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2018 ; 11
(1
): 427
Nephropedia Template TP
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English Wikipedia
Adolescent deliveries in rural Cameroon: comparison of delivery outcomes between
primipara and multipara adolescents
#MMPMID29970162
Njim T
; Agbor VN
BMC Res Notes
2018[Jul]; 11
(1
): 427
PMID29970162
show ga
OBJECTIVE: Adolescent pregnancies are high risk and deliveries in this age group
are usually associated with adverse outcomes. The perception that multiparous
adolescents have better delivery outcomes than primiparous counterparts is not
uncommon. We sought to determine if multiparous adolescents were precluded from
having adverse delivery outcomes when compared to primiparous adolescents. The
data used for the analysis is a side product from a published project aimed at
mapping the epidemiology of adolescent deliveries in the Oku health district.
RESULTS: From an 8-year (2009-2016) retrospective register analysis of data from
two primary healthcare facilities in the Oku health district-a rural area in
Cameroon, the prevalence of multiparous adolescent deliveries was 21.5% (78/363).
After multivariable analyses, and adjusting for age, sex of baby, gestational
age, marital status and HIV status, primiparous adolescents were more likely to
have low birth weight infants (LBW) (OR: 3.2; 95% CI 1.1, 9.7; p?=?0.04) when
compared with multiparous adolescents. Though primiparous adolescents were more
likely to have LBW infants than multiparous adolescents, this group of
mothers are generally ill-equipped to handle pregnancies and adolescent-friendly
programs are necessary to decrease the associated burden.