Obstetric Outcome of Teenage Pregnancy in Kano, North-Western Nigeria

Omole-Ohonsi, A; Attah, Raphael Avidime

doi:10.4314/wajm.v29i5.68252

Cited by 13 publications

(29 citation statements)

References 15 publications

(43 reference statements)

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“…Neonates from adolescent mothers were just as likely to be born at term as neonates from their adult counterparts. This finding is contrary to that observed by several authors [2, 10, 11] and warrants further investigation.…”

Section: Discussioncontrasting

confidence: 99%

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

Njim

Agbor²

2017

BMC Res Notes

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ObjectivesAdolescent pregnancies are high risk due to the increased probability of adverse outcomes; as adolescents are usually considered to be ill-equipped to deal with the burden of pregnancy. We sought to determine the prevalence of adolescent deliveries in a secondary-level care hospital in semi-urban Cameroon-Bamenda, the adverse neonatal outcomes and to assess if previous obstetric history could preclude adolescents from having adverse outcomes in their present pregnancy.ResultsThe prevalence of adolescent deliveries was 8.7% (95% CI 7.01–10.73%). The neonates of adolescent mothers were more likely to have severe asphyxia (OR 4.0; 95% CI 1.2–12.9; p = 0.03) and low birth weight (OR 2.4; 95% CI 1.3–4.4; p < 0.01). The neonates of primipara adolescents were just as likely to have complications as multipara adolescents. The prevalence of adolescent deliveries (8.7%) in the Regional Hospital Bamenda is high. Their babies are at a high risk of adverse neonatal outcomes irrespective of their previous obstetric history (previous delivery) emphasising that adolescents are generally ill-prepared to deal with pregnancy. Strategies to reduce the prevalence of adolescent deliveries should be investigated and implemented in view of attaining the sustainable development goals.

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Section: Discussioncontrasting

confidence: 99%

“…This was consistent with results from other studies carried out in a semi-urban setting in the country [2], urban settings in Cameroon [5, 10] and in other sub-Saharan African countries [11]. Adolescents due to lack of proper reproductive education generally have poor antenatal care attendance [2].…”

Section: Discussionsupporting

confidence: 90%

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

Njim

Agbor²

2017

BMC Res Notes

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“…Furthermore, some pregnancy complications in teenage mother such as anemia, PROM, eclampsia, premature labor, and emergency cesarean section attributed to low birth weight babies among them.In order to reduce the risk factors of low birth weight babies among teenage pregnancies, the holistic approaches such as health education, maternal nutrition, improvement in socio-economic indices, and increasing the quality and quantity of the antenatal care services are importance. More than one authors cited in the text and states that teenage mothers who receive good family and community support, timely quality antenatal care and deliver in the hospital, should expect similar obstetric outcome to that of their older peers, 14,15 On the other hand, the intrapartum complications, postpartum complications and neonatal outcomes in this study were remarkable better than many similar studies because it might be effective intranatal care and postnatal care of Department of Obstetrics and Gynecology, No. (13), Military Hospital, (100) Bedded, Kawthaung province.…”

mentioning

confidence: 60%

A reterospective study of maternal and fetal outcome of adolescent pregnancy in Kawthaung province, Myanmar

Aung¹

2017

Bangladesh J Med Sci

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. The case records of all adolescent mothers who delivered in hospital were retrieved. The major complications and the outcome were compared between adolescent mothers and adults mothers (20 -34 years) who delivered in the same period. Results: During the study period there were 262 deliveries in our hospital, of which 64 (24.4%) were teenage mothers. The mean age of the adolescent mothers was 18.01 (±0.95) and mean gestational period of adolescent mothers was 37.8 weeks (±1.23), comparing to mean age of adult pregnancy was 27.45 (±3.8) and the gestational period was 38.7 weeks (±0.95), Adolescent mothers were significantly higher in inadequate AN visits (18.3% vs. 11.4%), Serology Positive at AN visit (16.7 % vs. 6.4 %), anemia (23% vs. 7.8%), PROM (26.7% vs. 15.1%), eclampsia (15% vs. 6.6%), emergency CS (31.7% vs. 18.7%), poor Apgar score (10% vs. 3 %) and low birth babies (11.6% vs. 3%). Conclusions: Pregnant teenagers are definitely at greater risk, requiring more attention and effective antenatal care for prevention and treatment of anemia, prematurity, IUGR and LBW. To prevent the adverse outcome, steps should be taken to avoid teenage pregnancies by creating public awareness and health education about reproductive health in Kawthaung province.

