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The Epidemiologic and Maternal and Fetal Prognosis of Teenage Girls

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DOI: 10.4236/ojog.2020.1030038    22 Downloads   69 Views
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ABSTRACT

Objective: To identify the epidemiologic profile of the teenage mother; determine the frequency of teenage deliveries at CHME/Monkole; identify the most common obstetric complications during childbirth in adolescents; and evaluate the maternal and fetal prognosis of teenage birth in our environment. Methods: We conducted a descriptive study with a retrospective approach using records of teenage births admitted to the CHME/Monkole maternity between January 1, 2016 and December 31, 2017. Results: The overall rate of teenage delivery was 3.9%. 2016 saw a high rate of 55.2%. The average age was 18.2 years old, and the age group 17 - 19 was the most affected. The commune of Mont-Ngafula had registered more cases than the other communes with 56.7%. The majority of teenage girls who gave birth were primigravida (91%). Urogenital infection was the most common pathology observed during antenatal care (ANC) visits in teenage pregnancies (25.4%). Fetal-pelvic disproportion and water loss were the most common reasons for transfer, 15% each. Most pregnancies were completed (73.1%). The delivery was eutocic in 55.2% of cases. The tearing of the soft tissues was the most encountered complication (7.5%). Most newborns (83.6%) had not received neonatal resuscitation in the delivery room. One case of maternal death was registered (1.5%), and two cases of neonatal deaths were noted (3%). Conclusion: Teenage pregnancy is a risk factor for childbirth. The most important risk is presented by a caesarean section following a bony pelvic dystocia and the tearing of the soft tissues during eutocic delivery. Educating young people about family planning remains important to prevent early pregnancies and thus promote girls’ schooling.

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Mubikayi, L. (2020) The Epidemiologic and Maternal and Fetal Prognosis of Teenage Girls. Open Journal of Obstetrics and Gynecology, 10, 422-432. doi: 10.4236/ojog.2020.1030038.

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