摘要
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.
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.
