Introduction

He pregnancy teenager either early HE categorizes as a event of health public due to biological immaturity and socioeconomic, and is influenced by factors as inequality social, lack of opportunities, inequality of gender and lack of knowledge about health sexual (Rojas, 2021) . According to the WHO, worldwide a approximate amount of sixteen millions   of teenagers between the ages of 15 and 19 Women become mothers at an age. Latin America and The Caribbean corresponds to second place of pregnancy teenager, HE they calculate around of 66.5 births for each thousand youths of 15 to 19 years (Zegers-Hochschild et al., 2020) . 

Meanwhile, in Norte de Santander, department of Colombia, the minors Those aged 10 to 14 showed an increase in the rate specific of fertility by age (TEFE) of 23 and the teenagers of 15 19 presented 58.9 by each 1000 live births, this in turn decreases drastically improve quality and comfort in the lives of pregnant mothers (PAHO, 2020) .

By Pregnancy alone already constitutes a high     obstetric risk from the moment of conception, especially for teenage girls, now that so much the mother as her fetus HE they expose to multiple complications throughout the entire development of the pregnancy and of the delivery. The complications and he risk that are may have they depend of different factors, such as the age of the pregnant, the stage gestational, the characteristics organic so much of the mother as well as her son, (Calderon et al., 2020) . In the study by Patricia Ortiz, Beatriz Niño, Sonia Aguila , Patricia Ribeiro they analyzed to students that They were pregnant in different institutions educational of character public in Bucaramanga, capital of Santander, in where HE registered 48 teenagers pregnant women and around 2014 and until in the first half of 2015, they maintained their studies in 22 centers of education public of Bucaramanga (Ortiz, Rodriguez, 2018) .

The objective of this work was to determine the causes, consequences and impact social of the pregnancy early in patients attended in he Hospital University Erasmus Meoz of Cúcuta, in he Department of North of Santander, Colombia, during the years 2017-2023, analyzing he context social of the pregnancy teenager in the population that HE wishes study for grasp the factors that determine its prevalence. The aim is to identify the complications immediate to the delivery that present the children of are teenagers, the amount of controls done for measure the conditions of prenatal care, and the proportion of births vaginal and the facts to through of Caesarean section. In he The following are sought in the hypothesis formulation: the damages caused by he pregnancy early Yeah are mostly physical as correspond to preeclampsia, delivery premature either macrosomia, in comparison with the consequences psychological; as the high percentage of girls or adolescents who experience early pregnancy and fall in desertion school.

Meoz University Hospital, Cúcuta , in the Department of Norte de Santander, Colombia, Period 2017-2023.

Methodology: 

A descriptive, observational, retrospective, cross-sectional study was carried out with a hypothetical-deductive method; using descriptive statistics. 10,780 cases were obtained and for validation. Results: The group of adolescents over 14 years of age represent 96.67% and the minors 3.33%, 65.95% are Venezuelan adolescents, the newborns 9.91% and 4.66 were underweight and short height, respectively. 68.01% have insufficient prenatal controls. The prevalence of teenage pregnancy under or equal to 14 years of age has increased since 2020.

Conclusion: 

Between 2017 and 2023, the increase in teenage pregnancy in Cúcuta was influenced by the Venezuelan migration crisis. Most have insufficient prenatal care, but most do not require a cesarean section.

Between 2017 and 2023, the increase in teenage pregnancy in Cúcuta It was influenced by the Venezuelan migration crisis. Most have insufficient prenatal care, but most do not require a cesarean section.

Words clue: Pregnancy, adolescence, birth, migrant.

Results

In the period of 2017- In 20023, 10,421 births were registered in women over 14 years of age, while the remaining 359 were in women under 14. for a sample total of 1780 patients treated at Erasmo Hospital Meoz , .Graph 2 shows the incidence of teenage pregnancy in the youngest age group, with a prevalence that has been increasing since 2019 and peaked in 2023 and an incidence that reached its highest point in 2021.

The mean age was approximately 17.41 years, with a coefficient of variation (CV) of 8.22%, indicating high homogeneity in age. The minimum and maximum ages were 11 and 19 years, respectively. 65.95% of the mothers with early pregnancy were Venezuelan. The chi-square test of independence and odds ratios were applied to verify the existence of a relationship between the two conditions.

