Prevalence of adolescent deliveries and its complications in Cameroon: a systematic review and meta-analysis

Njim, Tsi; Tanyitiku, Bayee Swiri; Babila, Carlson Sama

doi:10.1186/s13690-020-00406-1

Cited by 9 publications

(11 citation statements)

References 24 publications

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“…9 Adolescent deliveries carry a higher risk of adverse outcomes due to the immaturity of reproductive organs. 10 It was found that out of 4 teenage mothers, two had children either with nutritional deficiency or had childhood diseases. During the period of pregnancy, minimum 4 ANC visits are required to identify high risk pregnancy and also the early identification of major congenital anomalies.…”

Section: Resultsmentioning

confidence: 99%

Maternal determinants for 4 Ds in children registered under Rashtriya Bal Swasthya Karyakram program at an urban health centre of Ahmedabad

Dave

Sharma

Bhatt

et al. 2023

Int J Community Med Public Health

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Background: Maternal determinants influence the outcome of pregnancy and child’s health in early years. Rashtriya Bal Swasthya Karyakram (RBSK) deals with the 4 D (birth defects, chronic diseases, deficiency disorders and developmental delays) among children (from birth till 18th years). Objectives were to determine and document the association between maternal determinants especially antenatal care (ANC) and 4 Ds and suggest preventive measures. Methods: Out of 302 children with 4 D’s registered during April 2018-March 2020, 102 children were selected using probability proportionate to sample size (PPS) sampling for each category of 4D. Information of socio demographic details and maternal determinants was gathered on a semi structured questionnaire by interviewing mothers/caretaker. Results: Relevant information could be gathered from 96 mothers. Mean maternal age was 26.4±4.1 years. Congenital defects were significantly associated with higher maternal age (p<0.0001). Out of 102 cases under study, minimum recommended 4 ANC visits were not taken by 17 (17.7%) mothers. Also, 13 (13.5%) did not take IFA supplementation. Poor health status during pregnancy, was significantly associated for deficiency disorders of child in later life (p<0.04). Conclusions: Maternal age at pregnancy, health status of mother, ANC care (number of ANC visits, IFA supplementation), health seeking behaviour, birth weight and birth order of child were major determinants of 4Ds.

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Section: Resultsmentioning

confidence: 99%

Maternal determinants for 4 Ds in children registered under Rashtriya Bal Swasthya Karyakram program at an urban health centre of Ahmedabad

Dave

Sharma

Bhatt

et al. 2023

Int J Community Med Public Health

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“…Campbell et al reported similar results in several SSA countries while Kumar et al found no relationship between maternal age and LOS in India [ 20 , 30 ]. On the contrary, Pereira et al and McMahon et al reported that adolescence was significantly associated with longer LOS following CS in Brazil and Tanzania, respectively [ 31 , 32 ]. Our findings were unexpected because the higher prevalence of childbirth complications among adolescents should necessitate longer LOS than in adults [ 33 – 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Self-discharge might be one of the drivers of the much higher odds of early discharge in the remote and rural Northern zone, where women might live far from health facilities and rely on infrequent transport. In these poorest zones of the country, the infrastructure (space, beds, privacy, water and sanitation) in health facilities might be suboptimal and could have motivated early self-discharge by women, as it was documented in rural Tanzania [ 32 ]. Health authorities should focus on those geographic zones when implementing the current national guidelines on LOS and PNC.…”

Section: Discussionmentioning

confidence: 99%

Length of stay and determinants of early discharge after facility-based childbirth in Cameroon: analysis of the 2018 Demographic and Health Survey

