Article

Maternal and Child Health Journal

, Volume 12, Issue 2, pp 149-154

First online:

Adverse Perinatal Outcomes of Adolescent Pregnancies in Cameroon

  • Eugene Justine KongnyuyAffiliated withChild and Reproductive Health Group, Liverpool School of Tropical Medicine Email author 
  • , Philip N. NanaAffiliated withDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I
  • , Nelson FomuluAffiliated withDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I
  • , Shey Charles WiysongeAffiliated withSouth African Cochrane Centre, South African Medical Research Council
  • , Luc KouamAffiliated withDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I
  • , Anderson S. DohAffiliated withDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I

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Abstract

Background

There are geographic variations in fetal outcomes of adolescent pregnancies because of socio-economic differences between regions and countries. The aim of our study was to determine adverse fetal outcomes associated with adolescent pregnancies in Cameroon.

Methods

A cross-sectional study to compare the outcomes of 268 singleton, adolescent pregnancies with 832 controls, delivered in four referral hospitals in Yaounde (Cameroon), between November 2004 and April 2005.

Results

The adverse fetal outcomes related to adolescent pregnancies were low birth weight (<2,500 g) (odds ratios [OR], 1.71; confidence interval [CI], 1.15–2.50), premature babies (<37 weeks) (OR, 1.77; CI, 1.24–2.52) and early neonatal death (OR, 2.18; CI, 1.04–4.48). The rates of stillbirth and intrauterine growth retardation were not significantly higher among adolescents. Adverse maternal outcome associated with adolescent pregnancies were eclampsia (OR, 3.18; CI, 1.21–8.32), preeclampsia (OR, 1.99; CI, 1.24–3.15), perineal tear (OR, 1.45; CI, 1.06–1.99) and episiotomy (OR, 1.82; CI, 1.20–2.73). Caesarean delivery, instrumental delivery and premature rupture of membranes were not significantly associated with adolescent pregnancy. Maternal factors associated with adverse fetal outcome in adolescents were maternal age, number of prenatal visits <4, and the state of being unemployed.

Conclusion

Adolescent pregnancies are associated with both adverse fetal and maternal outcomes in Cameroon. Improving compliance with prenatal care could significantly reduce the frequency of adverse fetal outcomes in adolescent populations in Cameroon.

Keywords

Adolescent pregnancy Adverse perinatal outcomes Prematurity Low birth weight Early neonatal death