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

Njim, Tsi; Agbor, Valirie Ndip

doi:10.1186/s13104-018-3550-z

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…Adolescent pregnancies are said to be significantly associated with adverse maternal and neonatal outcomes [35][36][37]40]. However, in our findings, consistent with results from studies conducted in Nigeria and six other LMICs [6,32], adolescence generally did not have a statistically significant association with poor maternal outcomes.…”

Section: Discussionsupporting

confidence: 83%

The association of maternal age with adverse neonatal outcomes in Lusaka, Zambia: a prospective cohort study

Tembo

Koyuncu

Zhuo

et al. 2020

BMC Pregnancy Childbirth

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Background Pregnancy among adolescents, whether intended or not, is a public health concern as it is generally considered high risk for both mothers and their newborns. In Zambia, where many women engage in early sexual behaviour or marry at a young age, 28.5% of girls aged 15–19 years were pregnant with their first child in the year 2013–2014. This study sought to explore associations between maternal age and neonatal outcomes among pregnant women in Lusaka, Zambia. Methods This was a secondary analysis of data nested within a larger population-based prospective cohort study which was implemented in three government health facilities-two first level hospitals and one clinic in Lusaka, Zambia. Women presenting to the study sites for antenatal care were enrolled into the study and followed up for collection of maternal and neonatal outcomes at 7, 28 and 42 days postpartum. The study’s primary outcomes were the incidence of maternal and newborn complications and factors associated with adverse neonatal outcomes. Statistical significance was evaluated at a significance level of P < 0.05. Results The study included 11,501 women, 15.6% of whom were adolescents aged 10–19 years. Generally, adolescence did not have statistically significant associations with poor maternal health outcomes. However, the risk of experiencing obstructed labour, premature rupture of membranes and postpartum hemorrhage was higher among adolescents than women aged 20–24 years while the risk of severe infection was lower and non-significant. Adolescents also had 1.36 times the odds of having a low birthweight baby (95% CI 1.12, 1.66) and were at risk of preterm birth (aOR = 1.40, 95% CI 1.06, 1.84). Their newborns were in need of bag and mask resuscitation at birth (aOR = 0.62, 95% CI 0.41, 0.93). Advanced maternal age was significantly associated with increased odds of hypertension/ pre-eclampsia (95% CI 1.54, 5.89) and preterm labour (aOR = 2.78, 95% CI 1.24, 6.21). Conclusions Adolescence is a risk factor for selected pregnancy outcomes in urban health facilities in Lusaka, Zambia. Health care workers should intensify the provision of targeted services to improve neonatal health outcomes. Trial registration Clinical trial number and URL: NCT03923023 (Retrospectively registered). Clinical trial registration date: April 22, 2019.

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Section: Discussionsupporting

confidence: 83%

The association of maternal age with adverse neonatal outcomes in Lusaka, Zambia: a prospective cohort study

Tembo

Koyuncu

Zhuo

et al. 2020

BMC Pregnancy Childbirth

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“…In this review, adolescents presenting for delivery were just as likely to be married as adult women. In most rural areas and some regions like the Far north of the country, adolescent marriages are common practice [1,8,10,12]. This could explain why the proportions of married adolescents presenting for deliveries was similar to that of married adult women.…”

Section: Discussionmentioning

confidence: 99%

“…Adolescent deliveries carry a high risk of adverse outcomes to both the mother and the baby largely due to a biological and physiological immaturity; particularly pelvic and perineal immaturity in adolescents [1][2][3]. Some of the adverse outcomes of adolescent deliveries to the mother include: a higher rate of caesarean sections, perineal trauma and maternal death; while neonates born to adolescent mothers are likely to suffer from asphyxia, low birth weight and neonatal death [1,[4][5][6][7][8][9][10]. The mortality associated with adolescent deliveries and the long-term morbidity due to its adverse outcomes like low birth weight (which has a known relationship with neurodevelopmental complications) [11], makes adolescent births a public health issue.…”

Section: Introductionmentioning

confidence: 99%

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

2020

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Background: Adolescent deliveries (10-19 years) carry a high risk of adverse outcomes due to the biological and physiological immaturity of these mothers. They pose a significant health burden in Cameroon, as it is reported that a high proportion of women attending delivery services are teenagers. We therefore sought to systematically assess the prevalence of adolescent deliveries in the country and its maternal and neonatal outcomes. Methods: This was a systematic review of literature and a meta-analysis. We searched MEDLINE, CINAHL and Global Health online databases for all studies that reported the proportion of adolescent women who presented for delivery in health facilities in Cameroon. All observational studies published up to 10th July 2019, were included. Results: A total of 47 articles were identified by the search. After removal of duplicates and screening of the titles and abstracts, 11 eligible studies were retained with ten articles meeting the inclusion criteria. These ten studies finally retained reported on nine different cohorts with a total of 99,653 women. The pooled prevalence of adolescent deliveries from the nine cohorts in Cameroon was 14.4% (95% CI: 10.7-18.6%), the prevalence for early adolescent deliveries was 2.8% (95% CI: 0.4-7.2%), meanwhile that for late adolescent deliveries was 12.5% (95% CI: 6.7-19.8%). The prevalence of adolescent deliveries in urban areas-13.1% (95% CI: 7.8-19.6%) was similar to that in semi-urban areas-14.1% (95% CI: 6.7-23.5%). Adolescents were more likely than adults (> 19 years) to have low birth weight babies (OR: 1.8; 95% CI: 1.6, 2.1); babies born with asphyxia (OR: 1.7; 95% CI: 1.3, 2.1); babies born before term (OR: 1.5; 95% CI: 1.1, 1.9) and babies who die in the neonatal period (OR: 2.1; 95% CI: 1.2, 3.8). Conclusion: The prevalence of adolescent deliveries in Cameroon is high. Implementation of adolescent-friendly policies is necessary to reduce the proportion of adolescents who become pregnant in Cameroon.

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“…The mean primiparity age was 18.01 years ± 3.52. In a publication on adolescent childbirth in Cameroon, Njim et al identified a similar mean age, 17.8 years ± 1.3 [7]. However, this is much lower than the mean age of primiparity of 30.8 ± 5.2 years reported in a study done in Chile on the prevalence of anal sphincter lesions after childbirth [2].…”

Section: Discussionmentioning

confidence: 82%

“…Studies in some Cameroonian semi-rural settings have suggested that being a primiparous adolescent woman increases the likelihood of having a low birth weight neonate compared to their multiparous counterparts [7]. Another study revealed that primiparous women aged 27 years and above have a significantly increased risk of cesarean section, instrumental delivery and poor neonatal outcome [8].…”

Section: Introductionmentioning

confidence: 99%

Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area: The Case of Ayos Locality

Nyada¹,

Ebong²,

Ntsama³

et al. 2023

OJOG

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Introduction: The delivery of a primipara, a woman giving birth for the first time, is challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a crosssectional and analytical study at the maternity of the regional hospital annex of Ayos, a semi-rural locality in Cameroon, for the period between January 2012 and December 2020.

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

Cited by 5 publications

References 11 publications

The association of maternal age with adverse neonatal outcomes in Lusaka, Zambia: a prospective cohort study

The association of maternal age with adverse neonatal outcomes in Lusaka, Zambia: a prospective cohort study

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

Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area: The Case of Ayos Locality

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