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Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal

Received: 25 November 2020    Accepted: 4 December 2020    Published: 16 December 2020
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Abstract

Summary: Early pregnancy is associated with a high risk of maternal and neonatal complications with significant neonatal morbidity and mortality, especially in developing countries. The objective was to assess morbidity and analyze the causes of neonatal mortality linked to these early pregnancies. Methodology: This was a prospective and descriptive study that took place from August 1, 2016 to January 31, 2017 in a hospital in Dakar. Included were newborns born to mothers aged 19 and under who gave birth in the maternity hospital. Results: 209 parturient were collected out of a total of 2073 parturient (10.08%). The average age was 17.59 years. Thinness was noted in 7.3% and overweight in 19%. Pregnancy was poorly followed in 32.1%. The most common obstetric complications were the threat of premature delivery, premature rupture of membranes (PRM), arterial hypertension and preeclampsia. The indications for Caesarean sections were dominated by pelvic abnormalities (28.4%) and PRM (11.4%). The most common neonatal complications were prematurity 39.1%, respiratory distress 12.72%, maternal-fetal infections 12.27% and perinatal asphyxia 8.18%. Mortality was 8.2%. The number of prenatal consultation less than 4 was significantly associated with neonatal deaths. Conclusion: Teenage pregnancy is the source of many complications, especially in newborns. It is necessary to conduct communications campaigns in order to stem them.

Published in American Journal of Pediatrics (Volume 6, Issue 4)
DOI 10.11648/j.ajp.20200604.29
Page(s) 504-507
Creative Commons

This is an Open Access article, 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 or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Adolescent Girl, Pregnancy, Mortality, Neonatal, Senegal

References
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[2] Chen CW, Tsai CY, Sung FC, Lee YY, Lu TH, Li CY, et al. Adverse birth outcomes among pregnancies of teen mothers: age-speci fi c analysis of national data in Taiwan. Child Care Health Dev 2010; 36: 232–40.
[3] Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol 2007; 36: 368–73.
[4] Conde-Agudelo A, Belizan JM, Lammers C. Maternal – perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: cross-sectional study. Am J Obstet Gynecol 2005; 192: 342–9.
[5] de Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. Eur J Obstet Gynecol Reprod Biol 2009; 147: 151–6.
[6] Harrison K, Rossiter C, Chong H. Relations between maternal height, fetal birth weight and cephalopelvic disproportion suggest that young Nigerian primigravidae grow during pregnancy. Br J Obstet Gynaecol 1985; 92 (Suppl. 5): 40–8.
[7] Ganchimeg T, Mori R, Ota E, Koyanagi A, Gilmour S, Shibuya K, et al. Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study. BJOG 2013; 120: 1622–33.
[8] Mukhopadhyay P, Chaudhuri RN, Paul B. Hospital-based perinatal outcomes and complications in teenage pregnancy in India. J Health Popul Nutr 2010; 28: 494–500.
[9] World Health Organization. Pregnant Adolescents: Bringing a Promise of Hope to the World. WHO 2007.28p. ISBN 978 92 4 259378.
[10] Djiba D. Morbidity mortality of newborns to adolescent mothers. Medical thesis. UCAD Senegal; 2013, 104p.
[11] UNICEF. Child survival and development. Unicef Senegal June 2017.www.unicef.org/senegal/french/pdf.
[12] World Health Organization (WHO). WHO Guidelines on Preventing Early Pregnancy and Poor Reproductive Outcome Among Adolescents in Developing Countries. Geneva: WHO; 2011.
[13] Getachew Mullu Kassa, AO Arowojolu, AA Odukogbe and al. Prevalence and determinants of adolescent pregnancy in Africa: a systematic review and Meta-analysis. Reproductive Health (2018) 15: 195.
[14] Rita F. Tamambang, Tsi Njim, Albertine E. Njie, Lawrence Mbuagbaw, Agnès Mafuta, Mesack Tchana and Simeon-Pierre Choukem. Adolescent deliveries in urban Cameroon: a retrospective analysis of the prevalence, 6-year trend and adverse outcomes. BMC Res Notes (2018) 11: 469.
[15] National Agency for Demography and Statistics. Fourth phase / 2016 Demographic and Health Survey (EDS-continuous).
[16] Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. PLoS ONE 14 (6): e0218259. https://doi.org/10.1371/journal.pone.0218259 (2019).
[17] Traoré F. Consequences of Early Pregnancies in Bamako urban areas. Medical thesis. Mali; 2001-2002, 104p.
[18] Fernando Althabe, Janet L Moore, Luz Gibbons and al. Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study. Reproductive Health 2015 12 (Suppl 2): S8.
Cite This Article
  • APA Style

