Adverse Perinatal Outcomes of Adolescent Pregnancies in Cameroon
- 328 Downloads
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.
KeywordsAdolescent pregnancy Adverse perinatal outcomes Prematurity Low birth weight Early neonatal death
We wish to thank the entire staff of the Obstetrics and Gynecology Departments of the four teaching hospitals in Yaounde for the collaboration given us during the data collection phase of the study. Competing interests: The authors declare that they have no competing interests.
- 1.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.Google Scholar
- 2.Nasah, B. T., & Rouin, P. (1982). Care of the mother in the tropics (1st ed.) (pp. 141–142). Yaounde: CEPER.Google Scholar
- 10.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. Google Scholar
- 11.WHO (1995). Expert committee report. Physical status: The use and interpretation of anthropometry. Technical Report Series 854. Geneva: World Health Organisation.Google Scholar
- 12.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. Google Scholar
- 15.Safid, B. A., Catalano, P. M., Dierker, I. J., & Mann, L. I. (1996). Birth to teenagers. Obstetrics and Gynaecology, 87, 668–689.Google Scholar
- 17.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.Google Scholar