In order to inform public health
action, we sought to compare the fetal outcome of adolescent pregnancies with
the non-adolescent ones. 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.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. 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). Adolescent pregnancies
are associated with poor fetal outcome. There is need for counseling and
provision of family planning services to reduce their incidence.
Author (s) Details
Florent Ymele Fouelifack
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon and Research, Education and Health Associative Group GARES-Falaise, Dschang, Cameroon.
Jeanne Hortence Fouedjio
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
Jovanny Tsuala Fouogue
Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
Loic Dongmo Fouelifa
Faculty of Medicine, University of Lomé, Togo, School of Armies Health Services of Lomé, P.O.Box:14148 Lomé, Togo.
Felicitee Dongmo Nguefack
Department of Pediatrics, Faculty of Medicine and BioMedical Sciences of University of Yaoundé I, Cameroon, P.O.Box:1364 Yaounde, Cameroon.
Enow Robinson Mbu
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
View Book :- http://bp.bookpi.org/index.php/bpi/catalog/book/196Author (s) Details
Florent Ymele Fouelifack
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon and Research, Education and Health Associative Group GARES-Falaise, Dschang, Cameroon.
Jeanne Hortence Fouedjio
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
Jovanny Tsuala Fouogue
Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
Loic Dongmo Fouelifa
Faculty of Medicine, University of Lomé, Togo, School of Armies Health Services of Lomé, P.O.Box:14148 Lomé, Togo.
Felicitee Dongmo Nguefack
Department of Pediatrics, Faculty of Medicine and BioMedical Sciences of University of Yaoundé I, Cameroon, P.O.Box:1364 Yaounde, Cameroon.
Enow Robinson Mbu
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
No comments:
Post a Comment