Author(s)

Bruno Kenfack^1*, Clovis-Achille Tanekeu², Atem Bethel Ajong³, Zabdielle Blonde Goufack Kenfack⁴, Patrick Petignat⁵, Pierre Marie Tebeu⁶

¹Department of Gynecology and Obstetrics, Faculty of Medicine and Pharmaceutical Science, University of Dschang, Dschang, Camer-on.
²Institur Supérieur des Sciences de la Santé, Université des Montagnes, Bangangté, Cameroon.
³Kekem MD, District Hospital, West Region, Cameroon.
⁴Department of Epidemiology and Public Health, Faculty of Medicine and Pharmaceutical Science, University of Dschang, Dschang, Cameron.
⁵Geneva University Hospitals, Genevas, Switzerland.
⁶Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon.

Objective: In Cameroon, more than 80% of women suffering from cervical intraepithelial neoplasia (CIN) are within the reproductive age. This study intended to analyze the pregnancy outcomes following cervical treatment in Cameroon. Methods: This was a cohort study with two years retrospective data collection involving 82 women who underwent cervical treatment for CIN in two Cameroonian hospitals from January 2015 to December 2017. Data were collected from CIN treatment to end of pregnancy where applicable. Data analysis was done using Epi Info software version 3.5.4. Results: We collected data from 82 patients aged 27 to 48 years, with a mean age of 36.5 (SD: 5.3) years. During the study period, 33 out of 82 participants became pregnant 40.2 [29.56 - 51.66]%. The factor associated with pregnancy occurrence after treatment was age less than 35 years (Odds ratio = 4.37 [1.7 - 11.2]. From the 33 pregnancies recorded, 17 (51.5%) ended in a delivery, amongst which 15 (88.2%) were vaginal. Conclusion: Pregnancy frequency over two years following cervical treatment for CIN was relatively good, and younger women (age < 35 years) were significantly more like to have conceived compared to their older counterparts. Post-treatment delivery outcomes seem to be similar to those in the general population.

Cervical Intraepithelial Neoplasia, Cervical Treatment, Pregnancy Outcome

Kenfack, B. , Tanekeu, C. , Ajong, A. , Kenfack, Z. , Petignat, P. and Tebeu, P. (2024) Pregnancy and Obstetrical Outcomes Following Treatment for Cervical Intra-Epithelial Neoplasia (CIN) in Two Hospitals of a Low-Resource Country. Advances in Reproductive Sciences, 12, 51-59. doi: 10.4236/arsci.2024.121005.