PDF(Pubmed)
Abstract：
BACKGROUND: Many female teenagers in low-resource settings conceive, of which half are unplanned and end in many deaths in sub-Saharan Africa, accounting for the majority of the cases. Teenage pregnancy is associated sometimes with poor maternal, newborn, and child deaths.
OBJECTIVE: The aim of the study was to determine the prevalence, maternal obstetric outcomes, and factors associated with poor maternal obstetric outcomes among teenage mothers delivering at Mbarara Regional Referral Hospital.
METHODS: This was a cross-sectional study carried out in a maternity ward at Mbarara Regional Referral Hospital, where 9,200 mothers deliver annually. All the women coming in for the delivery of their babies were consecutively approached for inclusion in the study. The women were enrolled in the post-delivery ward after delivery and interviewed with pretested questionnaires to capture the sociodemographic, obstetric, and medical profiles of the mothers. Factors were significant if the p-value was <0.05. Results: Out of the 327 participants, the majority were rural dwellers (68.5%), married (75.8%), attained primary education (69.4%), had not used contraception (89%), and had had a planned pregnancy (63.3%). The prevalence of adverse maternal obstetrical events was 59.9%. The HIV-positive rate was 4.9%, and about half of the participants had delivered by cesarean section (41.6%). The participants\' mean age was 18.4 years and SD 1.1. The mean number of antenatal care contacts attended was 4.59 and SD 1.9. The adverse maternal outcomes included episiotomy (30.9%), perineal tear (18.7%), premature rupture of membranes (10.1%), placenta abruption (5.2%), and pre-eclampsia/eclampsia (4%). Having a cesarean delivery was found to significantly reduce the occurrence of adverse maternal obstetric events among the participants by 97% (adjusted odds ratio (aOR) (95% CI) of 0.03 (0.02-0.06), p-value<0.001). Having a prior history of a miscarriage was significantly associated with the occurrence of adverse maternal obstetrical events among the participants (aOR (95% CI) of 6.55 (1.46-29.42), p-value0.014).
CONCLUSIONS: Slightly more than half of the teenage mothers had adverse maternal obstetrical outcomes, and a history of a miscarriage in previous pregnancies was significantly associated with adverse maternal obstetrical outcomes. Having a cesarean delivery was found to significantly reduce the occurrence of adverse maternal obstetric events among the participants. Teenage mothers are at a high risk of adverse maternal obstetrical outcomes, and close antepartum and intrapartum surveillance is recommended.
OBJECTIVE: The aim of the study was to determine the prevalence, maternal obstetric outcomes, and factors associated with poor maternal obstetric outcomes among teenage mothers delivering at Mbarara Regional Referral Hospital.
METHODS: This was a cross-sectional study carried out in a maternity ward at Mbarara Regional Referral Hospital, where 9,200 mothers deliver annually. All the women coming in for the delivery of their babies were consecutively approached for inclusion in the study. The women were enrolled in the post-delivery ward after delivery and interviewed with pretested questionnaires to capture the sociodemographic, obstetric, and medical profiles of the mothers. Factors were significant if the p-value was <0.05. Results: Out of the 327 participants, the majority were rural dwellers (68.5%), married (75.8%), attained primary education (69.4%), had not used contraception (89%), and had had a planned pregnancy (63.3%). The prevalence of adverse maternal obstetrical events was 59.9%. The HIV-positive rate was 4.9%, and about half of the participants had delivered by cesarean section (41.6%). The participants\' mean age was 18.4 years and SD 1.1. The mean number of antenatal care contacts attended was 4.59 and SD 1.9. The adverse maternal outcomes included episiotomy (30.9%), perineal tear (18.7%), premature rupture of membranes (10.1%), placenta abruption (5.2%), and pre-eclampsia/eclampsia (4%). Having a cesarean delivery was found to significantly reduce the occurrence of adverse maternal obstetric events among the participants by 97% (adjusted odds ratio (aOR) (95% CI) of 0.03 (0.02-0.06), p-value<0.001). Having a prior history of a miscarriage was significantly associated with the occurrence of adverse maternal obstetrical events among the participants (aOR (95% CI) of 6.55 (1.46-29.42), p-value0.014).
