Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes
Abstract Study Objective Adolescents are generally ill-equipped to deal with the burden of a pregnancy. A high prevalence of adolescent pregnancies is among the indicators of limitations toward the achievement of the Millennium Development Goals in most developing countries. We sought to determine t...
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| Veröffentlicht in: | Journal of pediatric & adolescent gynecology 2016-12, Vol.29 (6), p.632-634 |
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| creator | Njim, Tsi, MD Choukem, Simeon-Pierre, MD Atashili, Julius, MD, PhD Mbu, Robinson, MD |
| description | Abstract Study Objective Adolescents are generally ill-equipped to deal with the burden of a pregnancy. A high prevalence of adolescent pregnancies is among the indicators of limitations toward the achievement of the Millennium Development Goals in most developing countries. We sought to determine the prevalence, 6-year trend, and adverse outcomes of adolescent deliveries. We also tested whether being married decreased the risk of adverse fetal outcomes in these adolescents. Design A 6-year retrospective register analysis. Setting Buea Regional Hospital. Participants Birth records from 2007 to 2012. Interventions None. Main Outcome Measures Prevalence and 6-year trend in the rate of adolescent deliveries; adverse fetal outcomes. Results The overall prevalence of adolescent deliveries was 9.9% (491 of 4941). There was no significant change in the annual prevalence of adolescent deliveries over 6 years ( P trend = .8). Adolescent pregnancies were at higher risk of preterm deliveries (deliveries at gestational age |
| doi_str_mv | 10.1016/j.jpag.2016.05.011 |
| format | Article |
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A high prevalence of adolescent pregnancies is among the indicators of limitations toward the achievement of the Millennium Development Goals in most developing countries. We sought to determine the prevalence, 6-year trend, and adverse outcomes of adolescent deliveries. We also tested whether being married decreased the risk of adverse fetal outcomes in these adolescents. Design A 6-year retrospective register analysis. Setting Buea Regional Hospital. Participants Birth records from 2007 to 2012. Interventions None. Main Outcome Measures Prevalence and 6-year trend in the rate of adolescent deliveries; adverse fetal outcomes. Results The overall prevalence of adolescent deliveries was 9.9% (491 of 4941). There was no significant change in the annual prevalence of adolescent deliveries over 6 years ( P trend = .8). Adolescent pregnancies were at higher risk of preterm deliveries (deliveries at gestational age <37 completed weeks; odds ratio [OR], 1.7; 95% confidence interval [CI], 1.3-2.2; P < .01), low birth weight (defined as birth weight <2600 g; OR, 1.8; 95% CI, 1.4-2.3; P < .01), and neonatal asphyxia (OR, 1.4; 95% CI, 1.1-1.7; P < .01). There was no significant difference in the frequency of adverse outcomes between married and single adolescents. Conclusion One of every 10 babies is born from adolescent mothers in the Buea Regional Hospital. Whether these mothers are married or not, their neonates are exposed to higher morbidity. This emphasizes the need for more adolescent-friendly public health policies geared toward reducing the prevalence of this condition to improve the chances of attaining the Millennium Development Goals in Cameroon.</description><identifier>ISSN: 1083-3188</identifier><identifier>EISSN: 1873-4332</identifier><identifier>DOI: 10.1016/j.jpag.2016.05.011</identifier><identifier>PMID: 27262835</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adolescent deliveries ; Birth Certificates ; Cameroon ; Cameroon - epidemiology ; Delivery, Obstetric - statistics & numerical data ; Female ; Gestational Age ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Obstetrics and Gynecology ; Odds Ratio ; Outcome ; Pediatrics ; Pregnancy ; Pregnancy in Adolescence ; Pregnancy Outcome - epidemiology ; Premature Birth - epidemiology ; Premature Birth - etiology ; Prevalence ; Retrospective Studies ; Risk Factors ; Suburban ; Trend</subject><ispartof>Journal of pediatric & adolescent gynecology, 2016-12, Vol.29 (6), p.632-634</ispartof><rights>North American Society for Pediatric and Adolescent Gynecology</rights><rights>2016 North American Society for Pediatric and Adolescent Gynecology</rights><rights>Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-cf391627293c87a6fa1ec11a1e0954312f7f9ac0f1caf205a7601d9d547917413</citedby><cites>FETCH-LOGICAL-c481t-cf391627293c87a6fa1ec11a1e0954312f7f9ac0f1caf205a7601d9d547917413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpag.2016.05.