Adolescent obstetric complications at the maternity ward of Ignace Deen National Hospital

Objective:

to highlight the obstetric complications occurring in adolescent girls who gave birth in the department and to identify the factors associated with these complications.

Method:

This was a prospective study of the descriptive and analytical type extending over a period of one year from September 1, 2016 to August 31, 2017 carried out at the Maternity Hospital Ignace Deen National Hospital CHU Conakry. She focused on a continuous series of 1,034 teen births.

Results:

The frequency of teenage delivery was 16.7%. The main complications identified were dystocia, severe pre-eclampsia, eclampsia, retro placental hematoma, placenta previa, uterine rupture, severe anemia, postpartum haemorrhage and puerperal endometritis. These complications concerned teenagers aged 18 to 19, students, Christian, Peaucigest and Peauciparas. Factors associated with these complications were marital status (p = 0.010), gestational status (p = 0.012), number of prenatal consultations (p = 0.001), prenatal visitation site (p = 0.001), reason for admission (p = 0.000) and admission mode (p = 0.000).

Conclusion:

Adolescent birth is common in our context, complications are multiple but are avoidable in the vast majority of cases.

Key words: Obstetric complications, Adolescents, Ignace Deen