Epidemio-Clinical Approach and Prognosis of Teenage Delivery in the Commune VI Du District of Bamako in Mali
2020
Objective: To describe the epidemiological aspects, clinical characteristics,
aspects of childbirth and to determine the maternal and perinatal prognosis
during the delivery of adolescent girls at the reference health centre of commune VI
of the district of Bamako in Mali. Materials and Methods: This was a
descriptive, cross-sectional, analytical case-control study from January 1 to December 31, 2018, or 12
months with prospective data collection. Results: During the study
period from January 01 to December 31, 2018, we recorded 1768 teenage
deliveries out of a total of 9012 deliveries, a frequency of 19.61%. The
average age of the cases was 17.4 ± 1 years. Single adolescent girls accounted for 14.67% (OR = 3.05, P = 0.001) unintended
pregnancies (11.67% vs. 2.3%; P = 0.000007; OR = 5.52), the non-completion of the antenatal consultation (14.67% vs. 5.33%; P = 0.0001; preterm births (14.33% vs. 7.67%); P = 0.01; OR = 2.5), anaemia (7.33% vs. 3%; P = 0.009; OR = 2.01),
instrumental extractions (P = 0.00008, OR = 2.87),
perineal tears (P = 0.0016; OR = 3.05), mechanical dystocies (P = 0.0039); low birth weights (P = 0.039; OR = 2.2) were found to be significantly higher in
adolescent girls than adults. Conclusion: Teenage versus adult births
are associated with many more maternal-fetal complications.
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