Adolescent Pregnancy: Maternal and Fetal Outcomes of Deliveries at the University Hospital Center of Libreville in 2019

Objective: The objective of this work was to study the maternal and fetal prognosis of adolescent deliveries at the University Hospital Center of Libreville in 2019. Patients and Method: This was a 12-month cross-sectional retrospective study, from January 1, 2019 to January 1, 2020, concerning adolescents aged 14 to 19 who gave birth at the University Hospital Center of Libreville. The data extracted from the birthing room registers were analyzed with EPI info, version 2010. The significance threshold was set at 5%. Results: Out of 4051 deliveries, 619 (15.3%) concerned adolescents. The average age was 17.7 years. Gabonese represented 90.9% of the cohort and 78.3% were students. The majority of parturients were at their first pregnancy (primigest: 72.5%) and 78.3% were nulliparous. A proportion of 88.7% underwent prenatal follow-up. Home births accounted for 4.4%. Cesarean section was required in 5% of cases, its indications being the limit pelvis (56%), hematoma (16%), hypertension (19%) and acute fetal distress (9%). Conclusion: Teenage pregnancy remains very common in Gabon. Early and regular multidisciplinary care by qualified personnel improves maternal and fetal prognosis.