[Outcome of delivery at extreme ages of reproductive life].
BACKGROUND
Deliveries in adolescents and in elderly are separately known as associated with high foetal and maternal risks. The purpose of this study was to test the hypothesis that the outcome of deliveries might be comparable in these distinct age groups.


METHODS
The deliveries of 99 adolescents aged 16 and under were compared with that of 183 women aged 40 years and above with respect to complications of the delivery and the outcome of pregnancy. Data collection was retrospective using delivery room registers from 01/01/1991 to 31/12/2000.


RESULTS
Some risks were comparable in both groups as delivery by caesarean section, intra uterine growth retardation, and stillbirth. Other risks were significantly higher in teenagers as post-term delivery, premature delivery, and neonatal foetal distress. The risk of macrosomia was significantly higher in aged women.


CONCLUSIONS
There are risks that are similar in both extremes of age. Other risks are higher particularly in teenagers or in aged women. A common prenatal care unit can be used for these two categories of population, but a few different practices will have to be considered according to the specific age group.
Tebeu
P M
PM
Département de Gynécologie-Obstétrique, Hôpitaux Universitaires Yaoundé, CHU. pmtebeu@yahoo.fr
Major
A L
AL
Ludicke
F
F
Obama
M T
MT
Kouam
L
L
Doh
A S
AS
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D008423:Maternal Age; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors