Cargando…

Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes

OBJECTIVE: Adolescent deliveries remain a public health problem in most developing countries. The aim of our study was to determine the prevalence, trends and outcome of adolescent deliveries in an urban setting in Cameroon. We carried out a retrospective register analysis over a 6-year period (Janu...

Descripción completa

Detalles Bibliográficos
Autores principales: Tamambang, Rita F., Njim, Tsi, Njie, Albertine E., Mbuagbaw, Lawrence, Mafuta, Agnès, Tchana, Mesack, Choukem, Simeon-Pierre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044024/
https://www.ncbi.nlm.nih.gov/pubmed/30005713
http://dx.doi.org/10.1186/s13104-018-3578-0
_version_ 1783339400280670208
author Tamambang, Rita F.
Njim, Tsi
Njie, Albertine E.
Mbuagbaw, Lawrence
Mafuta, Agnès
Tchana, Mesack
Choukem, Simeon-Pierre
author_facet Tamambang, Rita F.
Njim, Tsi
Njie, Albertine E.
Mbuagbaw, Lawrence
Mafuta, Agnès
Tchana, Mesack
Choukem, Simeon-Pierre
author_sort Tamambang, Rita F.
collection PubMed
description OBJECTIVE: Adolescent deliveries remain a public health problem in most developing countries. The aim of our study was to determine the prevalence, trends and outcome of adolescent deliveries in an urban setting in Cameroon. We carried out a retrospective register analysis over a 6-year period (January 2010–December 2015) at the Saint Albert Le Grand hospital Douala. RESULTS: The overall prevalence of adolescent deliveries was 8.2% (662 out of 8056). There was a significant decrease over the 6-year period (p-trend: < 0.05). Adolescents were at higher risk of preterm deliveries (gestational age < 37 weeks; odds ratio [OR], 1.7; 95% confidence interval [CI]; 1.3–2.2; p < 0.01): low birth weight (defined as birth weight < 2650 g, OR; 1.7, CI 1.4–2.2, p < 0.01) and asphyxia at 1st minute (OR, 1.5; 95% CI 1.1–2.2; p = 0.02). There was no difference in delivery outcomes between early and late adolescents. Our results suggest that the prevalence of adolescent deliveries is lower in urban settings. Adolescent deliveries are more likely to result in adverse fetal outcomes than adult deliveries. Measures directed towards the prevention of adolescent pregnancies should be implemented to reduce neonatal morbidity and mortality. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13104-018-3578-0) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6044024
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-60440242018-07-13 Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes Tamambang, Rita F. Njim, Tsi Njie, Albertine E. Mbuagbaw, Lawrence Mafuta, Agnès Tchana, Mesack Choukem, Simeon-Pierre BMC Res Notes Research Note OBJECTIVE: Adolescent deliveries remain a public health problem in most developing countries. The aim of our study was to determine the prevalence, trends and outcome of adolescent deliveries in an urban setting in Cameroon. We carried out a retrospective register analysis over a 6-year period (January 2010–December 2015) at the Saint Albert Le Grand hospital Douala. RESULTS: The overall prevalence of adolescent deliveries was 8.2% (662 out of 8056). There was a significant decrease over the 6-year period (p-trend: < 0.05). Adolescents were at higher risk of preterm deliveries (gestational age < 37 weeks; odds ratio [OR], 1.7; 95% confidence interval [CI]; 1.3–2.2; p < 0.01): low birth weight (defined as birth weight < 2650 g, OR; 1.7, CI 1.4–2.2, p < 0.01) and asphyxia at 1st minute (OR, 1.5; 95% CI 1.1–2.2; p = 0.02). There was no difference in delivery outcomes between early and late adolescents. Our results suggest that the prevalence of adolescent deliveries is lower in urban settings. Adolescent deliveries are more likely to result in adverse fetal outcomes than adult deliveries. Measures directed towards the prevention of adolescent pregnancies should be implemented to reduce neonatal morbidity and mortality. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13104-018-3578-0) contains supplementary material, which is available to authorized users. BioMed Central 2018-07-13 /pmc/articles/PMC6044024/ /pubmed/30005713 http://dx.doi.org/10.1186/s13104-018-3578-0 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Note
Tamambang, Rita F.
Njim, Tsi
Njie, Albertine E.
Mbuagbaw, Lawrence
Mafuta, Agnès
Tchana, Mesack
Choukem, Simeon-Pierre
Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
title Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
title_full Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
title_fullStr Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
title_full_unstemmed Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
title_short Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
title_sort adolescent deliveries in urban cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes
topic Research Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044024/
https://www.ncbi.nlm.nih.gov/pubmed/30005713
http://dx.doi.org/10.1186/s13104-018-3578-0
work_keys_str_mv AT tamambangritaf adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes
AT njimtsi adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes
AT njiealbertinee adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes
AT mbuagbawlawrence adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes
AT mafutaagnes adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes
AT tchanamesack adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes
AT choukemsimeonpierre adolescentdeliveriesinurbancameroonaretrospectiveanalysisoftheprevalence6yeartrendandadverseoutcomes