Regarding marital status, although 78.50% reported having a partner at the time of delivery, there were 1,461 records with no information in this area. Mothers over 14 years of age were 2.63 times more likely to be living with a partner; Colombian mothers were more likely to be living without a partner, as were mothers residing in urban areas. Regarding the educational level attained by the adolescents, 1,490 records lacked information. It was found that 70.03% had reached a maximum educational level of secondary school.

In how muchto the complications that they were able introduce For the children of these women at birth, data indicative of prematurity and low birth weight or length were considered. The majority of newborns (89.35%) were born at term, and only 10.63% were preterm. Most of the neonates had appropriate weight and length for gestational age (Table 8).

Although 32% of the adolescents had five or more prenatal visits, which is considered adequate, the vast majority (68%) did not have adequate prenatal care, notably 14.71% who had no visits at all. Despite this, vaginal deliveries predominated over cesarean sections, suggesting that the vast majority of the adolescents did not have indications for a cesarean section (Table 9). Patients over 14 years of age and those residing in urban areas had the highest likelihood of having a vaginal delivery, with odds ratios of 1.52 and 1.30, respectively.

LI: Lower confidence limit. LS: Upper confidence limit. OR: Odds Ratio. P: Significance level ( ns , 10%, *5% or **1%).

Source: Own elaboration

Teenage pregnancy is pregnancy that occurs before biological maturity and optimal socioeconomic status. This is influenced by multiple factors such as the Social inequality. In 2021, there was a global decline in teenage births. In Colombia, decreased in 2022 and finally keep in a ascent constant from he 2022 to the 2023. Aim: To determine the causes, consequences, and social impact of early pregnancy in patients treated at the Erasmo Meoz University Hospital , Cúcuta, in the Department of Norte of Santander, Colombia, Lapse 2017-2023. 

Methodology: Anobservational, descriptive study was conducted . retrospective, cross-sectional with a method hypothetical deductive; using statistics descriptive . It they obtained 10780 cases and for his validation.

Results: He cluster of the teenagers Those over 14 years of age represent 96.67% and the minors 3.33%, he 65.95% are teenagers Venezuelans, the newly born he 9.91% and 4.66% presented with low weight and short stature, respectively. 68.01% have controls Insufficient prenatal care. The prevalence of teenage pregnancy in girls aged 14 and under has increased since 2020.

In this study HE employment the Model Positivist with an empiricist-intuitive approach or quantitative research. Descriptive, observational, and cross-sectional research . 

Inclusion and exclusion criteria were established beforehand. Inclusion criteria were: women between 10 and 19 years of age who were pregnant or already mothers; adolescent mothers with comorbidities; mothers who received prenatal, delivery, and/or cesarean care at the Erasmo Meoz University Hospital ; women who experienced pregnancy, delivery, and/or cesarean section between 2017 and 2023; and women from any of the municipalities of Norte de Santander, Colombia. Exclusion criteria were: women who died from causes unrelated to early pregnancy; women who had moved to another department; and women with cognitive impairments that prevented them from independently completing the instrument. The variables studied were: race, age, body mass index, level of education, socioeconomic status, nationality, municipality of origin, and maternal and neonatal outcomes. These variables were measured using nominal and ratio scales, respectively, and the data were obtained from a review of medical records.

The study population consisted of women aged 10-19 years who gave birth between 2017 and 2023 at the Erasmo Meoz University Hospital in the Department of Norte de Santander, Colombia. Data were obtained from the hospital's database, which contained 10,780 births filtered by the specified age from 2017 to 2023. A non-replacement sampling method was used, employing a random or probabilistic sampling technique with stratified proportional allocation. The year was used as the stratification variable, with confidence levels greater than 90% and predetermined sampling errors less than 5%. Measures of correlation , such as odds ratios, were calculated . In addition to the collection of The data or information used as a source was the Departmental Institute Health (IDS) of Norte de Santander in lapse of 2017-2023, and revision of stories clinics of the Hospital University Erasmus Meoz to through of the harvest of Information for the investigations. As a collection technique: description, surveys, review of bibliographic information ( with other sources such as Scielo, Pubmed databases ) and health and safety records.