Features of social and hygienic factors of young primiparаs

Aim. To assess the health status of young primiparae by studying the basic social and hygienic and demographic factors.

Methods. The study involved 48 female patients of the women's consultation office registered with the pregnancy. The age ranged from 12 to 17 years, and averaged 15.7±1.4 years. We distinguished three clusters allowing to divide young primiparae into study groups: young — 12–13 years (n=15; 31.2%), middle — 14–15 years (n=20; 41.7%) and senior — 16–17 years old (n=13; 27.1%). The gestational age of young primiparae averaged 12.3±4.5 weeks. We conducted an anonymous survey of young primiparae, which included questions regarding the social hygienic and demographic factors of pregnancy. Differences were considered significant at a confidence level of p ≤0.05.

Results. Most primiparae were raised in single-parent families (n=36; 75%), while in the young cluster, this social factor was identified among almost all girls (n=14; 93.3%). 30 young primiparae had random sexual activity (62.5%), the most pronounced indicator was found in the senior cluster (n=10; 76.9%). Assessment of social economic factor of primiparae taking into account the living conditions, found that 21 (43.8%) of them lived in a rented apartment. None of the primiparae from a young cluster lived in her own apartment or house. Most of the respondents were not satisfied with their living conditions (n=37; 77.1%). Evaluation of social economic factor of primiparae taking into account the income revealed that low income per family member of young primiparae amounted to 33.3% (n=16). In the young cluster, material income was low in most cases (60%).

Conclusion. Young primiparae aged 12–13 years have the most pronounced adverse sociohygienic and demographic factors of early pregnancy in contrast to older age groups.