Author(s)

Soumana Oumar Traoré^1,2*, Cheickna Sylla³, Alou Samaké⁴, Saleck Doumbia², Saudatou Tall², Ibrahima Tegueté^1,5, Youssouf Traoré^1,5, Niani Mounkoro^1,5, Mamadou Traoré^1,2, Amadou I. Dolo^1,3

¹Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali.
²Gynecology-Obstetrics Department, Reference Health Centre of Commune V, Bamako, Mali.
³Department of Gynecology-Obstetrics, Koutiala Reference Center, Sikasso, Mali.
⁴Department of Gynecology-Obstetrics, Reference Health Centre of Commune VI, Bamako, Mali.
⁵Department of Gynecology and Obstetrics, Gabriel Touré University Hospital, Bamako, Mali.

Objective: To describe the epidemiological aspects, clinical characteristics, aspects of childbirth and to determine the maternal and perinatal prognosis during the delivery of adolescent girls at the reference health centre of commune VI of the district of Bamako in Mali. Materials and Methods: This was a descriptive, cross-sectional, analytical case-control study from January 1 to December 31, 2018, or 12 months with prospective data collection. Results: During the study period from January 01 to December 31, 2018, we recorded 1768 teenage deliveries out of a total of 9012 deliveries, a frequency of 19.61%. The average age of the cases was 17.4 ± 1 years. Single adolescent girls accounted for 14.67% (OR = 3.05, P = 0.001) unintended pregnancies (11.67% vs. 2.3%; P = 0.000007; OR = 5.52), the non-completion of the antenatal consultation (14.67% vs. 5.33%; P = 0.0001; preterm births (14.33% vs. 7.67%); P = 0.01; OR = 2.5), anaemia (7.33% vs. 3%; P = 0.009; OR = 2.01), instrumental extractions (P = 0.00008, OR = 2.87), perineal tears (P = 0.0016; OR = 3.05), mechanical dystocies (P = 0.0039); low birth weights (P = 0.039; OR = 2.2) were found to be significantly higher in adolescent girls than adults. Conclusion: Teenage versus adult births are associated with many more maternal-fetal complications.

Childbirth, Teenage Girls, Maternal-Fetal Prognosis

Traoré, S. , Sylla, C. , Samaké, A. , Doumbia, S. , Tall, S. , Tegueté, I. , Traoré, Y. , Mounkoro, N. , Traoré, M. and Dolo, A. (2020) Epidemio-Clinical Approach and Prognosis of Teenage Delivery in the Commune VI Du District of Bamako in Mali. Open Journal of Obstetrics and Gynecology, 10, 1492-1512. doi: 10.4236/ojog.2020.10100136.