Adolescent Childbirth at Gao Hospital in Mali

Abstract

The aim was to assess the prevalence and maternal and perinatal prognosis of adolescent childbirth at the Gao Hospital. Materials and methods: This was a prospective and cross-sectional study from January 1, 2020 to December 31, 2020. Results: we recorded 655 cases out of 3010 deliveries, i.e. a prevalence of around 21.7% with an average age of 17.39 years. The majority of them were married (92.5%), and the pregnancy was not followed in 33.3% of cases. On admission for delivery, they had anaemia (19%), high blood pressure (2.6%), pre-eclampsia (1.2%) and even eclampsia (4.5%). Prematurity accounted for 10.1%. Deliveries were conducted vaginally (84%). The main indications for caesarean sections were immature pelvis (32.3%) and eclampsia (26.6%). Complications were soft tissue tears (5%), postpartum hemorrhage (2.74%). The maternal mortality rate was two cases out of a total of 655 and the stillbirth rate was 5.6%.