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

Tamambang, Rita Frinue; Njim, Tsi; Njie, Albertine Enjema; Mbuagbaw, Lawrence; Mafuta, Agnès; Tchana, Mesack; Choukem, Siméon-Pierre

doi:10.1186/s13104-018-3578-0

Cited by 6 publications

(20 citation statements)

References 17 publications

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“…Two of the studies reported on the same cohort of womenone reporting on birth outcomes in women and the other on birth outcomes in the children [6,13]. Two studies provided estimates for the prevalence of adolescent deliveries in the North west region [1,2], two studies provided estimates for the South west region [3,17], two studies for the Centre region [6,7,13], one for the Littoral region [9], one for the Far north region [10] and one study provided an estimate from all ten regions in the country [12]. All the studies used to assess the prevalence of adolescent deliveries were cross-sectional studies but Egbe et al used a case-control design in the second phase of their study to determine the maternal and foetal outcomes of adolescent deliveries [17].…”

Section: Resultsmentioning

confidence: 99%

“…Figure 2 shows the estimates for the various regions. Four studies reported on the prevalence of early and late adolescent deliveries [1,3,9,10]. The overall pooled estimate for early adolescent deliveries was 2.8% (95% CI: 0.4-7.2%, I 2 = 99.6%, χ 2 = 812.7, p < 0.001), meanwhile that for late adolescent deliveries was 12.5% (95% CI: 6.7-19.8%, I 2 = 99.6%, χ 2 = 747.5, p < 0.001) (Additional File 5).…”

Section: Prevalence Of Adolescent Deliveriesmentioning

confidence: 99%

“…The overall pooled estimate for early adolescent deliveries was 2.8% (95% CI: 0.4-7.2%, I 2 = 99.6%, χ 2 = 812.7, p < 0.001), meanwhile that for late adolescent deliveries was 12.5% (95% CI: 6.7-19.8%, I 2 = 99.6%, χ 2 = 747.5, p < 0.001) (Additional File 5). The prevalence of adolescent deliveries in urban areas [6,7,9, 13] -…”

Section: Prevalence Of Adolescent Deliveriesmentioning

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%

“…In Cameroon, the health burden of adolescent pregnancies and deliveries is significant with a high proportion of women attending delivery services being teenagers [12]. This prevalence of adolescent deliveries varies greatly in different regions of the country; with studies showing a prevalence of 9.3-9.9% [6,9,13] in several urban settings and as high as 26.5% recorded in the north of the country and some rural areas where early marriages are engraved in the cultural values [1,10].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Prevalence Of Adolescent Deliveriesmentioning

confidence: 99%

Section: Prevalence Of Adolescent Deliveriesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

2020

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Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal

Gueye¹,

Boiro²,

Sow³

et al. 2020

AJP

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Early pregnancy is associated with a high risk of maternal and neonatal complications with significant neonatal morbidity and mortality, especially in developing countries. The objective was to assess morbidity and analyze the causes of neonatal mortality linked to these early pregnancies. Methodology: This was a prospective and descriptive study that took place from August 1, 2016 to January 31, 2017 in a hospital in Dakar. Included were newborns born to mothers aged 19 and under who gave birth in the maternity hospital. Results: 209 parturient were collected out of a total of 2073 parturient (10.08%). The average age was 17.59 years. Thinness was noted in 7.3% and overweight in 19%. Pregnancy was poorly followed in 32.1%. The most common obstetric complications were the threat of premature delivery, premature rupture of membranes (PRM), arterial hypertension and preeclampsia. The indications for Caesarean sections were dominated by pelvic abnormalities (28.4%) and PRM (11.4%). The most common neonatal complications were prematurity 39.1%, respiratory distress 12.72%, maternal-fetal infections 12.27% and perinatal asphyxia 8.18%. Mortality was 8.2%. The number of prenatal consultation less than 4 was significantly associated with neonatal deaths. Conclusion: Teenage pregnancy is the source of many complications, especially in newborns. It is necessary to conduct communications campaigns in order to stem them.

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Length of stay and determinants of early discharge after facility-based childbirth in Cameroon: analysis of the 2018 Demographic and Health Survey

Fouogue

Semaan

Smekens

et al. 2023

BMC Pregnancy Childbirth

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Background A minimum length of stay following facility birth is a prerequisite for women and newborns to receive the recommended monitoring and package of postnatal care. The first postnatal care guidelines in Cameroon were issued in 1998 but adherence to minimum length of stay has not been assessed thus far. The objective of this study was to estimate the average length of stay and identify determinants of early discharge after facility birth. Methods We analyzed the Cameroon 2018 Demographic and Health Survey. We included 4,567 women who had a live birth in a heath facility between 2013 and 2018. We calculated their median length of stay in hours by mode of birth and the proportion discharged early (length of stay < 24 h after vaginal birth or < 5 days after caesarean section). We assessed the association between sociodemographic, context-related, facility-related, obstetric and need-related factors and early discharge using bivariate and multivariable logistic regression. Results The median length of stay (inter quartile range) was 36 (9–84) hours after vaginal birth (n = 4,290) and 252 (132–300) hours after caesarean section (n = 277). We found that 28.8% of all women who gave birth in health facilities were discharged too early (29.7% of women with vaginal birth and 15.1% after a caesarean section). Factors which significantly predicted early discharge in multivariable regression were: maternal age < 20 years (compared to 20–29 years, aOR: 1.44; 95%CI 1.13–1.82), unemployment (aOR: 0.78; 95%CI: 0.63–0.96), non-Christian religions (aOR: 1.65; 95CI: 1.21–2.24), and region of residence—Northern zone aOR:9.95 (95%CI:6.53–15.17) and Forest zone aOR:2.51 (95%CI:1.79–3.53) compared to the country’s capital cities (Douala or Yaounde). None of the obstetric characteristics was associated with early discharge. Conclusions More than 1 in 4 women who gave birth in facilities in Cameroon were discharged too early; this mostly affected women following vaginal birth. The reasons leading to lack of adherence to postnatal care guidelines should be better understood and addressed to reduce preventable complications and provide better support to women and newborns during this critical period.

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

Cited by 6 publications

References 17 publications

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

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

Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal

Length of stay and determinants of early discharge after facility-based childbirth in Cameroon: analysis of the 2018 Demographic and Health Survey

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