Our five-year results in approach towards adolescent deliveries

Background: Adolescent births remain at high risk. The aim of this study was to determine the maternal prognosis of births among primiparous teenagers in South Kivu.Methods: A case-control study of 250 primiparous teenagers (cases) and another group of 500 primiparous adults aged 20-34 years (control) was performed in 4 General Reference Hospitals of South Kivu in Republic Democratic Congo. The study period was from January to December 2017. A survey sheet was used to collect the data. The analysis were performed using SPSS 22.0 and EPIINFO version 7.2.2.6.Results: Out of a total of 8490 deliveries recorded at the 4 General Reference Hospitals in South Kivu in 2017, authors recorded 250 deliveries of primiparous teenagers, or 2.9%. The maternal prognosis of adolescent deliveries was more marked by a high rate of caesarean section (OR=13.5), the presence of complications (OR=7.37), prolonged labor (OR=4.51), lesions soft tissues (OR=3.92), intraoperative bleeding (OR=3.26) and fever by puerperal infection (OR=2.13).Conclusions: The frequency of childbirth among primiparous teenagers and maternal-neonatal prognosis has been determined and is of concern. The prevention of adolescent obstetric complications includes the respect for the legal age of marriage, adequate antenatal care and childbirth in a specialized hospital setting.

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Adolescent deliveries in rural Cameroon: an 8-year trend, prevalence and adverse maternofoetal outcomes

Reproductive Health ◽

10.1186/s12978-017-0382-6 ◽

2017 ◽

Vol 14 (1) ◽

Cited By ~ 9

Author(s):

Valirie Ndip Agbor ◽

Clarence Mvalo Mbanga ◽

Tsi Njim

Keyword(s):

Adolescent Deliveries ◽

Rural Cameroon

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Geographic Distribution of Childbirth among Adolescents in Cameroon from 2003 to 2005

Obstetrics and Gynecology International ◽

10.1155/2010/805165 ◽

2010 ◽

Vol 2010 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

P. M. Tebeu ◽

J. D. Kemfang ◽

D. I. Sandjong ◽

E. Kongnyuy ◽

G. Halle ◽

...

Keyword(s):

Public Health ◽

Retrospective Study ◽

Geographic Distribution ◽

Health Programs ◽

Chi Square ◽

Public Health Programs ◽

Lack Of Information ◽

Adolescent Deliveries ◽

Chi Square Test ◽

Geographic Differences

Objective. To determine the frequency and the trend of adolescents (10–19 years) in childbirth within a period of 3 years in referral maternity units in Cameroon.Method. Descriptive and retrospective study for a 3-year period (2003–2005) in referral maternity units headed by a qualified Obstetrician-Gynecologist. We analyzed the trend and geographic distribution of 8222 adolescent deliveries over 3 years. Epi Info 3.5 software was used for data analysis. Chi square test for trend was used to assess the contribution of adolescent deliveries over years. The trend was considered significant ifP<.05.Results. During the period of the study, there was a total of 8387 deliveries. We excluded 165 women because of lack of information about age. We therefore included a total of 8222 adolescent deliveries. Overall, the contribution of adolescents to deliveries ranged from 6.87% to 26.51%, depending on the region with a national mean of 14.23%. Adolescents aged 16 or less contributed to 2.82% of deliveries while those aged from 17 to 19 contributed to 11.41%. The contribution of adolescents to deliveries decreased significantly over 3 years (P<.0001).Conclusion. The study underscores the importance of Public Health programs in strengthening maternity services for adolescents in Cameroon while taking into consideration geographic differences.

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Adolescent deliveries in rural Cameroon: comparison of delivery outcomes between primipara and multipara adolescents

BMC Research Notes ◽

10.1186/s13104-018-3550-z ◽

2018 ◽

Vol 11 (1) ◽

Cited By ~ 3

Author(s):

Tsi Njim ◽

Valirie Ndip Agbor

Keyword(s):

Delivery Outcomes ◽

Adolescent Deliveries ◽

Rural Cameroon

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Outcomes of Care for 1,892 Doula-Supported Adolescent Births in the United States: The DONA International Data Project, 2000 to 2013

The Journal of Perinatal Education ◽

10.1891/1058-1243.27.3.135 ◽

2018 ◽

Vol 27 (3) ◽

pp. 135-147 ◽

Cited By ~ 3

Author(s):

Courtney L. Everson ◽

Melissa Cheyney ◽

Marit L. Bovbjerg

Keyword(s):

United States ◽

Health Outcomes ◽

Infant Health ◽

Perinatal Care ◽

The United States ◽

National Sample ◽

Outcomes Of Care ◽

Adolescent Deliveries ◽

Maternal And Infant Health ◽

International Data

This is the largest study to-date to report on outcomes of care for a national sample of doula-supported adolescent births (n = 1,892, birth years 2000 to 2013). Descriptive statistics were calculated for maternal demographics, risk profiles, labor/birth interventions and occurrences, and birth outcomes. In this national sample, childbearing adolescents and their neonates experienced improved health outcomes and lower rates of intervention relative to national statistics for adolescent deliveries in the United States. Key findings are consistent with previous studies on the effects of doula care for marginalized and medically underserved communities. Results strengthen the case for doulas as a perinatal care strategy for improving maternal and infant health outcomes and decreasing inequities among childbearing adolescents.

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

Archives of Public Health ◽

10.1186/s13690-020-00406-1 ◽

2020 ◽

Vol 78 (1) ◽

Author(s):

Tsi Njim ◽

Bayee Swiri Tanyitiku ◽

Carlson Sama Babila

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Adolescent Deliveries

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Course and outcome of adolescent deliveries: A comparative analysis for 1992 and 2002

Medicinski pregled ◽

10.2298/mpns0502047r ◽

2005 ◽

Vol 58 (1-2) ◽

pp. 47-51

Author(s):

Gordana Radeka ◽

Aleksandra Kapamadzija ◽

Artur Bjelica ◽

Nenad Cetkovic ◽

Dragan Stajic

Keyword(s):

Adolescent Pregnancy ◽

Point Of View ◽

Vacuum Extraction ◽

Premature Births ◽

Obstetrical Care ◽

Cesarean Deliveries ◽

Gynecology And Obstetrics ◽

Adolescent Deliveries ◽

Pregnancy And Delivery ◽

Novi Sad

Introduction. Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. From a medical point of view, adolescent pregnancy and delivery are risky and mortality of mothers and newborns is higher than in women aged 20-30. Material and methods. The analysis included all adolescent deliveries at the Department of Gynecology and Obstetrics in Novi Sad in 1992 and 2002. These data were compared with those observed in women aged 19 and older, for the same years. Results In respect to the number of adolescent deliveries, a decreasing tendency is observed. Also, there is an increasing trend in the number of cesarean sections in adolescents, which follows the trend of higher rates of cesarean deliveries in general. Episiotomy is more often performed in adolescents than in older women, but a decreasing trend is also observed in this population, which was also the case in women over 19. Vacuum extraction is less frequent in cases of adolescent deliveries. A very small percentage of malformed and stillborn newborns is registered in adolescents, whereas the percentage of premature births is similar in both groups. Conclusion. Although adolescent pregnancy and, delivery are risky, good obstetrical care and efficient control during delivery provide optimal conditions for successful deliveries among adolescents. .

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