TITLE:
Emergency Caesarean Section in Adolescent Girls at the Referral Health Center in Commune I
AUTHORS:
Alassane Traore, Mamadou B. Coulibaly, Soumana O. Traore, Modibo D. Soumare, Seydou Fane, Bourama Kane, Mamadou Sima, Saliou A. Traore, Seydina A. Beye, Yacouba L. Diallo, Youssouf Traore
KEYWORDS:
Adolescent, Cesarean, Emergency, Mortality
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.2,
February
25,
2020
ABSTRACT: Teenage pregnancy is common in Mali due to the high rate of unwanted pregnancies and early marriages. The general objective of this study was to study emergency cesarean delivery in adolescent girls at the referral health center (RHC) in commune I of the district of Bamako. It was a descriptive study with prospective data collection from January 1 to December 31, 2018. Any adolescent girls in whom an emergency caesarean section was performed were included. The data were entered and analyzed on SPSS 20.3. Results: we have collected 616 adolescent parturients, 202 caesareans were performed in emergency, with a frequency of 32.8%. The average age was 17 with the extremes of 13 and 19. Early marriage was found out in 95.5% of our patients, 40 adolescent girls were primiparous (20%), 4 of whom had an inter-reproductive interval of less than a year. The main indications for cesarean section were fetal distress in 71 cases (35%), fetal-pelvic disproportion, scar uterus in the border pelvis (11% each), breech presentation in 15 cases (7%). Anemia (10.4%) was the main complication, followed by vascular pedicle attack (5.94%), infection of the operating site (1.5%) and a bladder wound (0.99%). Fetal mortality was 1.4% and neonatal 3.8%.Conclusion:the association between adolescence and caesarean section in emergency constitutes risk factors which increase maternal and neonatal morbidity and mortality. Fighting these factors improves the survival of the mother and the newborn.