Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes

Njim, Tsi; Choukem, Siméon-Pierre; Atashili, Julius; Mbu, Robinson Enow

doi:10.1016/j.jpag.2016.05.011

Cited by 15 publications

(48 citation statements)

References 11 publications

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“…In other sub Saharan countries the rates were lower, but not homogenous [2,12,19,21,26]. This maybe reflects behavioral and cultural diversity among pregnant adolescents across countries [27,28].…”

Section: Discussionmentioning

confidence: 91%

Low Birth Weight and Prematurity in Teenage Mothers in Rural Areas of Burkina Faso

Bihoun¹,

Zango²,

Traoré-Coulibaly³

et al. 2017

J Preg Child Health

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Section: Discussionmentioning

confidence: 91%

Low Birth Weight and Prematurity in Teenage Mothers in Rural Areas of Burkina Faso

Bihoun¹,

Zango²,

Traoré-Coulibaly³

et al. 2017

J Preg Child Health

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“…Adolescent girls are usually considered to be physiologically ill-prepared to handle the physical, social and mental changes associated with pregnancy [2]. The reduction of the prevalence of adolescent pregnancies in developing countries is therefore a public health imperative on the road to the attainment of the sustainable development goals by 2030 [3].…”

Section: Introductionmentioning

confidence: 99%

“…In developing countries like Cameroon, the burden due to adolescent pregnancies is high with recent studies showing a prevalence range of 9.3–9.9% in urban and suburban areas [2, 5]. In some regions of the country like the North, early marriages are usually promoted as part of the culture [2] and it is popular belief that adolescents who are married have more favourable outcomes than their single counterparts.…”

Section: Introductionmentioning

confidence: 99%

“…In some regions of the country like the North, early marriages are usually promoted as part of the culture [2] and it is popular belief that adolescents who are married have more favourable outcomes than their single counterparts. It was however shown recently in a study that the marital status of adolescents did not reduce their predisposition to adverse outcomes [2]. It will therefore be important to investigate if multipara adolescents have more favourable outcomes than primipara adolescents—another cultural belief held in these regions.…”

Section: Introductionmentioning

confidence: 99%

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Adolescent deliveries in semi-urban Cameroon: prevalence and adverse neonatal outcomes

Njim

Agbor²

2017

BMC Res Notes

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ObjectivesAdolescent pregnancies are high risk due to the increased probability of adverse outcomes; as adolescents are usually considered to be ill-equipped to deal with the burden of pregnancy. We sought to determine the prevalence of adolescent deliveries in a secondary-level care hospital in semi-urban Cameroon-Bamenda, the adverse neonatal outcomes and to assess if previous obstetric history could preclude adolescents from having adverse outcomes in their present pregnancy.ResultsThe prevalence of adolescent deliveries was 8.7% (95% CI 7.01–10.73%). The neonates of adolescent mothers were more likely to have severe asphyxia (OR 4.0; 95% CI 1.2–12.9; p = 0.03) and low birth weight (OR 2.4; 95% CI 1.3–4.4; p < 0.01). The neonates of primipara adolescents were just as likely to have complications as multipara adolescents. The prevalence of adolescent deliveries (8.7%) in the Regional Hospital Bamenda is high. Their babies are at a high risk of adverse neonatal outcomes irrespective of their previous obstetric history (previous delivery) emphasising that adolescents are generally ill-prepared to deal with pregnancy. Strategies to reduce the prevalence of adolescent deliveries should be investigated and implemented in view of attaining the sustainable development goals.

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“…It has been reported in the studies that the rate of incidence of complications increases when the fertility age is earlier (5). In adolescent pregnancy, fetal complications including preterm birth, low birth weight, preterm premature rupture of membranes (PPROM), preeclampsia, low Apgar score, and perinatal mortality can be seen (6)(7)(8)(9). Adolescent pregnancy can cause serious psychological stress.…”

Section: Introductionmentioning

confidence: 99%

Adolescent Pregnancy and Its Problems

et al. 2017

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Objective: The purpose of this study was to determine the adverse outcomes and problems of adolescent pregnancy.Materials and Methods: Obstetric records of 171 pregnant adolescents between 14-19 years old, who had given birth in our obstetric service between 2009 and 2016 were retrospectively evaluated. The patients were divided into two groups as early adolescents aged between 14 and 15 years old and as late adolescents aged more than 15 up to 19 years old. Babies with birth weight under 2500 gr were evaluated as low-birth-weight. The variables of gestational week at delivery, ratios of preterm birth, stillbirth, preterm premature rupture of membranes (PPROM), preeclampsia, and mode of delivery of early and late adolescents were compared.Results: The age of early and late adolescents were determined as 14.6 ± 0.5 and 17.7 ± 0.5 years, respectively. Preterm birth was present in 3 (37.5 %) of early adolescent pregnancies and 66 (40.5%) of late adolescent pregnancies, respectively. While in early adolescent pregnancies, there was no case with stillbirth, PPROM or preeclampsia, in late adolescent pregnancies, stillbirth was observed in 5 cases (2.9%), PPROM in 6 cases (3.7%) and preeclampsia in 4 cases (2.5%). There was no significant difference between early and late adolescents in regards to the gestational age at delivery, obstetrical history, birthweight and ratio of preterm delivery.Conclusion: The result of this study suggests that adolescent pregnancy is an important cause of perinatal mortality and morbidity, and there is a need to increase the attention of health professionals to appropriate management of adolescent pregnancies in order to reduce the health burden and to improve perinatal care of adolescents.

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Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes

Cited by 15 publications

References 11 publications

Low Birth Weight and Prematurity in Teenage Mothers in Rural Areas of Burkina Faso

Low Birth Weight and Prematurity in Teenage Mothers in Rural Areas of Burkina Faso

Adolescent deliveries in semi-urban Cameroon: prevalence and adverse neonatal outcomes

Adolescent Pregnancy and Its Problems

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