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[The adolescent manages fertility badly. Uncertainty and pursuit of self in a society in transition].

Identifieur interne : 002068 ( Main/Exploration ); précédent : 002067; suivant : 002069

[The adolescent manages fertility badly. Uncertainty and pursuit of self in a society in transition].

Auteurs : F. Diadhiou

Source :

RBID : pubmed:12346447

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English descriptors


PubMed: 12346447


Affiliations:


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Le document en format XML

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<term>Adolescent (MeSH)</term>
<term>Africa (MeSH)</term>
<term>Africa South of the Sahara (MeSH)</term>
<term>Africa, Northern (MeSH)</term>
<term>Africa, Western (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Behavior (MeSH)</term>
<term>Contraception (MeSH)</term>
<term>Delivery of Health Care (MeSH)</term>
<term>Demography (MeSH)</term>
<term>Developing Countries (MeSH)</term>
<term>Disease (MeSH)</term>
<term>Evaluation Studies as Topic (MeSH)</term>
<term>Family Planning Services (MeSH)</term>
<term>Fertility (MeSH)</term>
<term>Health (MeSH)</term>
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<term>Infertility (MeSH)</term>
<term>Maternal Health Services (MeSH)</term>
<term>Maternal-Child Health Centers (MeSH)</term>
<term>Personality (MeSH)</term>
<term>Population (MeSH)</term>
<term>Population Characteristics (MeSH)</term>
<term>Population Dynamics (MeSH)</term>
<term>Pregnancy Complications (MeSH)</term>
<term>Pregnancy in Adolescence (MeSH)</term>
<term>Prenatal Care (MeSH)</term>
<term>Primary Health Care (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Afrique (MeSH)</term>
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<term>Afrique subsaharienne (MeSH)</term>
<term>Caractéristiques de la population (MeSH)</term>
<term>Centres de protection maternelle et infantile (MeSH)</term>
<term>Complications de la grossesse (MeSH)</term>
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<term>Comportement sexuel (MeSH)</term>
<term>Contraception (MeSH)</term>
<term>Dynamique des populations (MeSH)</term>
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<term>Facteurs âges (MeSH)</term>
<term>Fécondité (MeSH)</term>
<term>Grossesse de l'adolescente (MeSH)</term>
<term>Infertilité (MeSH)</term>
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<term>Pays en voie de développement (MeSH)</term>
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<term>Sénégal (MeSH)</term>
<term>Études d'évaluation comme sujet (MeSH)</term>
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<term>Africa South of the Sahara</term>
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<term>Senegal</term>
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<AbstractText>In Senegal, adolescents live in a socioeconomic climate that is between traditional society with its well-structured rites and customs and an extroverted modern society. They are often plunged into uncertainty and into a search of themselves. With a weak and not-yet-determined personality, sexuality erupts into their life experience. In Senegal, adolescent fertility, once encouraged by tradition, has become a social phenomenon which challenges all those interested in problems of youth. Major risks throughout the pregnancy and the puerperium confront adolescents. Complications may include grave vomiting, preeclampsia, hypertension and hemorrhaging, and more severe malaria than normal due to pregnancy. 12.9% of adolescent pregnancies end in miscarriage, 5.8% in premature births. Low birth weight and fetal death are also risk factors of adolescent pregnancy. Incomplete physical development exacerbates childbirth among adolescents, often leading to cesarean section, infection, and hemorrhaging. A combination of several risks appearing unexpectedly during pregnancy and during and after delivery can lead to a tragic death. During 1988-1989 at the gynecologic-obstetric clinic of the Aristide Le Dantac University Hospital Center of Dakar, adolescents comprised 8.1% of maternal deaths. If adolescents survive pregnancy, they may suffer after effects, e.g., genital scar tissue or psychological disorders. Infertility can also be an after effect. An unwanted pregnancy ended by illegal induced abortion can also lead to infertility. 2% of adolescents attending the clinic have common infections and/or sexually transmitted diseases (STDs). These infections almost always are a result of poor hygiene of the genital region. Family life education should prepare adolescents for sexuality and contraceptive use. Barrier methods can best prevent STDs and AIDS. Other contraceptive methods require compliance with strict rules. Emergency contraception should be reserved for cases of rape or incest. Prevention of unwanted pregnancies is the best means to prevent infanticide which is relatively common among youth leaving rural areas.</AbstractText>
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