+91 8617752708

British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 7, Issue.: 2

Original-research-article

Fetal Outcome of Deliveries among Teenagers in Centre Region of Cameroon

 

Florent Ymele Fouelifack1*, Jeanne Hortence Fouedjio2, Jovanny Tsuala Fouogue3, Loic Dongmo Fouelifa4, Felicitee Dongmo Nguefack5 and Enow Robinson Mbu6

1Department of Obstetrics and Gynecology, Higher Institute of Medical Technologies of Yaoundé- Cameroon, Obstetrics and Gynecology Unit of Yaoundé Central Hospital, Research, Education and Health Development Group “GARES - falaise” Dschang, P.O.Box: 31186 Yaoundé, Cameroon.
2Obstetrics and Gynecology Unit of Yaoundé Central Hospital, Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences of University of Yaoundé I, Cameroon.
3Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences of University of Yaoundé I, Cameroon.
4Faculty of Medicine, University of Lomé, Togo, School of Armies Health Services of Lomé, P.O.Box:14148 Lomé, Togo.
5Department of Pediatrics, Faculty of Medicine and BioMedical Sciences of University of Yaoundé I, Cameroon, P.O.Box:1364 Yaounde, Cameroon.
6Head of Obstetrics and Gynecology Unit of Yaoundé Central Hospital, Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences of University of Yaoundé I, Cameroon.

Article Information
Editor(s):
(1) Jimmy T. Efird, Department of Public Health, Director of Epidemiology and Outcomes Research, East Carolina Heart Institute, Brody School of Medicine, Greenville, North Carolina, USA.
Reviewers:
(1) Anonymous, India.
(2) Anonymous, Canada.
Complete Peer review History: http://www.sciencedomain.org/review-history/8100

Abstracts

Aims: In order to inform public health action, we sought to compare the fetal outcome of adolescent pregnancies with the non-adolescent ones.
Study Design: Retrospective cross sectional study.
Place and Duration of Study: Yaoundé Central Hospital, the largest facility of Centre Region (Cameroon) between May 2008 and March 2010.
Methodology: A total of 6041 deliveries were compared using rates, proportions, means and OR, the fetal outcome of adolescent (10-19 years old) deliveries registered at the Yaoundé Central Hospital, to those in their non-adolescent counterparts.
Results: Referred deliveries were significantly higher in adolescent participants compared to their non-adolescent counterparts (6.4% versus 4.3%, OR 1.53 95% CI 1.07-2.20). Non-adolescent pregnancies lasted significantly longer than adolescent pregnancies (38.46±2.72 versus 38.13±3.19 weeks respectively, p=.007). The former group had significantly higher rates of premature and post-term: deliveries (29.3% versus 24.5%, p=.041 OR 1.28 95% CI 1.01-1.62 and 4.9 versus 2.4%, p=.014 OR 2.11 95% CI 1.46-3.87 respectively).
The rates of cesarean and assisted vaginal deliveries did not differ significantly between the 2 groups (16.6% versus 14.6%, p=.207 and 1.5% versus 1.1%, p=.411 respectively). Babies born of adolescent mothers weighed significantly less (irrespective of birth order) than those born of non-adolescent mothers (mean weights 2984.80±647.81 versus 3190.72±645.45 grams, p<.001).
The odds of both apparent and perinatal deaths was significantly higher in the adolescent group (AOR 1.75, 95% CI 1.25-2.47 and AOR 1.69 95% CI 1.17-2.45 respectively).
Conclusion: Adolescent pregnancies are associated with poor fetal outcome. There is need for counseling and provision of family planning services to reduce their incidence.

Keywords :

Adolescent; delivery; fetal outcomes; Centre Region; Cameroon.

Full Article - PDF    Page 161-168

DOI : 10.9734/BJMMR/2015/15704

Review History    Comments

Our Contacts

Guest House Road, Street no - 1/6,
Hooghly, West Bengal,
India

+91 8617752708

 

Third Floor, 207 Regent Street
London, W1B 3HH,
UK

+44 20-3031-1429