<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182020000601396</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Partos en los extremos. Aporte de dos Casos clínicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Births in the extremes. Contribution of two clinical cases]]></article-title>
<article-title xml:lang="pt"><![CDATA[Nascimentos extremos. Contribuição de dois casos clínicos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luis Malcolm Suárez]]></surname>
<given-names><![CDATA[Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>6</numero>
<fpage>1396</fpage>
<lpage>1407</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000601396&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000601396&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000601396&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el parto es considerado como un evento fisiológico y es recibido, en la mayoría de los casos, como un regalo concedido al sexo femenino. Tanto adelantar como retrasar la maternidad se ha convertido en un fenómeno común en el mundo desarrollado, y es el resultado de factores sociales, educacionales y económicos.  Caso Clínico: la primera paciente es una gestante de 11 años de edad, con EG de 34 semanas que ingresa en el salón de parto del hospital, refiere DBV y pérdidas de flemas con sangre. Talla: 150 cm. APP: bajo peso y prematuridad. Tiempo total de trabajo de parto: 9 horas. La segunda gestante, de 58 años de edad, de 40.5 semanas que ingresa en el salón de parto del hospital por DBV y pérdidas de flemas. Preferencia de acompañamiento: su esposo. Comportamiento durante la labor de parto: Regular. Tiempo total de trabajo de parto: 10 horas.  Discusión:  se calcula que aproximadamente quince millones de adolescentes dan a luz cada año en el mundo, es decir, que son responsables del 10% de todos los partos a nivel mundial, cifra que aumenta en los países en vía de desarrollo, ya que se estima que en estos países los partos en adolescentes corresponden al 17%.  Conclusiones:  tanto las pacientes de 40 o más años, así como las adolescentes tempranas tienen una probabilidad aumentada de complicaciones similares, como, cesárea y el doble de riesgo de prematuridad que lo reportado para la población general que recibe atención médica en nuestra unidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: childbirth is considered a physiological event and is received, in most cases, as a gift granted to the female sex. Both anticipating and delaying childbearing has become a common phenomenon in the developed world, and is the result of social, educational, and economic factors.  Clinical case:  the first patient is an 11-year-old pregnant woman, with GA of 34 weeks, who is admitted to the hospital delivery room, she reports DBV and loss of bloody phlegm. Size: 150 cm. APP: low weight and prematurity. Total labor time: 9 hours. The second pregnant woman, 58 years old, 40.5 weeks old, was admitted to the hospital delivery room due to DBV and loss of phlegm. Accompanying preference: her husband. Behavior during labor: Regular. Total labor time: 10 hours.  Discussion: it is estimated that approximately fifteen million adolescents give birth each year in the world, that is, they are responsible for 10% of all births worldwide, a figure that increases in developing countries, since It is estimated that in these countries adolescent births correspond to 17%.  Conclusions:  both patients 40 years of age and older, as well as early adolescents, have an increased probability of similar complications, such as: cesarean section and twice the risk of prematurity than that reported for the general population that receives medical care in our unit.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: o parto é considerado um evento fisiológico e é recebido, namaioria das vezes, como um presente concedido ao sexo feminino. Antecipar e atrasar a gravidez tornou-se um fenômeno comum no mundo desenvolvido e é resultado de fatores sociais, educacionais e econômicos.  Caso clínico: a primeira paciente é uma gestante de 11 anos, com IG de 34 semanas, que dá entrada na sala de parto do hospital referindo VLF e perda de catarro sangrento. Dimensões: 150 cm. APP: baixo peso e prematuridade. Tempo total de trabalho: 9 horas. A segunda gestante, 58 anos, 40,5 semanas, deu entrada na sala de parto hospitalar devido a VLF e perda de catarro. Preferência de acompanhamento: o marido. Comportamento durante o parto: Regular. Tempo total de trabalho: 10 horas.  Discussão: estima-se que cerca de quinze milhões de adolescentes dão à luz a cada ano no mundo, ou seja, são responsáveis &#8203;&#8203;por 10% de todos os nascimentos no mundo, número que aumenta nos países em desenvolvimento, desde Estima-se que nesses países os nascimentos de adolescentes correspondam a 17%.  Conclusões: tanto as pacientes com 40 anos ou mais, quanto as adolescentes iniciais, têm maior probabilidade de complicações semelhantes, como: cesárea e o dobro do risco de prematuridade do que o relatado para a população geral que recebe atendimento médico em nossa unidade.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Parto en la adolescencia]]></kwd>
<kwd lng="es"><![CDATA[Parto en la adultez media]]></kwd>
<kwd lng="es"><![CDATA[Efectos de la edad materna.]]></kwd>
<kwd lng="en"><![CDATA[Childbirth in adolescence]]></kwd>
<kwd lng="en"><![CDATA[Childbirth in average adulthood]]></kwd>
<kwd lng="en"><![CDATA[Effects of maternal age]]></kwd>
<kwd lng="pt"><![CDATA[Parto naadolescência]]></kwd>
<kwd lng="pt"><![CDATA[Parto naidade adulta média]]></kwd>
<kwd lng="pt"><![CDATA[Efeitos da idade materna]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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