Maternal outcomes of the childbirth among primiparous teenagers in South Kivu, RD Congo
Keywords:Childbirth, Maternal prognosis, Primiparous, Teenagers
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 18.104.22.168.
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.
Ugianskiene A, Ledertoug S, Murrekilde P, Bor IP. Teenage pregnancies: Obstetric and neonatal outcomes at a Danish Regional Hospital. J Women’s Health Care. 2015;4:7.
Abbas AM, Ali SS, Ali MK, Fouly H, Altraigey A. The maternal and neonatal outcomes of teenage pregnancy in a tertiary university hospital in Egypt. Proceed Obstet Gynecol. 2017;7(3):1-10.
Goossens G, Kadji C, Delvenne V. Teenage pregnancy: a psychopathological risk for mothers and babies? Psychiatr Danub. 2015;27(1):S499-503.
Braine T. Pregnancy in adolescence: a complex cultural problem. Bull OMS. 2009;87(6):405-84.
Ergen EB, Yayla CA, Sanverdi I, Ozkaya E, Kilicci C, Kocakusak CK. Maternal-fetal outcome associated with adolescent pregnancy in a tertiary referral center: a cross-sectional study. Ginekologia Polska. 2017;88(12):674-8.
Luhete PK, Mukuku O, Tambwe AM, Kayamba PK. Study of maternal and perinatal prognosis for vaginal delivery in adolescent girls in Lubumbashi, Democratic Republic of the Congo. Pan Afr Med J. 2017;26:182.
Mumba MA, Kadima MC, Bukasa M, Mikenji J. Pronostic maternal childbirth at extreme age in Mbujimayi. Rev Med Gd Lakes. 2014;3(2):170-191.
Jolly MC, Sebire N, Harris J, Robinson HS, Regan L. Obstetric risk of pregnancy in women less than 18 years old. Obstet Gynecol 2000; 96(6):962-66.
Smith GC, Pell JP. Teenage pregnancy and risk of adverse perinatal outcomes associated with first and second births population based retrospective cohort study. BMJ. 2001;323(7311):476.
Tebeu PM, Halle G, Lemogoum D, Simo Wambo AG, Kengne Fosso G, Fomulu JN. Risk factors for eclampsia among patients with pregnancy-related hypertension at Maroua Regional Hospital, Cameroon. Int J Gynaecol Obstet. 2012;118(3):254-6.
Rogerson SJ, Chaluluka E, Kanjala M, Mkundika P, Mhango C, Molyneux ME. Intermittent sulfadoxine-pyrimethamine in pregnancy: effectiveness against malaria morbidity in Blantyre, Malawi, in 1997–1999. Transac Royal Society Trop Med Hyg. 2000;94(5):549-53.
Leppälahti S, Gissler M, Mentula M, Heikinheimo O. Is teenage pregnancy an obstetric risk in a welfare society? A population based study in Finland, from 2006 to 2011. BMJ Open. 2013;3(8):e003225.
Ministry of Planning and Follow-up of the Implementation of the Modernity Revolution (MPSMRM), Ministry of Public Health (MSP) and ICF International, 2014. Demographic and Health Survey in the Democratic Republic of Congo 2013-2014. Rockville, Maryland.