Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area: The Case of Ayos Locality ()
Author(s)
Serge Robert Nyada1,2*,
Cliford E. Ebong1,3,
Junie Annick Metogo Ntsama1,2,
Michelle Mendoua2,
Christiane Nsahlai2,
Véronique Mboua2,4,
Pascale Mpono Emenguele1,5,
Isidore Tompeen2,6,
Etienne Belinga1,2,
Cyrile Claude Noa Ndoua1,2
Affiliation(s)
1Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine Paul et Chantal Biya (CHRACERH), Yaoundé, Cameroon.
2Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
3The Central Hospital of Yaoundé, Yaoundé, Cameroon.
4University Teaching Hospital of Yaoundé, Yaoundé, Cameroon.
5Faculty of Health Sciences, University of Buea, Buea, Cameroon.
6Gynaeco-Obstetric and Pediatric Hospital of Yaoundé, Yaoundé, Cameroon.
ABSTRACT
Introduction: The delivery of a primipara, a woman
giving birth for the first time, is
challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a cross-sectional and analytical study at the maternity of the regional hospital
annex of Ayos, a semi-rural locality in Cameroon, for the period between
January 2012 and December 2020. The objective was to determine the frequency and
the determinants of primipara delivery. Results:
We recruited 440 cases. The frequency of primipara delivery was 31.8%. The ages
of the participants ranged from 12 to 35 years with a mean age of 18.01 ± 3.52
years. Single women contributed to 95.5% of cases while 97.5% were unemployed.
The delivery occurred at term in 90.2% and 98.4% of pregnancies were singleton.
The delivery was vaginal in 91.6%, while caesarean delivery was done in 8.4%
(8% emergency and 0.4% elective). The most frequent maternal complications were
genital tract tears (15.7%), post-partum hemorrhage (12.5%) and endometritis
(2.7%). The birth weight of newborns ranged from 1070 to 4500 g with a
mean of 3024.5 ± 511.4 g. The single marital status, a gestational age between 37 and 42 weeks
and a birth weight between 1500 g and
2499 g were significantly associated with vaginal delivery. Conclusion: The frequency of primiparous delivery was relatively high (31.8%)
in the Ayos semi-rural health district of Cameroon. Major complications
associated with delivery included genital tract tears, post-partum hemorrhage,
cesarean section and neo-natal infection.
Share and Cite:
Nyada, S. , Ebong, C. , Ntsama, J. , Mendoua, M. , Nsahlai, C. , Mboua, V. , Emenguele, P. , Tompeen, I. , Belinga, E. and Ndoua, C. (2023) Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area: The Case of Ayos Locality.
Open Journal of Obstetrics and Gynecology,
13, 64-73. doi:
10.4236/ojog.2023.131007.
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