%0 Journal Article
%T La Grossesse Chez la C¨¦libataire ¨¤ Niamey (Niger)
%A Charles Vangeenderhuysen
%A Fatimata Laminou Souley
%J African Journal of Reproductive Health
%D 2001
%I Women's Health and Action Research Centre (WHARC)
%X L'objectif de ce travail est de d¨¦crire le profil socio-¨¦conomique de la femme c¨¦libataire enceinte et de pr¨¦ciser l'influence de ce statut sur la grossesse et l'accouchement. Entre avril 1995 et f¨¦vrier 1996, une enqu¨ºte prospective en population ¨¤ Niamey a permis de s¨¦lectionner 181 femmes c¨¦libataires enceintes, que nous avons appari¨¦es avec des femmes mari¨¦es de m¨ºme age, de parit¨¦ identique et r¨¦sidant dans le m¨ºme quartier. Les tests de Mc Nemar et de Wilcoxon ont ¨¦t¨¦ utilis¨¦s. Parall¨¨lement, des entretiens qualitatifs ouverts ont ¨¦t¨¦ men¨¦s avec les patientes et le personnel de sant¨¦. Les c¨¦libataires repr¨¦sentent 6,1% de la population des femmes enceintes. L'age m¨¦dian est de 19 ans, et 72% sont primipares. Elles sont bien int¨¦gr¨¦es dans leur quartier et sont le plus souvent scolaris¨¦es. 24% ont une activit¨¦ professionnelle, mais 31% ne disposent d'aucun revenu. Les c¨¦libataires se pr¨¦sentent moins fr¨¦quemment et plus tardivement ¨¤ la consultation pr¨¦natale que les femmes mari¨¦es. Elles prennent plus rarement un traitement martial pr¨¦ventif. Les modalit¨¦s d'accouchement sont identiques, mais le risque d'accoucher de nouveau-n¨¦s de faible poids de naissance est multipli¨¦ par 2,4. Enfin, la connaissance des m¨¦thodes contraceptives et des lieux de prescription sont identiques, mais les pratiques sont plus fr¨¦quentes chez les c¨¦libataires. (Rev Afr Sant¨¦ Reprod 2001; 5[2]: 98-104) ABSTRACT The objectives of this study are to describe the socio-economic profile of single mothers and to specify the influence of this status on pregnancy and delivery. Between April 1995 and February 1996, a cohort study in Niamey allowed the selection of 181 single mothers, matched by age and parity with married pregnant women living in the same district. We used the McNemar's and Wilcoxon's statistic tests. In parallel, qualitative open interviews were conducted with patients and health care providers. Single mothers represent 6.1% of the study population. The median age was 19 years and 72% were primiparas. They received some level of education, at least primary and were well integrated in their district. Twenty four per cent were employed and 31% had no income. Single mothers' attendance and punctuality at prenatal care centre were not as good as married women and also as their compliance with iron prophylactic treatment. The mode of delivery was identical but the risk of low birthweight infant was 2.4 more frequent in single mothers. Finally, knowledge of contraceptive methods and access to them were indentical, but single mothers used them more frequently than married women. (Afr J Reprod Health 2001; 5[2]: 98-104) KEY WORDS: Grossesse, c¨¦libataire, Niger, soins pr¨¦natals
%U http://www.ajol.info/index.php/ajrh/article/view/7685