Email this article Obstetrical complications among adolescent girls at the maternity ward of Ignace Deen National Hospital
Abstract
Background: The objective of this study was to highlight obstetrical complications that occurred among adolescent girls who delivered at the ward and to identify factors associated with the occurrence of such complications.
Methods: This was a prospective study of descriptive and analytical type extending over a period of one year from September 1, 2016 to August 31, 2017 carried out at the maternity ward of Ignace Deen National Hospital at Conakry Teaching Hospital (CHU). It covered a continuous series of 1034 deliveries among adolescent girls.
Results: The frequency of childbirth among adolescent girls was 16.7%. The main complications identified were dystocia, severe preeclampsia, eclampsia, retroplacental hematoma, placenta previa, uterine rupture, severe anemia, postpartum hemorrhage and puerperal endometritis. These complications occurred among adolescent girls aged 18 to 19, christian, skin and pelvic bones secondary school or university students. Factors associated with such complications were the marital status (p=0.010), the gestational age (p=0.012), the number of prenatal consultations (p=0.001), the place of prenatal consultation (p=0.001), the reason for admission (p=0.000) and the mode of admission (p=0.000).
Conclusions: Childbirth among adolescent girls is frequent in this context; complications are numerous but they are preventable in the vast majority of cases.
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Hamada H, Zaki, Nejjar H, Filalia A, Chribi C, Brzadr, Alaouim T. Teenage pregnancy and childbirth in teenage girls: characteristics and profile about 311 cases. J Gynecol Obstet Biol Reprod. 2004;33(7):607-14.
Could J, Blackwel T, Heilig C, Axley M. Utility of percentage of births to teenagers as a surrogate for the teen birth rate. Am I Public Health. 1998;88(6):908-12.
Taylor D, Chavez G, Habra A, Boggess J. Risk factor for adult paternity in births to adolescents. Obstet Gynecol. 1997;89(2):199-205.
Lakouama A. Outcome of pregnancy and childbirth in teenage girls at the HGRN maternity hospital about 4586 cases collected in 5 years. Thesis Med Fac Med Univer Ndjamena. 2001;0016:83.
Combe JC, Reynauld. Adolescents and maternity in Reunion. Pediatrician’s Magazine. 1998:261-264.
Fomulu JN, Ngassa PN, Nong T, Nana P, Nkwabong
E. Maternal mortality at the Maternity Hospital and University Centre of Yaounde, Cameroun: 5-year retrospective study (2002-2006). Health Sci Dis. 2009;10:1.
UNFPA. Maternal reproductive and sexual health: reproductive health; 2010. Available at: https://www.unfpa.org/sites/default/files/pub- pdf/uarh_report_2010.pdf. Accessed 10th February 2020.
Kowalski-Morton S. Young people count down. 2015:70-7.
Nguembi E, Yonza MC, Sepou A, poussomandi MA, Nani MN, Zohou T. Teenage pregnancy in the town of Bouar (Central Africa). Médecine d'Afrique Noire. 2005;52(12):681-5.
Tebeu PM, Tantchou J, Obama Abena MT, Mevoula Onalad, Leke JR. Childbirth of adolescent girls in the far north of Cameroun. Revue Médicale de Liège. 2006;19:124-7.
Traoré B, Kokaina C, Beye SA, Mounkoro N, Tegueté I, Traoré M, et al. Childbirth among teenage girls in the maternity ward of the Ségou hospital in Mali. Médecine d'Afrique Noire. 2010;57:450-4.
Nayama M, Dan Malan Bouzou R, Nayoussa M. Management of childbirth among adolescent girls at the Issakaga Zobi maternity hospital in Niamey.Retrospective study on 976 observations over 3 years. Médecine d'Afrique Noire. 2007;54(7):413-8.
Soula O, Carles G, Largeaud M, Guidi W, Montoya
Y. Pregnancy and childbirth in adolescents under 15 years of age. Study of 181 cases in French Guyana. J Gynécol Obstet Biol Reprod. 2005;35:53-61.
Bah MD, Pellegrin M, Thioume O. Adolescence and pregnancy (psychosocial and medical approach). Medicine Afrique Noire. 2001;9:115-22.
Foumsou L, Gabkika BM, Saleh A, Memadji M. Obstetrical complications among adolescent girls at the maternity of National Reference Hospital (HGRN) of N’Djamena. Med Black Africa. 2014;61:442-7.
Abbadi S. Childbirth among adolescents: Retrospective study of 290 cases in adolescents aged between 15 and 18 in the maternity ward of Ghassini Hospital in Fez. Thesis of Med. 2009;N°080:6-11.
Dedeker F, De Baillien Court T, Fortier D, Gerardin
P. Study of obstetrical risk factors in the monitoring of 365 teenage primiparous pregnancies on Reunion Island. J Gynaeco-Obstet Reprod Biol. 2005;34(1):694-701.
Iloki LH, Kaubaka R, Itona C, Montonnau M. Teenage pregnancy and childbirth in Congo; about
cases at Brazzaville University Hospital. J Gynaco-obstét Reprod Biol. 2004;33(1):37-42.
Ministry of Planning Conakry-Guinea: National Institute of Statistics: Demographic Health and Multiple Indicator Cluster Survey (EDS-mics 2012) Calverton, Maryland, USA; 2013.
Diallo FB, Diallo MS, Bangoura S, Camara Y, Diallo AB. Medical problems in adolescent childbirth at the gynaecological-obstetrical clinic of the CHU Ignace Deen. Guinée Méd. 1996;N°14:39- 43.
N'Guessan E, Bouhoussou PE, Touré B, Djanhan L, Tegnan JA, Guie P et al. Risk factor for adolescent maternal mortality. About 60 cases collected at the gynaecology and obstetrics department of the CHU of Treichville, Ivory Coast. Med Afr Noire. 2010;51:521-6.
Lankoande J, Ouédraogo CMR, Ouédraogo A, Thieba B, Akotionga M, Sanou J et al. Maternal mortality among adolescents at the CHU of Ouagadougou. Rev Méd de Bruxelles. 1999;20:87-9.
Nwobodo EI, Panti A. Adolescent maternal mortality in North West Nigeria. West Afr J Med. 2012;31:224-6.
World Health Organization (WHO). Pregnant Adolescents: Bringing the Promise of Hope Worldwide; 2007. Available at: https://apps.who.int/iris/bitstream/handle/10665/433 68/9241593784_eng.pdf?sequence=1. Accessed 10th February 2020.