CONCLUSIONS: Slightly more than half of the teenage mothers had adverse maternal obstetrical outcomes, and a history of a miscarriage in previous pregnancies was significantly associated with adverse maternal obstetrical outcomes. Having a cesarean delivery was found to significantly reduce the occurrence of adverse maternal obstetric events among the participants. Teenage mothers are at a high risk of adverse maternal obstetrical outcomes, and close antepartum and intrapartum surveillance is recommended.
摘要：
背景：许多处于低资源环境的女性青少年怀孕，其中一半是计划外的，在撒哈拉以南非洲结束了许多死亡，占大多数情况。少女怀孕有时与不良的母亲有关，新生,和儿童死亡。
目的：本研究的目的是确定患病率，产妇产科结果，以及在Mbarara地区转诊医院分娩的少女母亲中与不良产妇产科结局相关的因素。
方法：这是一项在姆巴拉拉地区转诊医院的产科病房进行的横断面研究，每年有9200名母亲分娩。所有来分娩婴儿的妇女都被连续接触以纳入研究。妇女在分娩后进入分娩后病房，并接受预先测试的问卷进行访谈，以获取社会人口统计学信息。产科,和母亲的医疗资料。如果p值<0.05,则因素是显著的。结果：在327名参与者中，大多数是农村居民(68.5%)，已婚（75.8%），已达到初等教育水平(69.4%)，没有使用过避孕（89%），并曾计划怀孕(63.3%)。孕产妇产科不良事件发生率为59.9%。HIV阳性率为4.9%,约一半的参与者通过剖宫产分娩(41.6%).参与者的平均年龄为18.4岁，SD为1.1。参加产前护理接触者的平均人数为4.59和SD1.9。不良产妇结局包括会阴切开术（30.9%），会阴撕裂（18.7%），胎膜早破(10.1%),胎盘早剥(5.2%),和先兆子痫/子痫（4％）。发现剖宫产可使参与者中不良产妇产科事件的发生率显着降低97％（调整后的优势比（aOR）（95％CI）为0.03（0.02-0.06），p值<0.001)。既往有流产史与参与者中不良孕产妇产科事件的发生显着相关（aOR（95％CI）为6.55（1.46-29.42），p值0.014）。
结论：略多于一半的少女母亲有不良的产妇产科结局，既往妊娠流产史与不良产妇产科结局显著相关.发现剖宫产可以显着减少参与者中不良产妇产科事件的发生。十几岁的母亲在不良产妇产科结局的高风险，建议密切产前和产时监测。
目的：本研究的目的是确定患病率，产妇产科结果，以及在Mbarara地区转诊医院分娩的少女母亲中与不良产妇产科结局相关的因素。
方法：这是一项在姆巴拉拉地区转诊医院的产科病房进行的横断面研究，每年有9200名母亲分娩。所有来分娩婴儿的妇女都被连续接触以纳入研究。妇女在分娩后进入分娩后病房，并接受预先测试的问卷进行访谈，以获取社会人口统计学信息。产科,和母亲的医疗资料。如果p值<0.05,则因素是显著的。结果：在327名参与者中，大多数是农村居民(68.5%)，已婚（75.8%），已达到初等教育水平(69.4%)，没有使用过避孕（89%），并曾计划怀孕(63.3%)。孕产妇产科不良事件发生率为59.9%。HIV阳性率为4.9%,约一半的参与者通过剖宫产分娩(41.6%).参与者的平均年龄为18.4岁，SD为1.1。参加产前护理接触者的平均人数为4.59和SD1.9。不良产妇结局包括会阴切开术（30.9%），会阴撕裂（18.7%），胎膜早破(10.1%),胎盘早剥(5.2%),和先兆子痫/子痫（4％）。发现剖宫产可使参与者中不良产妇产科事件的发生率显着降低97％（调整后的优势比（aOR）（95％CI）为0.03（0.02-0.06），p值<0.001)。既往有流产史与参与者中不良孕产妇产科事件的发生显着相关（aOR（95％CI）为6.55（1.46-29.42），p值0.014）。
结论：略多于一半的少女母亲有不良的产妇产科结局，既往妊娠流产史与不良产妇产科结局显著相关.发现剖宫产可以显着减少参与者中不良产妇产科事件的发生。十几岁的母亲在不良产妇产科结局的高风险，建议密切产前和产时监测。
