TITLE:
Features and Patterns of Primipara Delivery in a Cameroon Semi-Rural Area: The Case of Ayos Locality
AUTHORS:
Serge Robert Nyada, Cliford E. Ebong, Junie Annick Metogo Ntsama, Michelle Mendoua, Christiane Nsahlai, Véronique Mboua, Pascale Mpono Emenguele, Isidore Tompeen, Etienne Belinga, Cyrile Claude Noa Ndoua
KEYWORDS:
Primipara, Delivery, Complication, Semi-Rural, Cameroon
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.1,
January
30,
2023
ABSTRACT: Introduction: The delivery of a primipara, a woman
giving birth for the first time, is
challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a cross-sectional and analytical study at the maternity of the regional hospital
annex of Ayos, a semi-rural locality in Cameroon, for the period between
January 2012 and December 2020. The objective was to determine the frequency and
the determinants of primipara delivery. Results:
We recruited 440 cases. The frequency of primipara delivery was 31.8%. The ages
of the participants ranged from 12 to 35 years with a mean age of 18.01 ± 3.52
years. Single women contributed to 95.5% of cases while 97.5% were unemployed.
The delivery occurred at term in 90.2% and 98.4% of pregnancies were singleton.
The delivery was vaginal in 91.6%, while caesarean delivery was done in 8.4%
(8% emergency and 0.4% elective). The most frequent maternal complications were
genital tract tears (15.7%), post-partum hemorrhage (12.5%) and endometritis
(2.7%). The birth weight of newborns ranged from 1070 to 4500 g with a
mean of 3024.5 ± 511.4 g. The single marital status, a gestational age between 37 and 42 weeks
and a birth weight between 1500 g and
2499 g were significantly associated with vaginal delivery. Conclusion: The frequency of primiparous delivery was relatively high (31.8%)
in the Ayos semi-rural health district of Cameroon. Major complications
associated with delivery included genital tract tears, post-partum hemorrhage,
cesarean section and neo-natal infection.