摘要
<strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and perinatal prognosis during the delivery of adolescent</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">girls at the reference health centre of commune VI of the district of Bamako in Mali. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive, cross-sectional, analytical case-control study from January 1</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">to December 31, 2018, or 12 months with prospective data collection. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> 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</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4</span><span style="font-family:""> </span><span style="font-family:Verdana;">±</span><span style="font-family:""> </span><span style="font-family:Verdana;">1 years. Single adolescent girls accounted for 14</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">67% (OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">05, P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">001) unintended pregnancies (11.67% vs. 2.3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.000007;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">5.52), the non-completion of </span><span style="font-family:Verdana;">the antenatal consultation (14.67% vs. 5.33%;P</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0001;preterm births (14.33%</span><span style="font-family:Verdana;"> vs. 7.67%);P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.01;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.5), anaemia (7.33% vs. 3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.009;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.01), instrumental extractions</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.00008, OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.87), perineal tears (P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0016;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3.05), mechanical dystocies</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0039</span><span style="font-family:Verdana;">)</span><span style="font-family:Verdana;">;low birth weights</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.039;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">2.2) were found to be significantly higher in adolescent girls than adults. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Teenage versus adult births are associated with many more maternal-fetal complications.</span></span>
<strong>Objective:</strong><span style="font-family:Verdana;"> To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and perinatal prognosis during the delivery of adolescent</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">girls at the reference health centre of commune VI of the district of Bamako in Mali. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This was a descriptive, cross-sectional, analytical case-control study from January 1</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">to December 31, 2018, or 12 months with prospective data collection. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> 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</span></span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">4</span><span style="font-family:""> </span><span style="font-family:Verdana;">±</span><span style="font-family:""> </span><span style="font-family:Verdana;">1 years. Single adolescent girls accounted for 14</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">67% (OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">05, P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;">001) unintended pregnancies (11.67% vs. 2.3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.000007;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">5.52), the non-completion of </span><span style="font-family:Verdana;">the antenatal consultation (14.67% vs. 5.33%;P</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0001;preterm births (14.33%</span><span style="font-family:Verdana;"> vs. 7.67%);P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.01;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.5), anaemia (7.33% vs. 3%;P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.009;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.01), instrumental extractions</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.00008, OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">2.87), perineal tears (P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0016;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">3.05), mechanical dystocies</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.0039</span><span style="font-family:Verdana;">)</span><span style="font-family:Verdana;">;low birth weights</span><span style="font-family:""> </span><span style="font-family:Verdana;">(P</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.039;OR</span><span style="font-family:""> </span><span style="font-family:Verdana;">=</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">2.2) were found to be significantly higher in adolescent girls than adults. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Teenage versus adult births are associated with many more maternal-fetal complications.</span></span>
作者
Soumana Oumar Traoré
Cheickna Sylla
Alou Samaké
Saleck Doumbia
Saudatou Tall
Ibrahima Tegueté
Youssouf Traoré
Niani Mounkoro
Mamadou Traoré
Amadou I. Dolo
Soumana Oumar Traoré;Cheickna Sylla;Alou Samaké;Saleck Doumbia;Saudatou Tall;Ibrahima Tegueté;Youssouf Traoré;Niani Mounkoro;Mamadou Traoré;Amadou I. Dolo(Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali;Gynecology-Obstetrics Department, Reference Health Centre of Commune V, Bamako, Mali;Department of Gynecology-Obstetrics, Koutiala Reference Center, Sikasso, Mali;Department of Gynecology-Obstetrics, Reference Health Centre of Commune VI, Bamako, Mali;Department of Gynecology and Obstetrics, Gabriel Touré University Hospital, Bamako, Mali)