency of adolescent pregnancy was significantly higher in HSBA than CLC in both study periods (38.8 and 42.2% compared to 1.7 and 1.6% respectively). The age at first delivery was significantly lower in both periods in HSBA (21.8 and 21.3 years compared to 28.6 and 30.6 years, respectively). Excluding primiparous women of less than 20 years, the difference in age was smaller, but remained still significant (24.6 and 24.2 versus 29.9 and 31.0 years, respectively). Conclusions: In Santiago, the postponement of motherhood is more marked among women of high socioeconomic status
Disciplines: Medicina,
Demografía
Keyword: Ginecología y obstetricia,
Características de la población,
Salud pública,
Paridad,
Embarazo en la adolescencia,
Factores socioeconómicos
Keyword: Gynecology and obstetrics,
Demographics,
Public health,
Parity,
Pregnancy in adolescence,
Socioeconomic factors
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