Rakotojoelimaria HE1, Rakotoarisoa LA2, Mohamed I2, Rabevazaha NA1, Robinson AL1
- Service de pédiatrie, Centre Hospitalier Universitaire Tsaralalana,
- Service de pédiatrie, Centre Hospitalier Universitaire Joseph Raseta Befelatanana,
- Service de Néonatalogie, Centre Hospitalier Universitaire de Gynécologie Obstétrique de Befelatanana
Auteur correspondant : Rakotojoelimaria HE
Introduction : La grossesse chez les adolescentes est à risque. Elle reste fréquente dans les pays en développement. L’objectif de la présente étude était de déterminer le devenir néonatal à court terme des nouveau-nés issus de mères adolescentes.
Télécharger le détail de la revue: 16. Pronostic à court terme des nouveau-nés de mère adolescente dans une maternité Malgache
Short-term prognosis of neonates born to adolescent mother at a Malagasy maternity
Introduction: Teenage pregnancy is at risk. It remains common in developing countries.The objective of our study was to determine the immediate neonatal fate of newborns from adolescent mothers.
Methods: We conducted a case-control study at CHUGOB, from September 2016 to April 2017, including newborns of adolescent mothers (19 years) and controls, newborns of young adult mothers (19 to 25 years old).The course of pregnancy, delivery and the condition of newborns at birth were evaluated.
Results : We included 114 newborns, 38 were teenage mothers and 76 were young adult mothers. The average age of teenage girls was 17.2 years.The majority of teenage mothers were housewives and had secondary education (55.3%). They had at least 4 antenatal consultations, 65.8% by midwives (p=0.46). Adolescent mothers had more eclampsia (p=0.04), and the threat of premature delivery than the control group, other pathologies during pregnancy were not significant.Delivery in both groups was generally vaginal. Finally, newborns of adolescent mothers are more exposed to prematurity (p=0.005) and hypotrophy (p=0.013). The mortality rate was not significantly different between the two groups.
Conclusion: Prematurity and hypotrophy were the main neonatal complications encountered in neonates of adolescent mothers.
Keywords: teenage, pregnancy, hypotrophy, threat of premature delivery, prematurity.
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