Management of Pregnancy and Childbirth among Adolescents at the Regional University Teaching Hospital of Parakou
- Corresponding Author:
- Obossou AAA
Mother & Child Department
Faculty of Medicine
University of Parakou
Republic of Benin, Benin
E-mail: [email protected]
Received date: August 21, 2015; Accepted date: October 17, 2015; Published date: October 28, 2015
Citation: Obossou AAA, Aguemon TC, Bib H, Salifou K, Sidi IR et al. (2015) Management of Pregnancy and Childbirth among Adolescents at the Regional University Teaching Hospital of Parakou. Clinics Mother Child Health 12:198. doi:10.4172/2090-7214.1000198
Copyright: © Obossou et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: Investigation on the management of childbirth among adolescents at the CHD-U of Parakou (Benin).
Patients and study method: It was a cross-sectional study with descriptive purpose carried out during the period from March 1 to August 31, 2014. Its target consisted of 110 primiparous adolescents aged 14-19 years. The study was conducted in the gynecology and obstetrics unit of the Regional University Teaching Hospital of Borgou/Alibori in Parakou.
Results: Childbirth prevalence among female adolescents was 12.7%. The mean age of those adolescents was 17.7 ± 1.4 years. The adolescent mothers with student status dominated with 33.6%, 56.4% were married, 32.7% were not educated. 72.7% of them had a low socioeconomic status. 60.0% of the cases did not benefit from a lack of pregnancy monitoring or the latter was of poor quality among them. Dystocia were the diagnosis most encountered on admission. Vaginal delivery was dominant with 60.9% of the cases but about seven out of ten of those childbirths needed an episiotomy (67.2%). One childbirth out of ten (10.5%) got complicated by a perineal tear. Stillbirth rate was 8.2% and newborns had on average a good APGAR score at birth. Thirty-five (35) newborns i.e., 32.7% had a weight below 2500 g. Among the reasons for transfers to the neonatology division the leading ones are low birth weight (LBW), immediate neonatal distress and existence of pathologies during pregnancy.
Conclusion: Among the adolescents in Parakou, pregnancy is a common reality and seems to be characterized by high risk.