<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942019000100119</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo del embarazo en adolescentes y jóvenes, Bata, Guinea Ecuatorial]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors of pregnancy in adolescents and young people, Bata, Equatorial Guinea]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria Negrín]]></surname>
<given-names><![CDATA[José Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Montequín1*]]></surname>
<given-names><![CDATA[Zoila de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río  ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>119</fpage>
<lpage>134</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942019000100119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942019000100119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942019000100119&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el embarazo en la adolescencia es un problema multifactorial en Guinea Ecuatorial.  Objetivo: identificar riesgos socio-demográficos, ginecológicos y obstétricos en embarazadas adolescentes y jóvenes adultas (20-34 años) en el Hospital Regional de Bata, durante julio de 2017.  Métodos:  se realizó un estudio observacional, analítico de casos (n1=30 adolescentes) y controles (n2=60, jóvenes) paridas. Variables: sociodemográficas, antecedentes gineco-obstétricos, antecedentes patológicos personales, y comorbilidad durante el embarazo, parto y puerperio, así como resultados de la concepción. Los datos se automatizaron en SPSS 22. Versión 10. Se usó la estadística descriptiva para resumir las variables y las comparaciones se realizaron mediante X2, Odds Ratio, T de Student, y la U de Mann Whitney,  Resultados:  predominó la etnia fang (94 %) en Bata, nivel secundario, y solteras (80 % de las adolescentes) (p&lt;0.001), estudiantes entre los casos y amas de casa entre controles. Edad de las primeras relaciones sexuales similar (16 años), sin uso de anticonceptivos (80 % en casos) vs (61,7 % en controles). Las adolescentes aspiraban a tener menor prole (p&lt;0,0001). En antecedentes patológicos y comorbilidad durante el embarazo, predominó el HIV (16,7 %). La cobertura antitetánica se logró en 96,7 %. Un 87,8 % tuvo parto eutócico con recién nacidos normopeso. Solo tres óbitos fetales, uno entre los casos y dos entre los controles. No hubo muertes maternas.  Conclusiones:  en Bata, julio de 2017 la atención prenatal y del parto en el Hospital Regional de Bata no presentó diferencias entre casos y controles, por lo que existió una situación favorable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Introduction:  pregnancy in adolescence is a multifactorial problem in Equatorial Guinea.  Objective:  to identify the socio-demographic, gynecological and obstetric risks in pregnant teenagers and young women (20-34 years) in the Regional Hospital of Bata, during July 2017.  Method:  an observational, analytical study of cases (n1=30 adolescents) and controls (n2=60, young women), who gave birth. Variables: socio-demographic, gynecological-obstetric history, personal pathological history, and comorbidity during pregnancy, childbirth and puerperium, as well as the results of conception. Data were computerized in SPSS 22, Version 10. Descriptive statistics was applied to summarize the variables and comparisons were made using X2, Odds Ratio, Student's T, and Mann Whitney's U.  Results:  Fang ethnicity (94 %) prevailed in Bata, secondary level, and single women (80 % of adolescents) (p &lt;0,001), students among the cases and housewives among the control group. Ages of the first sexual-intercourses, similar to (16 years) without using contraceptive measures (80 % in cases) vs. (61,7 % in controls); the adolescents aspired to diminish the offspring (p &lt;0,0001). In pathological history and comorbidity during pregnancy, HIV prevailed (16,7 %). The tetanus vaccination coverage was achieved in 96,7 %; the 87,8 % had eutocic delivery with normal weight of the newborns, only three fetal deaths, and one in the cases along with two in the controls, without maternal deaths.  Conclusions:  in Bata, July 2017, prenatal and delivery care at Bata Regional Hospital did not present differences between the cases and controls a favorable situation was observed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[EMBARAZO EN ADOLESCENCIA]]></kwd>
<kwd lng="es"><![CDATA[CONDUCTA DEL ADOLESCENTE]]></kwd>
<kwd lng="es"><![CDATA[PARTO]]></kwd>
<kwd lng="es"><![CDATA[RECIÉN NACIDO]]></kwd>
<kwd lng="es"><![CDATA[MORTALIDAD MATERNA]]></kwd>
<kwd lng="en"><![CDATA[PREGNANCY IN ADOLESCENCE]]></kwd>
<kwd lng="en"><![CDATA[ADOLESCENT BEHAVIOR]]></kwd>
<kwd lng="en"><![CDATA[PARTURITION]]></kwd>
<kwd lng="en"><![CDATA[INFANT, NEWBORN]]></kwd>
<kwd lng="en"><![CDATA[MATERNAL MORTALITY]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Discua]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo en adolescentes, riesgos obstétricos durante el parte y puerperio inmediato, en el Hospital Leonardo Martínez Valenzuela]]></article-title>
<source><![CDATA[Vertientes]]></source>
<year>2015</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>29-34</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fouelifack]]></surname>
<given-names><![CDATA[FY]]></given-names>
</name>
<name>
<surname><![CDATA[Tameh]]></surname>
<given-names><![CDATA[TY]]></given-names>
</name>
<name>
<surname><![CDATA[Mbong]]></surname>
<given-names><![CDATA[EN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outcome of deliveries among adolescent girls at the Yaoundé central hospital]]></article-title>
<source><![CDATA[BMC Pregnancy Childbirth]]></source>
<year>2014</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>102</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<source><![CDATA[Ministerio de Sanidad y Bienestar Social, Ministerio de Economía, Planificación e Inversiones Públicas]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Guinea Ecuatorial ]]></publisher-loc>
<publisher-name><![CDATA[Encuesta Demográfica y de Salud 2011]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[BiyeNveAngue]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria Negrín]]></surname>
