TITLE:
Cesarean Section Indications and Prognosis in Adolescents Girls at the Mother-Child Pool of the Teaching Hospital of Tengandogo (CHU-T) in Burkina Faso
AUTHORS:
Kain Dantola Paul, Zamané Hyacinthe, Compaoré Ousséni, Adediran Sofiath Nancy, Millogo/Traore Françoise, Ouédraogo Ali, Bonané/Thiéba Blandine
KEYWORDS:
Cesarean Section, Adolescent Girls, Indications, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.12,
December
23,
2021
ABSTRACT: Objective: Conduct a study on cesarean sections in adolescent girls at the mother-child
pool of the CHU-T in order to reduce maternal-fetal morbidity and mortality. Patients
and Methods: This was a descriptive and cross-sectional study with a retrospective data collection method from January 1st,
2018 to December 31st, 2019. Results: The frequency of
caesarean sections in our series was estimated at 59.9% in adolescent girls. 68.7%
of adolescent girls were married, the average age was estimated at 18.3 ± 1 years, primiparous
women were the most represented group with a rate of 88%. Adolescent girls were
housewives in 73.5% of cases, with 37.4% of them living in rural areas. The main indications for cesarean section were: pre-rupture
syndrome (22.9%), fetal distress (19.3%), pre-eclampsia/eclampsia (18.1%)
and bony dystocia (21.6%). The following results derive from the classification
of the cesarean section indications into 2 groups according to one or the other
member of the “mother-child” couple: maternal indications accounted for 57.8% while
fetal adnexal indications were estimated at 36.1%. As for perinatal mortality, it
reached 24.1%. Conclusion: Improving the maternal-fetal prognosis of cesarean section in adolescent girls necessarily requires
the strengthening of pregnancies follow-ups among this population group where
pregnancy is most often unplanned.