TITLE:
Particularities of Pregnancy and Childbirth among Adolescents’ Girls in the University Teaching Hospital Yalgado Ouedraogo (UTH-YO) in Ouagadougou, Burkina Faso
AUTHORS:
Ouattara Adama, Ouédraogo Smaila, Lankoandé Bako Natacha, Tossou Arséne Serge, Tougma Sanou Aline, Sawadogo Yobi Alexis, Millogo Traoré Francoise, Ouédraogo Marie Charlemagne, Ouédraogo Ali, Thieba Bonané Blandine
KEYWORDS:
Teen Pregnancy, UTH-YO, Burkina Faso
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.13,
November
12,
2018
ABSTRACT: Objectives: To study the
particularities of pregnancy and childbirth among adolescent girls at the
University Teaching Hospital Yalgado Ouedraogo (UTH-YO) of Ouagadougou. Patients
and Method: This was a comparative,
descriptive and analytical cross-sectional study conducted over a 6-month
period on 138 adolescent girls and 276 adults who gave birth in the obstetrics
and gynecology department of the University Teaching Hospital Yalgado Ouedraogo
(UTH-YO) in Ouagadougou during the study period from May 1 to October 30, 2017. The statistical analysis had used the Chi square
test and the strength of the association was appreciated by the Odds Ratio
(OR). The significance threshold was set at 5%. Results: Adolescent girls had an average age of 17.04 ± 0.72 years and 64.49% were married. The majority
came from urban areas and was educated. Housewives were more represented with
73.2% and 65.94% of adolescent girls were of low socio-economic status.
Concerning the level of education, 48 (34.7%) were out of school, 57 (41.3%) had
primary level, 32 (23.2%) secondary level and 1 (0.7%) higher level.
Primigravida was the most numerous and only 39 adolescent girls used
a contraceptive method. Malaria (p = 0.0247), preeclampsia (p = 0.0008) and anaemia (p = 0.0002) dominated pathologies during pregnancy in
adolescent girls. The pelvis was borderline in 10.8% of adolescent girls. For
newborns, teenage girls had a lower weight and an Apgar score of less than 7
higher. Perinatal mortality was higher (p = 0.0269). Postpartum outcomes were marked by
complications with endometritis type (p = 0.0315) and higher maternal mortality (p = 0.0049). Conclusion: The teenagers’ pregnancy experience is marked by
high maternal and perinatal morbidity and mortality. The promotion of contraception
among adolescents should help to resolve this unpleasant situation.