The Diagnostic Validity of Preterm Delivery in Adolescent Girls Based on Neonatal Clinical Assessment

Introduction: Pregnant adolescents are at an elevated risk of premature delivery. In the context of low levels of education and limited resources, several difficulties are encountered in determining gestational age. These include a lack of knowledge of the date of the last menstrual period, failure to perform first-trimester ultrasound, and absence of an electroencephalogram. In such circumstances, the utilisation of a morphological score, analogous to the Finnstrom score, to ascertain gestational age would appear to be a more accessible and straightforward approach. This study aimed to assess the accuracy of the Finnström score in newborns of teenage mothers, where the date of the last menstrual period may be subject to inaccuracy, in order to validate the diagnosis of preterm delivery. Methods: This was an analytical cross-sectional design of 87 newborns of teenage mothers, multicenter, conducted in the city of Kisangani, Democratic Republic of the Congo (DRC) with prospective data collection. Results: This study involved 87 newborns born to adolescent mothers. The incidence of premature delivery, as determined by the date of the last menstrual period, was observed to be 17.6% among teenage girls and 5.3% among adults. As indicated by the Finnström morphological score and early ultrasound dating, the incidence of preterm delivery was notably elevated, at 32.2% and 37.7%, respectively. The correlation between gestational age according to the date of the last menstrual period and gestational age according to early ultrasound dating was low (0.338), while there was a satisfactory correlation between gestational age according to the Finnström morphological score and early ultrasound dating (0.828). Conclusion: The Finnström morphological score represents a valuable tool for accurately determining gestational age, thereby validating the diagnosis of preterm delivery in adolescents, who are prone to inaccuracies in determining the date of the last menstrual period. It is therefore recommended that this score be evaluated in our setting, where access to ultrasound is sometimes still problematic.

Unmet Needs for Family Planning among Adolescent Girls Giving Birth in Three Teaching Hospitals in Yaoundé

Many adolescent girls are pressured into having sex at an early age, which puts them at high risk of unwanted pregnancies and unsafe abortions. The overall objective of this study was to evaluate the unmet needs of adolescents who give birth. A descriptive cross-sectional study was carried out in three university hospitals in Yaoundé, Cameroon: Yaoundé Central Hospital, Yaoundé Gyneco-Obstetrics and Pediatric Hospital and the District Hospital of Biyem-Assi, from February 1, 2020 to June 30, 2020. Included were any teenage mothers speaking English or French. Data were entered using CSPRO 7.3, analyzed by Excel 2010 and SPSS version 23.0. The tools used to express our results were the number, the frequency, the mean, the odds ratio (OR) and the P. P was significant if less than 5%. Of a total of 2692 births recorded, 188 (7%) were from adolescents. Of these, 157 fulfilling our selection criteria were recruited and data analyzed. The average age of the participants was 17.9 ± 1.12 years with extremes of 13 and 19, the average parity was 1.2 ± 0.4 with extremes of 1 and 3. Out of 157 participants, 2 who fell in the age range of 10 to 14 years (100%) and 106 of 155 (68.4%) whose age ranged from 15 to 19 years had unmet need for family planning. Only unmarried participants had unmet needs after multivariate analysis [aOR 2.4 (1.1 - 5.3);p = 0.035)]. Being unmarried was independently associated with the occurrence of unmet needs. The intensification of campaigns for provider behavior changes communication and the creation of services dedicated to the sexual and reproductive health of adolescents would help to reduce the rate of unmet needs for family planning among adolescent girls.

Nutritional status in adolescent girls:Attempt to determine its prevalence and its association with sociodemographic variables

Objective:To determine the prevalence of malnutrition among adolescent girls and to assess the association of nutrition with sociodemographic variables.Methods:A cross-sectional study was conducted among adolescent girls aged 16-19 years.Data regarding sociodemographic variables were collected by administration of a prestructured,pretested questionnaire.Height and weight were measured by standardized techniques in a sample of 700 adolescents.BMI was calculated.IBM SPSS Statistics version 22 was used to determine proportions and for chi-square analysis,independence tests,and binary logistic regression.Results:We found 36.2%of adolescent girls were malnourished,among whom 33.7%were obese and 66.3%were undernourished.Conclusion:Age and education of the mother and father were found to be significantly associated with malnutrition.

