Adolescent deliveries in semi-urban Cameroon: prevalence and adverse neonatal outcomes

Njim, Tsi; Agbor, Valirie Ndip

doi:10.1186/s13104-017-2555-3

Cited by 22 publications

(30 citation statements)

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“…The prevalence of adolescent deliveries (8.2%) found among the study population fell within the 6–14% range reported in other studies in Sub-Saharan African countries [ 3 , 16 ]. It is however slightly lower than that the prevalence recently observed in Buea (9.9%) and Bamenda (8.7%), both sub-urban settings in the country [ 13 , 18 ]. It was also much lower than the prevalence of 20.4% obtained in a rural area in Cameroon [ 19 ].…”

Section: Main Textcontrasting

confidence: 63%

“…Many authors have reported an increase in the following adverse maternal and perinatal outcomes in adolescent pregnancies: preeclampsia/eclampsia, operative deliveries, maternal death, low birth weight, preterm deliveries, still births and neonatal asphyxia [ 12 – 14 , 18 , 19 ]. Our study showed that pregnant adolescents had higher rates of LBW infants, preterm delivery and neonates with low 5-min APGAR.…”

Section: Main Textmentioning

confidence: 99%

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Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes

et al. 2018

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ObjectiveAdolescent deliveries remain a public health problem in most developing countries. The aim of our study was to determine the prevalence, trends and outcome of adolescent deliveries in an urban setting in Cameroon. We carried out a retrospective register analysis over a 6-year period (January 2010–December 2015) at the Saint Albert Le Grand hospital Douala.ResultsThe overall prevalence of adolescent deliveries was 8.2% (662 out of 8056). There was a significant decrease over the 6-year period (p-trend: < 0.05). Adolescents were at higher risk of preterm deliveries (gestational age < 37 weeks; odds ratio [OR], 1.7; 95% confidence interval [CI]; 1.3–2.2; p < 0.01): low birth weight (defined as birth weight < 2650 g, OR; 1.7, CI 1.4–2.2, p < 0.01) and asphyxia at 1st minute (OR, 1.5; 95% CI 1.1–2.2; p = 0.02). There was no difference in delivery outcomes between early and late adolescents. Our results suggest that the prevalence of adolescent deliveries is lower in urban settings. Adolescent deliveries are more likely to result in adverse fetal outcomes than adult deliveries. Measures directed towards the prevention of adolescent pregnancies should be implemented to reduce neonatal morbidity and mortality.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3578-0) contains supplementary material, which is available to authorized users.

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confidence: 63%

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confidence: 99%

Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes

et al. 2018

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“…In addition to psychiatric difficulties, many physical illnesses are more frequent in adolescent pregnancies. 24,25 However, in our study, there was no difference between the groups in terms of physical problems. The rates of having no physical and mental disorders in our study were higher in the adolescent pregnancies.…”

Section: Discussioncontrasting

confidence: 72%

An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

Kara¹,

Doğan²,

Alyanak³

et al. 2017

Ankara Medical Journal

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Objectives: Pregnancy in adolescence may involve more psychological problems and socioeconomic difficulties compared to pregnancies in adulthood. The purpose of this study was to identify socioeconomic characteristics and psychological problems that may give rise to such difficulties. Materials and Methods: This case-control study was performed with pregnant women presented to the Istanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital Gynecology and Obstetrics Department. The study group consisted of 85 pregnant adolescents aged 13-19 and the control group consisted of 50 pregnant adults aged 20 or over. Subjects were evaluated by face-to-face interviews using an information form prepared by specialist psychiatrists. Results:The study group and their partners had lower levels of education compared to the control group. The members of the study group had more siblings than the control group. Adolescent pregnants were found to be as ready for motherhood as adults and desire to become pregnant as much as adult pregnants. There was no significant difference between the control group and the study group in terms of suicidal ideation and suicide attempt. The study group described no increase in psychological problems and difficulties during pregnancy. Indeed, periods of intense unease and distress during pregnancy were significantly less than the control group. Conclusion: Adolescent pregnancies are affected by large families and lower levels of education. Contrary to expectation, pregnant adolescents in Turkey reported no greater incidence of psychological problems. This may be due to a sociocultural perception of the functional value of motherhood in the country and to a positive attitude towards adolescent pregnancies. Key words: Adolescent pregnancy, risk factors, family characteristics, education Öz Amaç: Adölesan dönemde yaşanan gebelik yetişkinlik dönemi gebeliklerine oranla daha çok ruhsal soruna ve sosyoekonomik zorluklara sahip olabilir. Çalışmamızın amacı, gebe adölesanlarda bu sorunlara neden olabilecek sosyodemografik özellikleri ve ruhsal sorunları tanımlamaktır. Materyal ve Metot: Çalışmamız İstanbul Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği'ne başvurmuş gebeliğe sahip hastalar ile yürütülen vaka-kontrol çalışmasıdır. Çalışma grubu 13-19 yaş aralığında gebeliğine sahip 85 adölesan gebeden, kontrol grubu 20 yaş ve üzeri gebeliğe sahip 50 yetişkin gebeden oluşmaktadır. Katılımcılar psikiyatri uzmanları tarafından hazırlanmış bilgi formu ile karşılıklı görüşmeler yapılarak değerlendirilmiştir. Bulgular: Çalışma grubunun ve eşlerinin kontrol grubuna kıyasla daha düşük eğitim düzeyine sahip olduğu görüldü. Çalışma grubunun kontrol grubundan daha fazla sayıda kardeşe sahip olduğu saptandı. Adölesan gebelerin kendilerini erişkin gebeler kadar anneliğe hazır hissettikleri ve erişkin gebeler kadar gebeliği arzu ettikleri saptandı. Kontrol grubu ile çalışma grubu arasında intihar düşüncesi ve intihar girişimi açısından anlamlı fark saptanmadı. Çalış...

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“…Throughout literature, only one study which tried to assess pregnancy outcomes between these two groups of adolescents was found. This was a study carried out in a semi-urban region—Bamenda in Cameroon and showed that adolescent primipas were just as likely to have LBW, HBW, asphyxia and caesarean sections as adolescent multipas [ 10 ]. The sample size used in this study was however small to get significant differences between the two groups.…”

Section: Main Textmentioning

confidence: 99%

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

Njim

Agbor²

2018

BMC Res Notes

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ObjectiveAdolescent pregnancies are high risk and deliveries in this age group are usually associated with adverse outcomes. The perception that multiparous adolescents have better delivery outcomes than primiparous counterparts is not uncommon. We sought to determine if multiparous adolescents were precluded from having adverse delivery outcomes when compared to primiparous adolescents. The data used for the analysis is a side product from a published project aimed at mapping the epidemiology of adolescent deliveries in the Oku health district.ResultsFrom an 8-year (2009–2016) retrospective register analysis of data from two primary healthcare facilities in the Oku health district—a rural area in Cameroon, the prevalence of multiparous adolescent deliveries was 21.5% (78/363). After multivariable analyses, and adjusting for age, sex of baby, gestational age, marital status and HIV status, primiparous adolescents were more likely to have low birth weight infants (LBW) (OR: 3.2; 95% CI 1.1, 9.7; p = 0.04) when compared with multiparous adolescents. Though primiparous adolescents were more likely to have LBW infants than multiparous adolescents, this group of mothers are generally ill-equipped to handle pregnancies and adolescent-friendly programs are necessary to decrease the associated burden.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3550-z) contains supplementary material, which is available to authorized users.

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Adolescent deliveries in semi-urban Cameroon: prevalence and adverse neonatal outcomes

Cited by 22 publications

References 9 publications

Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes

Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes

An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

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

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