Ndip Ndip Esther, Theophile Nana Njamen, Ukah Chrisantus Eweh, Ngu Claudia Ngeha, Feguem Mirabelle Pandong, Wefuan Randolf Fuanghene, Yunika Larissa Kumenyuy, Dang Syveline Zuh, Thomas Egbe Obinchemti
Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, P.O. Box 12, Buea, Cameroon.
Department of Obstetrics and Gynecology, Faculty of Health Sciences, University of Buea, P.O. Box 12, Buea, Cameroon.
Pan Afr Med J. 2025 May 7;51:5. doi: 10.11604/pamj.2025.51.5.43080. eCollection 2025.
INTRODUCTION: teenage pregnancy constitutes a serious health and social problem worldwide. World estimates report about 16 million births to adolescent mothers, most of them occurring in low and middle-income countries often accompanied with adverse outcomes. Cameroon's adolescent fertility rate of 138 births per 1000 women aged < 19 is the highest in Central Africa. This study aimed to determine the prevalence and determinants of adverse teenage pregnancy outcomes among adolescents in the Limbe Health District. METHODS: cross-sectional study was conducted among 220 participants from November 2022 to May 2023. A multistage sampling technique was used to recruit participants. Descriptive statistics and logistic regression were used to summarize the data and identify factors associated with adverse teenage pregnancy outcomes respectively. Statistical significance was set at p<0.05. RESULTS: the findings showed that the prevalence of adverse teenage pregnancy outcomes was 34.8%, with caesarean delivery (20.9%), preterm delivery (12.7%), low birth weight (19.5%), and neonatal mortality (9.1%) being the main adverse outcomes of teenage pregnancy. The determinates of caesarean delivery were drug use (AOR= 5.02, 95% CI: 1.98-12.71), premature delivery (AOR= 13.19, 95% CI: 2,25-77.25), and physical exercise (AOR= 0.16, 95% CI: 0.06-0.45), for premature delivery were age group 17-19 years (AOR= 0.20, 95% CI: 0.07-0.60) and smoking (AOR= 6.93, 95% CI: 1.57-30.60), for low birth weight, were age group (AOR= 0.17, 95% CI: 0.08-0.39), delivered prematurely (AOR= 2.46, 95% CI: 1.11-5.43), and followed medical prescription (AOR= 0.21, 95% CI: 0.09-0.46) and finally for neonatal mortality were residence (AOR= 0.32, 95% CI: 0.16-0.67) and those who were properly fed (AOR= 6.61, 95% CI: 1.26-34.69). CONCLUSION: there is a high prevalence of adverse pregnancy outcomes among teenage mothers in the Limbe Health District. Awareness on pregnancy prevention needs to be raised among this population in order to reduce the burden of teenage pregnancy and its associated consequences on both the mother and the child.
引言：青少年怀孕是一个全球性的严重健康和社会问题。据世界估计，每年约有1600万青少年母亲生育，其中大多数发生在低收入和中等收入国家，往往伴随着不良后果。喀麦隆19岁以下女性的青少年生育率为每1000人中有138例分娩，是中非地区最高的。本研究旨在确定林贝健康区青少年不良妊娠结局的患病率及其决定因素。 方法：2022年11月至2023年5月，对220名参与者进行了横断面研究。采用多阶段抽样技术招募参与者。分别使用描述性统计和逻辑回归来汇总数据并确定与青少年不良妊娠结局相关的因素。统计学显著性设定为p<0.05。 结果：研究结果表明，青少年不良妊娠结局的患病率为34.8%，剖宫产（20.9%）、早产（12.7%）、低出生体重（19.5%）和新生儿死亡率（9.1%）是青少年妊娠的主要不良结局。剖宫产的决定因素是药物使用（比值比=5.02，95%置信区间：1.98-12.71）、早产（比值比=13.19，95%置信区间：2.25-77.25）和体育锻炼（比值比=0.16，95%置信区间：0.06-0.45）；早产的决定因素是17-19岁年龄组（比值比=0.20，95%置信区间：0.07-0.60）和吸烟（比值比=6.93，95%置信区间：1.57-30.60）；低出生体重的决定因素是年龄组（比值比=0.17，95%置信区间：0.08-0.39）、早产（比值比=2.46，95%置信区间：1.11-5.43）以及遵循医嘱（比值比=0.21，95%置信区间：0.
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