DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20174984

Maternal and perinatal outcome of teenage deliveries in Bamako’s district

Tiounkani Théra, Niani Mounkoro, Ibrahim Téguété, Aminata Kouma, Zouma O. Traoré, Ibrahim Kanté, Elizabeth Diarra

Abstract


Background: We initiated this study for determining the maternal and fatal outcome of deliveries among the teenage to formulate the recommendations for reducing the maternal and neonatal morbidity and mortality among the teenage. We compared maternal and foetal outcome of deliveries among the teenage to that of adult women.

Methods: It was a prospective analytical case/control study running in the Bamako’s district for 6 month comparing deliveries among one population of teenage elderly of 14-19 years and another population of women of 20 to 29 years having birth in our service hang the same period of the study. Used test statistics is the chi square of Pearson. For both groups we determined Odds Ratio (OR) and its interval of confidence (IC) to 95%.

Results: We recorded 350 teenagers’ deliveries among 3703 deliveries (9.4%). The pelvic was normal among 66.3% of case versus 73.5% among the controls (p >0.05). The extended labor (≥12 hours) was found among 6.6% of case versus 3.3% of controls (p >0.05). We recorded 57.3% vaginal deliveries among the case versus 46.2% among the controls (p >0.05). We recorded 3 cases of maternal death all among the controls. 71% of new-born had an Apgar score ≥7 to the first minute among the case versus 81.2% among the controls. It was no significant difference in terms of vital outcome of new-born and of small weight birth in both groups (p >0.05).

Conclusions: If teenage pregnancies are benefit the adequate prenatal care, there would be any significant difference between maternal and perinatal outcome of the deliveries among the teenage and of adult's people.


Keywords


Deliveries, Maternal outcome, Perinatal outcome, Teenage

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References


OMS. Regional Office for Europe. Symposium on the identification of high-risk individuals and population groups. Windsor 1970; Copenhagen. 1973

Iloki LH, Koubaka RC, Itoua GM, Mbemba M. Pregnancy and childbirth in the Congo adolescent: About 276 cases at the CHU in Brazzaville. J Gynécol Obstet Biol Reprod. 2004;33(1):37-42.

Uzan M. Report on prevention and management of teenage pregnancies. Period 1994-1998. Report of the head of Gynecology-Obstetrics Department of the Jean Verdier hospital in Bondy. France, Inserm. 1998

Tal DA, Diallo I, Guillemin F, Deschamps FP.

Prognostic factors of complications of pregnancy and childbirth in adolescent girls and their newborns in Senegal. 2001;11(4).

Dedecker F, de Bailliencourt T, Barau G. Study of obstetric risk factors in the follow-up of 365 teenage primiparous pregnancies on the island of La Réunio. J Obstet Gynecol Reprod. 2005;34(7)(1):694-701.

Corcoran J, Franklin C, Bennett P. Ecological factors associated with adolescent pregnancy and parenting. Social Work Research. 2000;24(1):29-39.

Faucher P, Dappe S, Madelenat P. Maternity in adolescence: obstetrical analysis and review of the influence of cultural, socio-economic and psychological factors from a retrospective study of 62 files. Gynecology Obstetrics 2002;30(12):944-52.

Le Van C. Pregnancy in adolescence: Social norms, realities experienced. 1999:153.

Blanc B. Pregnancy and childbirth. National College of Gynecologists and Obstetricians. Updates in Medical Gynecology. 2003:209-24.

Raatikainen K, Heiskanen N, Verkasalo PK, Heinonen S. Good outcome of teenage pregnancies in high-quality maternity care. Eu J Pub Health. 2005;16(2):157-61.

Hamada H, Zaki A, Nejjar H. Pregnancy and Childbirth in Adolescents: Characteristic and Profile. About 311 cases. J Gynecol Obstet Biol Reprod. 2004;33:607-14.

Gortzak-Uzan L, Hallak M, Press F, Katz M, Shoham-Vardi. Teenage pregnancy: risk factors for adverse perinatal outcome. J Maternal-Fetal Neonatal Med. 2001;10(6):393-7.

Mahavarkar SH, Madhu CK, Mule VD. A comparative study of teenage pregnancy. J Obstet Gynaecol. 2008;28(6):604-7.

Amed MAR, Mourad EM, Reda A, Abdel HM. Teenage pregnancy: are teenagers a high-risk group? Eu J Obstet Gynecol Reprod Biol. 1995;59(1):17-20.

Soula O, Carles G, Largeaud M, El Guindi W, Montoya Y. Pregnancy and childbirth among adolescents under 15 years of age: Study of 181 cases in French Guiana. J Obstet Gynecol Reprod. 2006;35(1):53-61.