DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20205213

Obstetrical and neonatal prognosis of a teenage primiparous pregnancy at the Zafisaona Gabriel Majunga university hospital center

Tanjona A. Ratsiatosika, Marie Valerie Rajaonarivony, Romuald Randriamahavonjy, Lantonirina Rainibarijaona, Jean Eustache Fanomezantsoa, Martial Rakotonirina, Pierana Gabriel Randaoharison

Abstract


Background: Women's fertility is early and high in Madagascar. Through this study, want to know the obstetric and neonatal risks in teenage primiparous pregnancies.

Methods: Carried out a retrospective comparative study of teenage primiparous pregnancies who gave birth beyond 22 weeks of amenorrhea (SA) at the Zafisaona Gabriel Mahajanga university hospital between the period from January 1 to March 31, 2015. The control group is made up of first-time mothers aged 20 to 35 who gave birth in the same center.

Results: The mean age of the patients was 16.77±1.12 years. In 43.1% of cases, the pregnancy was poorly followed. 22.41% of new-borns to adolescent mothers were hypotrophic at birth. Teenage primiparous pregnancies had a risk of poor pregnancy monitoring compared to their elders (RR: 2.17, 95% CI [1.35-3.47]) and a risk of giving birth to a low birth weight child (RR: 2.1, 95% CI [1.05-4.44]). The risk of preeclampsia, death in utero, caesarean section, instrumental extraction was identical between the two groups. Regarding the outcome of newborns, the frequency of premature birth, early neonatal infection, neonatal asphyxia, early neonatal death was not significant.

Conclusions: Apart from fetal hypotrophy, adolescent girls have the same maternal, fetal and neonatal prognosis as their elders.


Keywords


Adolescent, Low weight, Morbidity, Prematurity, Birth

Full Text:

PDF

References


National Institute of Statistics (Instat) and ICF Macro. Madagascar Demographic and Health Survey 2008-2009. Antananarivo, Madagascar: Instat and ICF Macro 2010.

WHO. Early marriages, adolescent and young pregnancies. Report by the Secretariat. A 65/13. Geneva, Switzerland: WHO. 2012.

Jancky E, Gallais A, Landre M. General information on teenage pregnancy and childbirth. Encycl Med Chir Gyn Obst. 1996;016-D-10:6.

Yuce T, Aker SS, Seval MM, Kalafat E, Soylemez F. Obstetric and neonatal outcomes of adolescent pregnancy. North Clin Istanbul. 2015;2(2):122.

Randriambololona D, Raobelle AE, Rafehivola HI, Rajaonarison B, Hery HR. Profile and characteristics of pregnant adolescents in Madagascar. Med Sante Trop. 2014;24:217-8.

Iloki LH, Koubaka R, Itoua C, Mbemba Moutounou GM. Teenage pregnancy and childbirth in Congo. J Gynecol Obstet Biol Reprod. 2004;33:37-42.

Marvin-Dowle K, Kilner K, Burley VJ, Hora S. Impact of adolescent age on maternal and neonatal outcomes in the Born in Bradford cohort. BMJ. 2018;8:1-9:e016258.

Conde-Agudelo A, Belizan JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J obstet Gynecol. 2005;192:342-9.

Debras K, Revaux A, Bricou A, Laas E, Tigaizin A, Benbara A et al. Becoming obstetrician and neonatal in teenage pregnancies: cohort of patients in Seine-Saint-Denis. Obstet Fertility Gyneecol. 2014:1-6.

Ganchimeg T, Mori R, Ota E, Koyanagi A, Gilmour, S, Shibuya K. Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study. BJOG. 2013;120:1622-30.

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

Ngowa JDK, Kasia JM, Pisoh WD, Ngassam A, Noa C. Obstetrical and Perinatal Outcomes of Adolescent Pregnancies in Cameroon: A Retrospective Cohort Study at the Yaoundé General Hospital. Open J Obstet Gynecol. 2015;5:88-93.

Malabarey OT, Balayla J, Klam SL, Shrim A, Abenhaim HA. Pregnancies in young adolescent mothers: a population-based study on 37 million births. J Pediatr Adolesc Gynecol. 2012;25:98-102.

Rasheed S, Abdelmonem A, Amin M. Adolescent pregnancy in Upper Egypt. Int J Gynecol obstet. 2011;112:21-4.

Congote-Arango LM, Vélez-Garcia MA, Restrepo-Orrego L, Cubides-Munevar A, Cifuentes-Borrero R. Adolescencia como factor de riesgo para complicaciones maternas y perinatales en cali, colombia, 2002-2007. Cross-sectional studio. Rev Colomb Obstet Ginecol. 2012;63:119-26.

Ergen EB, Yayla CA, Kilicci C, Sanverdi I, 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.

Fleming N, O'Driscoll T, Becker G, Spitzer RF. Adolescent Pregnancy Clinical Practice Guideline. J Obstet Gynaecol Can. 2016;38(12):704-23.

Kongnyuy EJ, Nana PN, Fomulu N, Wiysonge SC, Kouam L, Doh AS. Adverse perinatal outcomes of adolescent pregnancies in Cameroon. Matern Child Health J. 2008;12(2):149-54.

Fleming N, Ng N, Osborne C, Biederman S, Yasseen 3rd AS, Dy J et al. Adolescent pregnancy outcomes in the province of Ontario: a cohort study. J Obstet Gynaecol Can. 2013;35:23-45.

Alouini S, Randriambololona R, Randriamboavonjy R. Risk factors for pregnancy, childbirth and postpartum in adolescent girls in the Loiret department. J Gynecol Obstet Biol Reprod. 2015;44:443-50.

Harrison K, Rossiter C, Chong H. Relations between maternal height, fetal birthweight and cephalopelvic disproportion suggest that young Nigerian primigravidae grow during pregnancy. BJOG. 1985;92:40-8.

Hamada H, Zaki A, Nejjar H, Filali A, Chraibi C, Bezad R et al. Adolescent Pregnancy and Childbirth: Characteristics and Profile About 311 cases. J Gynecol Obstet Biol Reprod. 2004;33:607-14.

Wemaux-Denis C, Garabedian C, Huc A, Cailleret O, Depoortere MH, Hammou Y. Adolescent pregnancy and childbirth: is the obstetric prognosis more unfavorable between 13 and 15 years? Obstet Gyneecol Fertility Senol. 2017;45:5-8.

Flenady V, Koopmans L, Middleton P, Frøen JF, Smith GC, Gibbons K et al. Major risk factors for stillbirth in highincome countries: a systematic review and meta-analysis. Lancet. 2011;377:1331-40.

Salihu HM, Sharma PP, Ekundayo OJ, Kristensen S, Badewa AP, Kirby RS et al. Childhood pregnancy (10-14 years old) and risk of stillbirth in singletons and twins. J Pediatr. 2006;148:522-6.

Wilson RE, Alio AP, Kirby RS, Salihu HM. Young maternal age and risk of intrapartum stillbirth. Arch Gynecol Obstet. 2008 278:231-6.

Luhete PK, Mukuku O, Tambwe AM, Kayamba PKM. Study of maternal and perinatal prognosis during childbirth in adolescents in Lubumbashi, Democratic Republic of Congo. PAMJ. 2017;26:182.

Mayanda HF, Malonga H, Djonob S. Newborns to adolescent mothers in Congo. Rev Pediatr. 1990;9:307-4.