<given-names><![CDATA[JG.]]></given-names>
</name>
</person-group>
<source><![CDATA[Factores de riesgo de embarazo en la adolescencia. Tesina de finalización de Carrera de DUE en Enfermería. UNGE]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Bata, G. Ecuatorial ]]></publisher-loc>
<publisher-name><![CDATA[Facultad de Ciencias de la Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chemuru NR &amp;Srinivas]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Application of the PEN-3 Cultural Model in Assessing Factors affecting Adolescent Pregnancies in Rural Eastern Cape, South Africa]]></article-title>
<source><![CDATA[Int J ReprodFertil Sex Health]]></source>
<year>2015</year>
<page-range>01-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Say]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chou]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gemmill]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Global causes of maternal death: a WHO systematic analysis]]></article-title>
<source><![CDATA[The Lancet Glob Health]]></source>
<year>2014</year>
<volume>2</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kemfang Ngowa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kasia JM]]></surname>
<given-names><![CDATA[Noa C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obstetrical and perinatal outcomes of adolescent pregnancies in Cameroon: A reprospetive cohort study at the Yaoundé General Hospital]]></article-title>
<source><![CDATA[Open J obstet and Gynecol]]></source>
<year>2015</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>88-93</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barrera Sánchez]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Manrique Abril]]></surname>
<given-names><![CDATA[FG]]></given-names>
</name>
<name>
<surname><![CDATA[Ospina Díaz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores asociados al parto pretérmino en adolescentes de Tunja Boyacá (Colombia)]]></article-title>
<source><![CDATA[Rev Virtual Universidad Católica del Norte]]></source>
<year>2016</year>
<volume>48</volume>
<page-range>2015-227</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Hernández]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo adolescente y pobreza, una relación compleja]]></article-title>
<source><![CDATA[Iztapalapa Rev Ciencias Sociales y Humanidades]]></source>
<year>2014</year>
<volume>77</volume>
<numero>35</numero>
<issue>35</issue>
<page-range>13-53</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendoza Tascón]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Claros Benítes]]></surname>
<given-names><![CDATA[DI]]></given-names>
</name>
<name>
<surname><![CDATA[Osorio Ruiz]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza Tascón]]></surname>
<given-names><![CDATA[LI]]></given-names>
</name>
<name>
<surname><![CDATA[Peñaranda Ospina]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo Bejarano]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Londoño Romero]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología de la prematuridad y sus determinantes, en una población de mujeres adolescentes y adultas de Colombia]]></article-title>
<source><![CDATA[Rev Chil Obstet Ginecol]]></source>
<year>2016</year>
<volume>81</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>372-80</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez Cabrera]]></surname>
<given-names><![CDATA[YJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mora Linares]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria Negrín]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Experiencia en la eliminación de la transmisión vertical del VIH en Evinayong]]></article-title>
<source><![CDATA[Rev Ciencias Médicas]]></source>
<year>2017</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>115-21</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gilbert]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[O´Brien]]></surname>
<given-names><![CDATA[VP]]></given-names>
</name>
<name>
<surname><![CDATA[Hulgren]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Macones]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[WG]]></given-names>
</name>
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urinary tract infection as a preventable cause of pregnancy complications: opportunities, challenges and a global call to action]]></article-title>
<source><![CDATA[Glob Adv Health Med]]></source>
<year>2013</year>
<volume>2</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>59-69</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Magee]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[von Dadelszen]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rey]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ross]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Asztalos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Murphy]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Menzies]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Less-tight versus tight control of hypertension in pregnancy]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2015</year>
<volume>372</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Discua]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Embarazo en adolescentes, riesgos obstétricos durante el parto y puerperio inmediato, en el Hospital Leonardo Martínez Valencuzela.]]></article-title>
<source><![CDATA[Vertientes]]></source>
<year>2015</year>
<volume>18</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>29-34</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fawed Reyes]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Erazo Coello]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Carrasco Medrano]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzales]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza Talavera]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<name>
<surname><![CDATA[Mejías Rodríguez]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones obstétricas en adolescentes y mujeres adultas con o sin factores de riesgo asociados, Honduras 2016]]></article-title>
<source><![CDATA[Arch Medicina]]></source>
<year>2016</year>
<volume>12</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
