Njim Tsi, Tanyitiku Bayee Swiri, Babila Carlson Sama
Health and Human Development (2HD) Research Group, Douala, Littoral region Cameroon.
2Higher Institute of Commerce and Management, University of Bamenda, Bamenda, North west region Cameroon.
Arch Public Health. 2020 May 5;78:24. doi: 10.1186/s13690-020-00406-1. eCollection 2020.
Adolescent deliveries (10-19 years) carry a high risk of adverse outcomes due to the biological and physiological immaturity of these mothers. They pose a significant health burden in Cameroon, as it is reported that a high proportion of women attending delivery services are teenagers. We therefore sought to systematically assess the prevalence of adolescent deliveries in the country and its maternal and neonatal outcomes.
This was a systematic review of literature and a meta-analysis. We searched MEDLINE, CINAHL and Global Health online databases for all studies that reported the proportion of adolescent women who presented for delivery in health facilities in Cameroon. All observational studies published up to 10th July 2019, were included.
A total of 47 articles were identified by the search. After removal of duplicates and screening of the titles and abstracts, 11 eligible studies were retained with ten articles meeting the inclusion criteria. These ten studies finally retained reported on nine different cohorts with a total of 99,653 women. The pooled prevalence of adolescent deliveries from the nine cohorts in Cameroon was 14.4% (95% CI: 10.7-18.6%), the prevalence for early adolescent deliveries was 2.8% (95% CI: 0.4-7.2%), meanwhile that for late adolescent deliveries was 12.5% (95% CI: 6.7-19.8%). The prevalence of adolescent deliveries in urban areas - 13.1% (95% CI: 7.8-19.6%) was similar to that in semi-urban areas- 14.1% (95% CI: 6.7-23.5%). Adolescents were more likely than adults (> 19 years) to have low birth weight babies (OR: 1.8; 95% CI: 1.6, 2.1); babies born with asphyxia (OR: 1.7; 95% CI: 1.3, 2.1); babies born before term (OR: 1.5; 95% CI: 1.1, 1.9) and babies who die in the neonatal period (OR: 2.1; 95% CI: 1.2, 3.8).
The prevalence of adolescent deliveries in Cameroon is high. Implementation of adolescent-friendly policies is necessary to reduce the proportion of adolescents who become pregnant in Cameroon.
青少年分娩（10至19岁）由于这些母亲的生物和生理不成熟，会带来很高的不良后果风险。在喀麦隆，它们构成了重大的健康负担，因为据报道，接受分娩服务的妇女中有很大一部分是青少年。因此，我们试图系统地评估该国青少年分娩的患病率及其孕产妇和新生儿结局。
这是一项文献系统综述和荟萃分析。我们在MEDLINE、CINAHL和全球健康在线数据库中搜索了所有报告喀麦隆青少年妇女在医疗机构分娩比例的研究。纳入了截至2019年7月10日发表的所有观察性研究。
通过搜索共识别出47篇文章。在去除重复项并筛选标题和摘要后，保留了11项符合条件的研究，其中10篇文章符合纳入标准。最终保留的这10项研究报告了9个不同的队列，共有99,653名妇女。喀麦隆9个队列中青少年分娩的合并患病率为14.4%（95%置信区间：10.7 - 18.6%），青春期早期分娩的患病率为2.8%（95%置信区间：0.4 - 7.2%），而青春期晚期分娩的患病率为12.5%（95%置信区间：6.7 - 19.8%）。城市地区青少年分娩的患病率 - 13.1%（95%置信区间：7.8 - 19.6%）与半城市地区 - 14.1%（95%置信区间：6.7 - 23.5%）相似。青少年比成年人（>19岁）更有可能生出低体重儿（比值比：1.8；95%置信区间：1.6，2.1）；出生时窒息的婴儿（比值比：1.7；95%置信区间：1.3，2.1）；早产婴儿（比值比：1.5；95%置信区间：1.1，1.9）和新生儿期死亡的婴儿（比值比：2.1；95%置信区间：1.2，3.8）。
喀麦隆青少年分娩的患病率很高。有必要实施对青少年友好的政策，以降低喀麦隆怀孕青少年的比例。