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27262835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Njim, Tsi, MD</creatorcontrib><creatorcontrib>Choukem, Simeon-Pierre, MD</creatorcontrib><creatorcontrib>Atashili, Julius, MD, PhD</creatorcontrib><creatorcontrib>Mbu, Robinson, MD</creatorcontrib><title>Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes</title><title>Journal of pediatric & adolescent gynecology</title><addtitle>J Pediatr Adolesc Gynecol</addtitle><description>Abstract Study Objective Adolescents are generally ill-equipped to deal with the burden of a pregnancy. A high prevalence of adolescent pregnancies is among the indicators of limitations toward the achievement of the Millennium Development Goals in most developing countries. We sought to determine the prevalence, 6-year trend, and adverse outcomes of adolescent deliveries. We also tested whether being married decreased the risk of adverse fetal outcomes in these adolescents. Design A 6-year retrospective register analysis. Setting Buea Regional Hospital. Participants Birth records from 2007 to 2012. Interventions None. Main Outcome Measures Prevalence and 6-year trend in the rate of adolescent deliveries; adverse fetal outcomes. Results The overall prevalence of adolescent deliveries was 9.9% (491 of 4941). There was no significant change in the annual prevalence of adolescent deliveries over 6 years ( P trend = .8). Adolescent pregnancies were at higher risk of preterm deliveries (deliveries at gestational age <37 completed weeks; odds ratio [OR], 1.7; 95% confidence interval [CI], 1.3-2.2; P < .01), low birth weight (defined as birth weight <2600 g; OR, 1.8; 95% CI, 1.4-2.3; P < .01), and neonatal asphyxia (OR, 1.4; 95% CI, 1.1-1.7; P < .01). There was no significant difference in the frequency of adverse outcomes between married and single adolescents. Conclusion One of every 10 babies is born from adolescent mothers in the Buea Regional Hospital. Whether these mothers are married or not, their neonates are exposed to higher morbidity. This emphasizes the need for more adolescent-friendly public health policies geared toward reducing the prevalence of this condition to improve the chances of attaining the Millennium Development Goals in Cameroon.</description><subject>Adolescent</subject><subject>Adolescent deliveries</subject><subject>Birth Certificates</subject><subject>Cameroon</subject><subject>Cameroon - epidemiology</subject><subject>Delivery, Obstetric - statistics & numerical data</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Obstetrics and Gynecology</subject><subject>Odds Ratio</subject><subject>Outcome</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Premature Birth - epidemiology</subject><subject>Premature Birth - etiology</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Suburban</subject><subject>Trend</subject><issn>1083-3188</issn><issn>1873-4332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsuO1DAQjBCIXRZ-gAPykcMmuO3ESRBCiobHIo20iF0OnCxjd8DBYw92MtL8Bx-Mo1k4cOBit-zqalVVF8VToBVQEC-matqrbxXLdUWbigLcK86ha3lZc87u55p2vOTQdWfFo5QmSmnbiO5hccZaJljHm_Pi12CCw6TRz-QNOnvAaDER64kiN6iDNyoeyy0e0JGNikiuQtrbWTkSxvywwxiCf0kG8gnnmL9Qz5mDDF65Y7JpRc3fkXyMeFAOvcZLIsovqCK5jejNJVHekMHksQnJ9TLrsMP0uHgwKpfwyd19UXx-9_Z2c1Vur99_2AzbUtcdzKUeeQ8ia-m57lolRgWoAfJJ-6bmwMZ27JWmI2g1MtqoVlAwvWnqtoe2Bn5RPD_x7mP4uWCa5c5mK5xTHsOSJHRMiJ5T2mQoO0F1VpkijnIf7S57I4HKNQ05yTUNuaYhaSNzGrnp2R3_8nWH5m_LH_sz4NUJgFnlwWKUSdvVJWNjdlKaYP_P__qfdu2st1q5H3jENIUl5hyyDpmYpPJm3Yd1HUCsmlrGfwMxZrAI</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Njim, Tsi, MD</creator><creator>Choukem, Simeon-Pierre, MD</creator><creator>Atashili, Julius, MD, PhD</creator><creator>Mbu, Robinson, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes</title><author>Njim, Tsi, MD ; Choukem, Simeon-Pierre, MD ; Atashili, Julius, MD, PhD ; Mbu, Robinson, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-cf391627293c87a6fa1ec11a1e0954312f7f9ac0f1caf205a7601d9d547917413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adolescent deliveries</topic><topic>Birth Certificates</topic><topic>Cameroon</topic><topic>Cameroon - epidemiology</topic><topic>Delivery, Obstetric - statistics & numerical data</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Obstetrics and Gynecology</topic><topic>Odds Ratio</topic><topic>Outcome</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Pregnancy in Adolescence</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Premature Birth - epidemiology</topic><topic>Premature Birth - etiology</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Suburban</topic><topic>Trend</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Njim, Tsi, MD</creatorcontrib><creatorcontrib>Choukem, Simeon-Pierre, MD</creatorcontrib><creatorcontrib>Atashili, Julius, MD, PhD</creatorcontrib><creatorcontrib>Mbu, Robinson, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric & adolescent gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Njim, Tsi, MD</au><au>Choukem, Simeon-Pierre, MD</au><au>Atashili, Julius, MD, PhD</au><au>Mbu, Robinson, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes</atitle><jtitle>Journal of pediatric & adolescent gynecology</jtitle><addtitle>J Pediatr Adolesc Gynecol</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>29</volume><issue>6</issue><spage>632</spage><epage>634</epage><pages>632-634</pages><issn>1083-3188</issn><eissn>1873-4332</eissn><abstract>Abstract Study Objective Adolescents are generally ill-equipped to deal with the burden of a pregnancy. A high prevalence of adolescent pregnancies is among the indicators of limitations toward the achievement of the Millennium Development Goals in most developing countries. We sought to determine the prevalence, 6-year trend, and adverse outcomes of adolescent deliveries. We also tested whether being married decreased the risk of adverse fetal outcomes in these adolescents. Design A 6-year retrospective register analysis. Setting Buea Regional Hospital. Participants Birth records from 2007 to 2012. Interventions None. Main Outcome Measures Prevalence and 6-year trend in the rate of adolescent deliveries; adverse fetal outcomes. Results The overall prevalence of adolescent deliveries was 9.9% (491 of 4941). There was no significant change in the annual prevalence of adolescent deliveries over 6 years ( P trend = .8). Adolescent pregnancies were at higher risk of preterm deliveries (deliveries at gestational age <37 completed weeks; odds ratio [OR], 1.7; 95% confidence interval [CI], 1.3-2.2; P < .01), low birth weight (defined as birth weight <2600 g; OR, 1.8; 95% CI, 1.4-2.3; P < .01), and neonatal asphyxia (OR, 1.4; 95% CI, 1.1-1.7; P < .01). There was no significant difference in the frequency of adverse outcomes between married and single adolescents. Conclusion One of every 10 babies is born from adolescent mothers in the Buea Regional Hospital. Whether these mothers are married or not, their neonates are exposed to higher morbidity. This emphasizes the need for more adolescent-friendly public health policies geared toward reducing the prevalence of this condition to improve the chances of attaining the Millennium Development Goals in Cameroon.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27262835</pmid><doi>10.1016/j.jpag.2016.05.011</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of pediatric & adolescent gynecology, 2016-12, Vol.29 (6), p.632-634 |
| issn | 1083-3188 1873-4332 |
| language | eng |
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| subjects | Adolescent Adolescent deliveries Birth Certificates Cameroon Cameroon - epidemiology Delivery, Obstetric - statistics & numerical data Female Gestational Age Humans Infant, Low Birth Weight Infant, Newborn Obstetrics and Gynecology Odds Ratio Outcome Pediatrics Pregnancy Pregnancy in Adolescence Pregnancy Outcome - epidemiology Premature Birth - epidemiology Premature Birth - etiology Prevalence Retrospective Studies Risk Factors Suburban Trend |
| title | Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes |
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