STUDY OF MEDICAL MONITORING OF ADOLESCENT PREGNANCY IN FIVE HEALTH AREAS IN MALI

Introduction :Antenatal care is the service provided to pregnantwomen to ensure the best health conditions for women and the fetusduringpregnancy. An adolescent is one whosechronologicalageisbetween 10 and 19 years, and herpregnancyisconsideredworldwide as a high-riskpregnancy, as follow-up isless good in thisage group. Consequently, the reduction of complications requires a tripleapproach: medical, psychological and social. The main objective of ourstudywas to determine the practice of medicalfollow-up of teenagepregnancy in Mali in 2023.

Methodology :Thiswas a quantitative, cross-sectional, participatorystudyamong adolescent girls, conductedbetween March and April 2023 in five health areas of Mali. All data collected in the fieldwere sent daily to the KoboCollectaccount and extracted in Excel format. Analyses werecarried out on socio-demographic variables and the practice of medical monitoring of adolescent pregnancy.

Results :Duringoursurvey, 92 girls hadexperiencedpregnancy out of a total of 621, i.e. 14.81% of cases. The 15-17 age group was the mostrepresented, accounting for 61.7% of cases.The rate of use of prenatal consultation services was 74%. In ourseries, 12 girls (13% of cases) had abortions, 42% of whomreportedvoluntarytermination of pregnancy, and only 33% hadreceived post-abortion care.

Conclusion :Our work shows that the experience of pregnancywas a reality for teenage girls, and the majorityusedprenatal consultation services. It wouldbenecessary to considercomprehensivesexeducation for this group with specificneeds.