It is not always easy for a clinician to give a prognosis on a pregnancy diagnosed in a young woman because this profile has a very high morbidity before, during and after childbirth. The objective of this study is to describe the factors associated with adolescent cesarean delivery. This is a descriptive cross-sectional study with an analytical component over a period of 7 months, from February 2017 to August 2017 in the Kilwa Kasenga and Kashobwe health zones. We collected 332 parturients. The analyses were carried out with SPSS 20.0 software with a significance level p < 0.05 at 95% confidence interval. The overall objective of this study is to contribute to the improvement of knowledge about the factors associated with cesarean section among young women in the Northeast of Upper Katanga. During pregnancy, malaria was the most pathology encountered in 35.08% of cases; mean gestational age at birth was 38 ± 2 week of amenorrhea (WA) with as extreme 25 and 43 (WA); the clinical evaluation 34 women in labor or 10.24% were contracted pelvis and a limited pool in 22.59% of cases. In 26.81% of cases, delivery was made by cesarean section; When modeling, uterine height > 34 cm, the breech and the intake guide (evacuated) were significantly associated with caesarean delivery in adolescents with respective Odds Ratio of 10.11 (CI: 2.46 to 41.40); 10.11 (CI: ？37.59 - 2.71) and 21.21 (CI: 5.43 - 82.79), and exposed teenage respectively 10.11; 10.11 and 21.21 times the caesarean sections. Adolescent birth is a serious morbidity; it must attract the attention of the clinician in a teenager referred with a significant uterine fundus, a pathological assessment of the pelvis.
Cite this paper
Kiopin, P. M. , Mjumbe, C. K. , Idi, I. , Herman, T. , Ntambwe, A. M. and Zambeze, K. S. (2020). Factors Associated with Cesarean Birth among Infants in the North-East Haut Katanga/DR Congo. Open Access Library Journal, 7, e6725. doi: http://dx.doi.org/10.4236/oalib.1106725.
Alouini, S., Randriambololona, D. and Randriamboavonjy, R. (2015) Risk Factors of Pregnancy, Childbirth and Postpartum Adolescence in the Loiret Department. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 44, 443-450.
Gallardo-Lizarazo, H.R., Guerrero-Romero, I.S., Ni？o-Gonzalez, J.E. and Villaveces-Franco, M. (2015) Maternity in Adolescents and Its Association with Caesarean Labor. Revista Ciencia y Cuidado, 12, 11-25. https://doi.org/10.22463/17949831.506
Malabarey, O.T., Balayla, J. and Abenhaim, H.A. (2012) The Effect of Pelvic Size on Cesarean Delivery Rates: Using Teenager Maternal Age as an Unbiased Proxy for Pelvic Size. Journal of Pediatric & Adolescent Gynecology, 25, 190-194.
Wemaux-Denis, C., Garabedian, C., Huc, A., Cailleret, O., Depoortere, M.-H., Hammou, Y., et al. (2017) Pregnancy and Delivery of the Adolescent: Is the Obstetric Prognosis More Unfavorable between 13 and 15 Years? Gynécologie Obstétrique Fertilité & Sénologie, 45, 5-8. https://doi.org/10.1016/j.gofs.2016.12.007
Zeteroglu, S., Sahin, I. and Gol, K. (2005) Cesarean Delivery Rates in Adolescent Pregnancy. The European Journal of Contraception & Reproductive Health Care, 10, 119-122. https://doi.org/10.1080/13625180500131600
Bacci, A., Manhica, G.M., Machungo, F., Bugalho, A. and Cuttini, M. (1993) Outcome of Adolescent Pregnancy in Maputo, Mozambique. International Journal of Gynecology & Obstetrics, 40, 19-23. https://doi.org/10.1016/0020-7292(93)90767-Q
Ersoy, A.O., Ozler, S., Oztas, E., Ersoy, E., Kirbas, A. and Danisman, N. (2016) The Association between Placenta Previa and Leukocyte and Platelet Indices—A Case Control Study. Ginekologia Polska, 87, 367-371.
Kearney, M.S. and Levine, P.B. (2007) Socioeconomic Disadvantage and Early Childbearing [Internet]. National Bureau of Economic Research, Report No.: 13436.
Koba Mjumbe, C., Kasongo Omba, I., Kabyla Ilunga, B. and Luboya Nuymbi, O. (2020) Problem of the Management of Haemorrhagic Fevers: Experience of Ebola Virus Disease in the Province of North Kivu and Ituri (DR Congo) and the Importance of Early Diagnosis. Open Access Library Journal, 7, 1-4.
East, P.L., Reyes, B.T. and Horn, E.J. (2007) Association between Adolescent Pregnancy and Family History of Teenage Births. Perspectives on Sexual and Reproductive Health, 39, 108-115. https://doi.org/10.1363/3910807
Otterblad Olausson, P.M., Cnattingius, S. and Goldenberg, R.L. (1997) Determinants of Poor Pregnancy among Teenagers in Sweden. Obstetrics & Gynecology, 89, 451-457. https://doi.org/10.1097/00006250-199703000-00027