title: Adolescent pregnancy: a comparative study between mothers who use public and private health systems.
abstract: This is a comparative and descriptive study of adolescent mothers who were attended in three maternities of the public health system and three private maternities in a city in São Paulo, Brazil, between 2000 and 2002. This study aimed to compare the profile of mothers attended in both systems. The database of Ribeirão Preto was used and 5,286 adolescent mothers between 10 and 19 years old were selected according to type of delivery, level of instruction, number of prenatal consultations and parity. We found that the users of the public health system had less prenatal consultations, lower level of education, higher parity and the vaginal delivery was most frequent. The users of the private health system, on the contrary, had more prenatal consultations, higher level of instruction, and primiparity and cesarean sections were more frequent.
authors.affiliation: University of São Paulo, Ribeirão Preto, College of Nursing, WHO Collaborating Center for Nursing Research Development, Brazil. acyntia@eerp.usp.br
authors.forename: Ana Cyntia Paulin
authors.initials: AC
authors.lastname: Baraldi
authors.forename: Zaira Prado
authors.initials: ZP
authors.lastname: Daud
authors.forename: Ana Maria de
authors.initials: AM
authors.lastname: Almeida
authors.forename: Flavia Azevedo
authors.initials: FA
authors.lastname: Gomes
authors.forename: Ana Márcia Spanó
authors.initials: AM
authors.lastname: Nakano
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006298:Health Services Administration; D054625:Healthcare Disparities; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D009035:Mothers / Q000706:statistics & numerical data*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000706:statistics & numerical data*; D017149:Private Sector / Q000592:standards / Q000706:statistics & numerical data*; D017150:Public Sector / Q000592:standards / Q000706:statistics & numerical data*