TITLE:
Delivery Complications of the Single Fat Large Foetus (Macrosomia) with Teenagers at the Obstetrics and Gynaecology Department of the Donka National Hospital, University Teaching Hospital (CHU) of Conakry, Guinea
AUTHORS:
Boubacar Siddi Diallo, Mamadou Hady Diallo, Ousmane Balde, Ibrahima Sylla, Ibrahima Conte, Abdourahmane Diallo, Oumou Hawa Bah, Mouctar Sylla, Ibrahima Sory Balde, Telly Sy, Namory Keita
KEYWORDS:
Teenager, Large Foetus, Complications
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.5,
May
15,
2019
ABSTRACT: Objectives: The objectives of this work were to: 1) Calculate
the delivery frequency of the large foetus with complications to teenagers; 2)
Describe the epidemiological profile of these teenagers; 3) Identify the risk
factors of the large foetus and to establish the maternal prognosis and foetus. Methodology: This was a prospective descriptive 6-month study performed
at the Obstetrics and Gynaecology Department of the Donka National Hospital,
CHU of Conakry, Guinea. We
chose a regular amplitude of one year and we got the following slices: 16 years,
17 years, 18 years. Results: We recorded 14.23%
(801/5629) teenage deliveries of which 9.4% (75/801) deliveries are single fat fetus and 93.3%
(70/75) of them developed complications. The epidemiological profile was that of an 18 years
old teenager (61.4%), single (58.6%), professional (44.3%), out of school
(57.1%), primiparous (68.6%), having performed 3 - 4 CPN (47.1%), coming from
home (65.7%) and carrying a full term pregnancy (100%) and having delivered by
high way medical assistance (52.9%). Risk factors were dominated by the male
foetus (75.7%). Maternal morbidity was dominated by
cervico-perineal tears 28.6%. The recorded maternal mortality was 4.3%. The 3
cases of maternal deaths were caused by the hemorrhage. The APGAR score at the
first minute was in 51.4% between 4 and 6; at the 5th minute in 80%
between 7 and 10. The most common foetal complication was acute foetal distress
44.3%. Foetal lethality was 12.8%. Conclusion: Here, we demonstrated the
teenage pregnancy and macrosomia in this area. We did not show how we can
improve this situation based on the data; however, describing this situation
may be of use as a fundamental data to make a better antenatal checkup and
teenager-education.