    Modou Gueye, Djibril Boiro, Amadou Sow, Yaay J Dieng, Dieynaba F Cisse, et al. (2020). Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal. American Journal of Pediatrics, 6(4), 504-507. https://doi.org/10.11648/j.ajp.20200604.29

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    ACS Style

    Modou Gueye; Djibril Boiro; Amadou Sow; Yaay J Dieng; Dieynaba F Cisse, et al. Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal. Am. J. Pediatr. 2020, 6(4), 504-507. doi: 10.11648/j.ajp.20200604.29

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    AMA Style

    Modou Gueye, Djibril Boiro, Amadou Sow, Yaay J Dieng, Dieynaba F Cisse, et al. Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal. Am J Pediatr. 2020;6(4):504-507. doi: 10.11648/j.ajp.20200604.29

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  • @article{10.11648/j.ajp.20200604.29,
      author = {Modou Gueye and Djibril Boiro and Amadou Sow and Yaay J Dieng and Dieynaba F Cisse and Aliou Abdoulaye Ndongo and Seynabou Senghor and Papa Moctar Faye and Ousmane Ndiaye},
      title = {Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {4},
      pages = {504-507},
      doi = {10.11648/j.ajp.20200604.29},
      url = {https://doi.org/10.11648/j.ajp.20200604.29},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200604.29},
      abstract = {Summary: Early pregnancy is associated with a high risk of maternal and neonatal complications with significant neonatal morbidity and mortality, especially in developing countries. The objective was to assess morbidity and analyze the causes of neonatal mortality linked to these early pregnancies. Methodology: This was a prospective and descriptive study that took place from August 1, 2016 to January 31, 2017 in a hospital in Dakar. Included were newborns born to mothers aged 19 and under who gave birth in the maternity hospital. Results: 209 parturient were collected out of a total of 2073 parturient (10.08%). The average age was 17.59 years. Thinness was noted in 7.3% and overweight in 19%. Pregnancy was poorly followed in 32.1%. The most common obstetric complications were the threat of premature delivery, premature rupture of membranes (PRM), arterial hypertension and preeclampsia. The indications for Caesarean sections were dominated by pelvic abnormalities (28.4%) and PRM (11.4%). The most common neonatal complications were prematurity 39.1%, respiratory distress 12.72%, maternal-fetal infections 12.27% and perinatal asphyxia 8.18%. Mortality was 8.2%. The number of prenatal consultation less than 4 was significantly associated with neonatal deaths. Conclusion: Teenage pregnancy is the source of many complications, especially in newborns. It is necessary to conduct communications campaigns in order to stem them.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Neonatal Complications of Teenage Pregnancies: Prospective Study About 209 Cases in Senegal
    AU  - Modou Gueye
    AU  - Djibril Boiro
    AU  - Amadou Sow
    AU  - Yaay J Dieng
    AU  - Dieynaba F Cisse
    AU  - Aliou Abdoulaye Ndongo
    AU  - Seynabou Senghor
    AU  - Papa Moctar Faye
    AU  - Ousmane Ndiaye
    Y1  - 2020/12/16
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200604.29
    DO  - 10.11648/j.ajp.20200604.29
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 504
    EP  - 507
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200604.29
    AB  - Summary: Early pregnancy is associated with a high risk of maternal and neonatal complications with significant neonatal morbidity and mortality, especially in developing countries. The objective was to assess morbidity and analyze the causes of neonatal mortality linked to these early pregnancies. Methodology: This was a prospective and descriptive study that took place from August 1, 2016 to January 31, 2017 in a hospital in Dakar. Included were newborns born to mothers aged 19 and under who gave birth in the maternity hospital. Results: 209 parturient were collected out of a total of 2073 parturient (10.08%). The average age was 17.59 years. Thinness was noted in 7.3% and overweight in 19%. Pregnancy was poorly followed in 32.1%. The most common obstetric complications were the threat of premature delivery, premature rupture of membranes (PRM), arterial hypertension and preeclampsia. The indications for Caesarean sections were dominated by pelvic abnormalities (28.4%) and PRM (11.4%). The most common neonatal complications were prematurity 39.1%, respiratory distress 12.72%, maternal-fetal infections 12.27% and perinatal asphyxia 8.18%. Mortality was 8.2%. The number of prenatal consultation less than 4 was significantly associated with neonatal deaths. Conclusion: Teenage pregnancy is the source of many complications, especially in newborns. It is necessary to conduct communications campaigns in order to stem them.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Pediatrics, Cheikh Anta Diop University, Dakar, Senegal

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