Tebeu P M, Kemfang J D, Sandjong D I, Kongnyuy E, Halle G, Doh A S
Ligue d'Initiative et de Recherche Active pour la Santé et l'Education de la Femme (LIRASEF), Cameroon.
Obstet Gynecol Int. 2010;2010. doi: 10.1155/2010/805165. Epub 2010 Jul 27.
Objective. To determine the frequency and the trend of adolescents (10-19 years) in childbirth within a period of 3 years in referral maternity units in Cameroon. Method. Descriptive and retrospective study for a 3-year period (2003-2005) in referral maternity units headed by a qualified Obstetrician-Gynecologist. We analyzed the trend and geographic distribution of 8222 adolescent deliveries over 3 years. Epi Info 3.5 software was used for data analysis. Chi square test for trend was used to assess the contribution of adolescent deliveries over years. The trend was considered significant if P < .05. Results. During the period of the study, there was a total of 8387 deliveries. We excluded 165 women because of lack of information about age. We therefore included a total of 8222 adolescent deliveries. Overall, the contribution of adolescents to deliveries ranged from 6.87% to 26.51%, depending on the region with a national mean of 14.23%. Adolescents aged 16 or less contributed to 2.82% of deliveries while those aged from 17 to 19 contributed to 11.41%. The contribution of adolescents to deliveries decreased significantly over 3 years (P < .0001). Conclusion. The study underscores the importance of Public Health programs in strengthening maternity services for adolescents in Cameroon while taking into consideration geographic differences.
目的。确定喀麦隆转诊产科单位3年内青少年（10至19岁）分娩的频率及趋势。方法。对由合格妇产科医生领导的转诊产科单位进行为期3年（2003 - 2005年）的描述性回顾性研究。我们分析了3年内8222例青少年分娩的趋势及地理分布。使用Epi Info 3.5软件进行数据分析。采用趋势卡方检验评估多年来青少年分娩的贡献。若P <.05，则认为趋势具有显著性。结果。在研究期间，共分娩8387例。因缺乏年龄信息排除165名女性。因此，共纳入8222例青少年分娩。总体而言，青少年分娩的比例在不同地区从6.87%至26.51%不等，全国平均为14.23%。16岁及以下青少年的分娩比例为2.82%，17至19岁青少年的分娩比例为11.41%。3年内青少年分娩的比例显著下降（P <.0001）。结论。该研究强调了公共卫生项目在加强喀麦隆青少年产科服务方面的重要性，同时要考虑地理差异。
