STUDY OF MEDICAL MONITORING OF ADOLESCENT PREGNANCY IN FIVE HEALTH AREAS IN MALI
Authors:   Department of Family Medicine/Community Medicine, Faculty of Medicine and Odontostomatology (FMOS) of the University of Sciences, Techniques and Technology of Bamako (USTTB), Mali., Mansa Sidibe Drissa , Traore Ousmane ,   Department of Radiology and Medical Imaging of the CHU pointG.,   Research Professor, FMOS/USTTB ? Bamako-Mali., Diakite Siaka ,   Department of Radiology and Medical Imaging of the CHU pointG., Tembine Intimbeye ,   Regional Health Directorate of Mopti, Mali., Sidibe Souleymane ,   Regional Health Directorate of Mopti, Mali., Souleymane Goita Issa ,   Department of Family Medicine/Community Medicine, Faculty of Medicine and Odontostomatology (FMOS) of the University of Sciences, Techniques and Technology of Bamako (USTTB), Mali., Barry Kassoum ,   Department of Family Medicine/Community Medicine, Faculty of Medicine and Odontostomatology (FMOS) of the University of Sciences, Techniques and Technology of Bamako (USTTB), Mali., Sandji Oumar ,   Department of Family Medicine/Community Medicine, Faculty of Medicine and Odontostomatology (FMOS) of the University of Sciences, Techniques and Technology of Bamako (USTTB), Mali., Dicko Fatoumata ,   Department of Family Medicine/Community Medicine, Faculty of Medicine and Odontostomatology (FMOS) of the University of Sciences, Techniques and Technology of Bamako (USTTB), Mali., Tangara Moustapha ,   Research Professor, FMOS/USTTB ? Bamako-Mali., Diarra Ouncoumba ,   Research Professor, FMOS/USTTB ? Bamako-Mali., Diaman Keita Adama ,   Department of Radiology and Medical Imaging of the CHU pointG.,   Research Professor, FMOS/USTTB ? Bamako-Mali.
Published: February 2025

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.