Fouogue

Semaan

Smekens

et al. 2023

BMC Pregnancy Childbirth

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Background A minimum length of stay following facility birth is a prerequisite for women and newborns to receive the recommended monitoring and package of postnatal care. The first postnatal care guidelines in Cameroon were issued in 1998 but adherence to minimum length of stay has not been assessed thus far. The objective of this study was to estimate the average length of stay and identify determinants of early discharge after facility birth. Methods We analyzed the Cameroon 2018 Demographic and Health Survey. We included 4,567 women who had a live birth in a heath facility between 2013 and 2018. We calculated their median length of stay in hours by mode of birth and the proportion discharged early (length of stay < 24 h after vaginal birth or < 5 days after caesarean section). We assessed the association between sociodemographic, context-related, facility-related, obstetric and need-related factors and early discharge using bivariate and multivariable logistic regression. Results The median length of stay (inter quartile range) was 36 (9–84) hours after vaginal birth (n = 4,290) and 252 (132–300) hours after caesarean section (n = 277). We found that 28.8% of all women who gave birth in health facilities were discharged too early (29.7% of women with vaginal birth and 15.1% after a caesarean section). Factors which significantly predicted early discharge in multivariable regression were: maternal age < 20 years (compared to 20–29 years, aOR: 1.44; 95%CI 1.13–1.82), unemployment (aOR: 0.78; 95%CI: 0.63–0.96), non-Christian religions (aOR: 1.65; 95CI: 1.21–2.24), and region of residence—Northern zone aOR:9.95 (95%CI:6.53–15.17) and Forest zone aOR:2.51 (95%CI:1.79–3.53) compared to the country’s capital cities (Douala or Yaounde). None of the obstetric characteristics was associated with early discharge. Conclusions More than 1 in 4 women who gave birth in facilities in Cameroon were discharged too early; this mostly affected women following vaginal birth. The reasons leading to lack of adherence to postnatal care guidelines should be better understood and addressed to reduce preventable complications and provide better support to women and newborns during this critical period.

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“…However, it can be speculated that the risk factors associated with adolescent pregnancy might trigger these adverse outcomes as well. 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Adolescent pregnancies in Turkey: a single center experience

İşgüder,

Arslan,

Gunkaya

et al. 2024

Ann Saudi Med

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BACKGROUND: Adolescent pregnancies are more likely to be complicated with adverse perinatal outcomes. OBJECTIVE: Assess the sociodemographic and clinical characteristics of adolescents who have delivered singleton newborns. DESIGN: Retrospective cohort SETTINGS: A tertiary training and research hospital in Turkey. PATIENTS AND METHODS: This was a review of adolescents and adults who delivered singleton newborns at a tertiary health center between January 2018 and June 2022. Pregnant adolescents were aged <20 years. MAIN OUTCOME MEASURES: Adverse maternal and perinatal outcomes. SAMPLE SIZE: 2233 pregnant women (754 adolescents and 1479 adults) RESULTS: Turkish nationality was significantly less prevalent in pregnant adolescents than pregnant adults ( P =.001). Oligohydramnios, fetal growth restriction, perineal injury and postpartum intravenous iron treatment were significantly more prevalent in pregnant adolescents than pregnant adults ( P <.05 for all). The neonates born to adolescent mothers had significantly lower birth weight and first minute Apgar score than the neonates born to adult mothers ( P =.001 for both). Small for gestational age, need for intensive care and death were significantly more prevalent in neonates born to adolescent mothers than those born to adult mothers ( P =.001 for all). Compared with pregnant adults, pregnant adolescents had a significantly higher risk of oligohydramnios ( P =.001), preterm delivery ( P =.024), intravenous iron treatment ( P =.001), and small for gestational age ( P =.001). CONCLUSION: Due to the refugee population received by Turkey, it would be prudent to expect more frequent adolescent pregnancies. Adolescent pregnancies are more likely to be complicated with low birth weight, oligohydramnios, preterm delivery, postpartum iron treatment, lower Apgar scores, need for neonatal intensive care and neonatal death. LIMITATION: Retrospective.

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Prevalence of adolescent deliveries and its complications in Cameroon: a systematic review and meta-analysis

Cited by 9 publications

References 24 publications

Maternal determinants for 4 Ds in children registered under Rashtriya Bal Swasthya Karyakram program at an urban health centre of Ahmedabad

Maternal determinants for 4 Ds in children registered under Rashtriya Bal Swasthya Karyakram program at an urban health centre of Ahmedabad

Length of stay and determinants of early discharge after facility-based childbirth in Cameroon: analysis of the 2018 Demographic and Health Survey

Adolescent pregnancies in Turkey: a single center experience

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