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首页> 外文期刊>Reproductive Health >Adolescent deliveries in rural Cameroon: an 8-year trend, prevalence and adverse maternofoetal outcomes
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Adolescent deliveries in rural Cameroon: an 8-year trend, prevalence and adverse maternofoetal outcomes

机译：喀麦隆农村地区的青少年分娩：8年趋势，患病率和不良母胎结局

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Background Adolescent deliveries remain a global public health concern especially in low- and middle-income countries where 95% of these deliveries occur. In Cameroon, adolescent pregnancies have a high disease burden due to their association with adverse pregnancy outcomes. We sought to evaluate the prevalence, trend and adverse maternofoetal outcomes of adolescent deliveries in a rural community in Cameroon. Method We carried out a retrospective register analysis of 1803 singleton deliveries in two health facilities located in the Oku sub-division over an 8-year period (2009 to 2016). We excluded: records without maternal age, babies born before arrival, birthweights less than 1000?g, multiple deliveries and deliveries before 28?weeks gestation. Data analysis was done using Epi info 7.0.8.3. The Fisher’s exact test was used to compare categorical variables, while?the chi-square test for trends was used to determine time trends. P -values below 5% were considered statistically significant. Results The 8-year prevalence of adolescent deliveries was 20.4% (95% CI?=?18.6–22.4) with a significant, downward trend between 2009 and 2016 (P trend?=?0.05). Second-fourth degree perineal tears were more likely to complicate adolescent (Age p p =?0.009) and be asphyxiated at the fifth minute of life (OR?=?3.2; 95% CI?=?1.9–5.5; p p =?0.456), low birthweight (OR?=?2.1; 95% CI?=?0.9–4.7; p =?0.070) and fifth minute neonatal asphyxia (OR?=?0.9; 95% CI?=?0.4–2.0; p =?0.832) as single adolescents and their babies. Conclusion The prevalence of adolescent deliveries in this rural community is high with one of every five babies born to an adolescent mother. Despite the downward trend indicating a decrease in adolescent deliveries, our study demonstrates the need to reinforce and effectively apply existing government-based public health programme to target key indicators of adolescent pregnancy in Cameroon.
机译：背景技术青少年分娩仍然是全球公共卫生关注的问题，尤其是在其中95％发生分娩的中低收入国家中。在喀麦隆，由于怀孕与不良妊娠结局相关，青春期孕妇的疾病负担较高。我们试图评估喀麦隆农村社区青春期分娩的患病率，趋势和不良的结局。方法我们回顾了过去8年（2009年至2016年）在Oku分区的两个医疗机构中1803例单例分娩的登记分析。我们不包括：没有产妇年龄的记录，到达之前出生的婴儿，出生体重小于1000？g，多次分娩以及在妊娠28周之前分娩。数据分析使用Epi info 7.0.8.3完成。 Fisher的精确检验用于比较类别变量，而趋势的卡方检验用于确定时间趋势。低于5％的P值被认为具有统计学意义。结果青春期分娩的8年患病率为20.4％（95％CI？=？18.6-22.4），在2009年至2016年之间有显着的下降趋势（P趋势？=？0.05）。会阴部四分之二的泪液更容易使青春期复杂化（年龄pp = 0.009），并在生命的第五分钟窒息（OR = = 3.2; 95％CI = = 1.9-5.5; pp = = 0.456） ，低出生体重（OR？=？2.1; 95％CI？=？0.9-4.7; p =？0.070）和第五分钟新生儿窒息（OR？=？0.9; 95％CI？=？0.4-2.0; p =？ 0.832）作为单身青少年及其婴儿。结论在这个农村社区中，青春期分娩的患病率很高，其中每五个婴儿中就有一个青春期母亲出生。尽管下降趋势表明青春期分娩减少，但我们的研究表明，有必要加强和有效地应用以政府为基础的现有公共卫生计划，以针对喀麦隆青春期怀孕的关键指标。

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