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“…This obstetrics complication are similar to findings in other studies. [9,[12][13][14] Low birth weight, preterm deliveries and anemia in pregnancy has been reported to be due to significance influence of poor socio-economic conditions and possible high prevalence of medical illness like malaria in pregnancy. [6] Pregnancy induced hypertension was not significantly associated with teenage pregnancy in this study though significant association had been noted in other studies.…”

Section: Discussionmentioning

confidence: 99%

Outcome of teenage pregnancy at a tertiary hospital in Abakaliki Southeast Nigeria

Onoh¹,

Ezeonu²,

Anozie³

et al. 2014

J Basic Clin Reprod Sci

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Background: Teenage pregnancy is a high risk pregnancy associated with obstetric, fetal, neonatal and psycho-social complications. These complications are worsened by poverty, ignorance and lack of special care during pregnancy. Aim: The objective of the following study is to determine the obstetric and neonatal outcome of teenage pregnancy. Materials and Methods: A retrospective case control study was carried out over a 6 years period, 2006-2011. All teenage pregnancies (aged 13-19 years) at Federal Medical Center Abakaliki, Ebonyi were taken as cases. Pregnancy deliveries from mothers aged 20 to 29 that met the inclusion criteria were selected as controls. A total of 137 teenage pregnancies were analyzed and compared with 948 controls. Statistical analysis was performed using 2008 Epi-info statistical software version 3.5.1 (Atlanta, Georgia, USA). Results: The incidence of teenage deliveries over the period of the study was (137/8020) 2.25%. Single mothers were commoner (40.9% [56/137] vs. 3.1% [29/948], P < 0.01) among the teenagers. Low educational status was more common among teenage mothers (P < 0.01). Unbooked pregnancies were significantly common among teenage mothers (23.4% [32/137] vs. 12.3% [117/948], P < 0.01). Anemia in pregnancy (18.1% [41/226] vs. 11.2% [65/579], P = 0.01), human immunodeficiency virus (HIV) in pregnancy (4.9% [11/226] vs. 1.7% [10/579], P = 0.01) and malaria in pregnancy (26.1% [59/226] vs. 12.4% [72/579], P < 0.01) were significantly common in teenage pregnancies than the control. Teenage mother had significantly increased cesarean deliveries (23% [31/137] vs. 14.8% [140/948], P < 0.02), male deliveries (64.3% [90/140] vs. 52.1% [502/963], P < 0.03) and low birth weight (19.3% [27/140] vs. 12.7% [122/963], P < 0.03). Fetal loss (22.1% [31/140] vs. 3.3% [32/963] P < 0.01) and birth asphyxia (19.3% [27/140] vs. 6.8% [65/963], P < 0.01) were significantly common among teen mothers in the 1st min American Pediatric Gross Assessment Records score. Conclusion: Teenage pregnancies were associated with a significantly higher risk of anemia in pregnancy, HIV in pregnancy, malaria in pregnancy, cesarean deliveries and poor fetal outcome. Health education, women enlightenment and empowerment will be essential in reducing the problems of teenage pregnancy.

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Obstetric Outcome of Teenage Pregnancy in Kano, North-Western Nigeria

Abstract: Résultat obstétricale des grossesses chez les adolescentes à Kano,

Cited by 13 publications

References 15 publications

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

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

A reterospective study of maternal and fetal outcome of adolescent pregnancy in Kawthaung province, Myanmar

Outcome of teenage pregnancy at a tertiary hospital in Abakaliki Southeast Nigeria

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