Cesarean Section Indications and Prognosis in Adolescents Girls at the Mother-Child Pool of the Teaching Hospital of Tengandogo (CHU-T) in Burkina Faso

Objective: Conduct a study on cesarean sections in adolescent girls at the mother-child pool of the CHU-T in order to reduce maternal-fetal morbidity and mortality. Patients and Methods: This was a descriptive and cross-sectional study with a retrospective data collection method from January 1st, 2018 to December 31st, 2019. Results: The frequency of caesarean sections in our series was estimated at 59.9% in adolescent girls. 68.7% of adolescent girls were married, the average age was estimated at 18.3 ± 1 years, primiparous women were the most represented group with a rate of 88%. Adolescent girls were housewives in 73.5% of cases, with 37.4% of them living in rural areas. The main indications for cesarean section were: pre-rupture syndrome (22.9%), fetal distress (19.3%), pre-eclampsia/eclampsia (18.1%) and bony dystocia (21.6%). The following results derive from the classification of the cesarean section indications into 2 groups according to one or the other member of the “mother-child” couple: maternal indications accounted for 57.8% while fetal adnexal indications were estimated at 36.1%. As for perinatal mortality, it reached 24.1%. Conclusion: Improving the maternal-fetal prognosis of cesarean section in adolescent girls necessarily requires the strengthening of pregnancies follow-ups among this population group where pregnancy is most often unplanned.

Analysis on the Factors Related to the Accidental Pregnancy in 98 Teenage Girls

Objective:To understand the general information of adolescent girls with unplanned pregnancy and the information about abortion and reproductive health knowledge,analyze the influencing factors of unplanned pregnancy and explore the preventive measures.Methods:Using epidemiological investigation method,the adolescent females(age<19 years old)who volunteered requested pain deprivation in our hospital from January 2018 to December 2019 were examined by questionnaire with informed consultation,and the results were analyzed.Results:After screening,98 valid questionnaires were received.The average age of girls were 16.81 years old,and the youngest was 13 years old.Employed girls accounted for 54.0%,students for 23.5%and unemployed people for 22.5%.Non-eamers accounted for 38.8%,and those with monthly income less than 3,000 yuan accounted for 86.8%.78.6 of those aged 16-18 had sex for the first time.The age of first sexual intercourse<15 years old accounted for 21.4%・The first abortion patients accounted for 84.7%,repeated abortion accounted for 15.3%.years old accounted for 19.05%.First abortion in the age<15 There was no statistical difference between the reproductive health knowledge mastery score and the family economic status,parents*12*5 occupation,parents'marital status,parents5 sex education(P>0.05).The score of reproductive health knowledge was statistically different from that of school sex education and hospital sex education(P<0.05).Conclusions:The primary cause of unintended pregnancy is the lack of knowledge of contraception and reproductive health.Schools and hospitals are effective in sex education for adolescent girls.Relevant government departments,schools,families and hospitals should pay more attention to sex education and strengthen efforts to improve the quality of education,so as to further reduce the harm caused by accidental pregnancy of adolescent girls.

Obstetrical specificities of Ivorian adolescent mothers on a single-center hospital series of 1040 cases

Overview and aim:The precocity of sexual intercourse among adolescent girls is a prominent source of unwanted pregnancy.Here,we aim to survey the past issues relating to the pregnancy,childbirth,and materno-fetal prognosis of Ivorian adolescent women.Methods:We conducted a retrospsective study with adolescent group(n=1040)versus young adult group aged 20 to 24(n=736)over three years from1st January 2016 to 31rd December 2018 at the Department of Obstetrics and Gynecology at the University of Abidjan-Yopougon Hospital.Maternal and fetal outcomes of the two groups were analyzed and compared by using Pearson's Chi2 tests and Fisher's exact tests,followed by multivariate analysis and logistic regression using Stata software version 20.Results:The average age of adolescent girls in our study was 17.45 years(SD=1.39)and a minimum of 12 years.Adolescents consulted less(P<0.0001)and later(P<0.0001)versus young adults aged 20 to 24.The proportion of adolescent girls(47.6%)versus young adults(39.1%)who had underwent caesarean section was significantly higher(P=0.0004).These adolescents were 3.5-fold more likely to develop hypertension and its complications in the postpartum period and 2.5-fold more likely to contract a postpartum infection.Maternal mortality was not significantly associated with adolescence(OR=0.52)(95%CI:0.22–1.19;P=0.0891).The risk of prematurity,early neonatal death,and neonatal admission were 2.02(95%CI:1.56–2.63;P<0.0001),1.55(95%CI:1.14–2.13;P=0.0040),and 1.73(95%CI:1.12–2.71;P=0.0097)in adolescence,respectively.Conclusion:Adolescent childbirth remains associated with a poor prognosis.