Adverse Perinatal Outcomes of Adolescent Pregnancies in Cameroon
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
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.
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.
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.
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.
- Tebeu, P. M., Kouam, L., Tantchou, J., Wamba, T. M., Ngassa, P., Obama, A. M. T., et al. (2002). Devenir de l’acouchement chez les adolescents de 16ans et moins: 10 année d’expérience au CHU - Yaounde. Cameroon Journal of Medicine, 11(1), 31.
- Nasah, B. T., & Rouin, P. (1982). Care of the mother in the tropics (1st ed.) (pp. 141–142). Yaounde: CEPER.
- Robson, S., Cameron, C. A., & Roberts, C. L. (2006). Birth outcomes for teenage women in New South Wales, 1998–2003. Australian and New Zealand Journal of Obstetrics and Gynaecology, 46, 305–310. CrossRef
- Frazer, A. M., Brockert, J. E., & Ward, R. H. (1995). Association of young maternal age with adverse reproductive outcomes. The New England Journal of Medicine, 332, 1113–1117. CrossRef
- McArney, E. R., & Hendee, W. R. (1989). Adolescent pregnancy and its consequences. JAMA, 262, 74–78. CrossRef
- Elster, A. (1984). The effect of maternal age, parity and prenatal care on perinatal outcome in adolescent mothers. American Journal of Obstetrics and Gynecology, 149, 845–848.
- Isaranurug, S., Mo-Suwan, L., & Choprapawon, C. (2006). Differences in socio-economic status, service utilization, and pregnancy outcomes between teenage and adult mothers. Journal of the Medical Association of Thailand, 89, 145–151.
- Magadi, M. (2006). Poor pregnancy outcomes among adolescents in South Nyanza region of Kenya. African Journal of Reproductive Health, 10, 26–38. CrossRef
- Amini, S. B., Catalano, P. M., & Mann, L. I. (1996). Effect of prenatal care on obstetrical outcome. The Journal of Maternal Fetal Medicine, 5(3), 142–150.
- Leke R. J. I. (1998). Reproductive health of adolescents in Sub-Saharan Africa. In: B. Kuate (Ed.), Sexuality and reproductive health during Adolescence in Africa (1st ed.) (pp 255–279). Ottawa: University of Ottawa Press.
- WHO (1995). Expert committee report. Physical status: The use and interpretation of anthropometry. Technical Report Series 854. Geneva: World Health Organisation.
- Berne, L., & Huberman, B. (1999). In: S. Alford (Ed.) Setting the stage: Adolescent sexual health indicators in the United States, Netherlands, Germany and France: European approaches to adolescent sexual behavior and responsibility (pp. 1–9). Washington, DC: Advocates of Youth.
- Bukulmez, O., & Deren, O. (2000). Perinatal outcome in adolescent pregnancies: A case-control study from a Turkish university hospital. European Journal of Obstetrics, Gynaecology, and Reproductive Biology, 88, 207–212. CrossRef
- Eure, C. R., Lindsay, M. K., & Graves, W. (2002). Risk of adverse pregnancy outcomes in young adolescent paturients in an inner-city hospital. American Journal of Obstetrics and Gynaecology, 186, 918–920. CrossRef
- Safid, B. A., Catalano, P. M., Dierker, I. J., & Mann, L. I. (1996). Birth to teenagers. Obstetrics and Gynaecology, 87, 668–689.
- Chandra, P. C., Schiavello, H. J., Ravi, B., Weinstein A. G., & Hook F. B. (2002). Pregnancy outcomes in urban teenagers. International Journal of Gynaecology and Obstetrics, 79, 117–122. CrossRef
- Mabie W. C., & Sibai B. M. (1994). Hypertensive states of pregnancy. In: Current obstetric and gynecologic diagnosis and treatment (8th ed.) (pp 380–397). London: Prentice-Hall International, Inc.
- Hediger, M. I., Scholl, T. O., Schall, J. I., & Krueger, P. M. (1997). Young maternal age and preterm labor. Annals of Epidemiology, 7, 400–406. CrossRef
- Yoder, B. A., & Young, M. K. (1997). Neonatal outcomes of teenage pregnancies in military population. Obstetrics and Gynecology, 90, 500–506. CrossRef
- Adverse Perinatal Outcomes of Adolescent Pregnancies in Cameroon
Maternal and Child Health Journal
Volume 12, Issue 2 , pp 149-154
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Adolescent pregnancy
- Adverse perinatal outcomes
- Low birth weight
- Early neonatal death
- Industry Sectors
- Author Affiliations
- 1. Child and Reproductive Health Group, Liverpool School of Tropical Medicine, RCOG International Office, Pembroke Place, Liverpool, L3 5QA, UK
- 2. Department of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
- 3. South African Cochrane Centre, South African Medical Research Council, Cape Town, South Africa