Teenage Births In Neisu (D R Congo): Prevalence, Profile, Maternal And Perinatal Prognosis

Research Article
Nadi Aninyesi J, Nobikana S, Likilo Osundja, Juakali SKV, Komanda Land Katenga Bosunga
DOI: 
http://dx.doi.org/10.24327/ijrsr.2019.1005.3494
Subject: 
science
KeyWords: 
Childbirth, adolescence, Neisu, DR Congo.
Abstract: 

Aims: To determine the epidemiological profile of the women who gave birth as well as the fœto-maternal prognosis during teenage delivery in Neisu Hospital (DR Congo). Methods: Analytical and comparative cross-sectional study from 1st January 2016 to 30 June 2018 about 375 cases of childbirth among adolescents and 700 for childbirth in adults (20 to 34 years). Maternal and perinatal data were analyzed on the SPSS 20.0 software. Results: The frequency of teen birth was 34.9 %. Delivery and fetal-maternal prognosis did not differ much from that of adults. The average age of these teenagers was 17.50 ± 1.2 years (13 and 19 years). They were mostly primiparous (79.5%); 74.7% had not totaled at least 4 prenatal consultation. Caesarean section was performed in 29.9% of cases, episiotomy in 43.2% and transfusion in 3.7% of cases. There was 3.2% prematurity ; 26% low weight (with significant difference); 1.6% of Apgar <7 at the 5 th minute and 32 ‰ of perinatal mortality. On the maternal side we found 6.4% of endometritis; 16.1% of parietal infection; 3.7% transfusion and 2.7‰ maternal mortality. Conclusion: The frequency of teen births at Notre Dame de la Consolata Hospital in Neisu is among the highest in Africa. The difference is not significant between the two groups except for the lower birth weight among teenagers. We believe that improving pregnancy monitoring in this category will improve its prognosis.