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In the "developing" or "emerging" economies it is not uncommon to witness these ocurrencies. I'm not talking about the baby dying two times, but the mother being fourteen.
In the poorer areas of these countries, many engage in sex at early ages because of uneducation (if that's a word). Many do it out of sheer boredom!
Girls pregnant in highschool are not uncommon either. It's really lamentable.

As for the competency of the doctors, my guess is that the mother gave birth in a "cheap" hospital. I can't really give an opinion of this because I do not know the state of the healthcare system in Brazil, but my intuition tells me that it's not as good as it should be.