PREVALENCE ET FACTEURS ASSOCIES A L'ANEMIE DU POST-PARTUM CHEZ LES MERES ADOLESCENTES.

Introduction: Post-partum anemia remains a public health problem. Adolescent women are at high risk of post-partum anemia due to both prepartum anemia and anemia caused by acute hemorrhage during delivery. The aim of our study is to assess the prevalence of postpartum anemia and associated factors among adolescent mothers in Kisangani, Democratic Republic of Congo. Method: This was a prospective multicenter cross-sectional study conducted over a seven-month period, from February 1 to August 31, 2024, among postpartum adolescent girls in five health facilities in the city of Kisangani. Results: The prevalence of postpartum anemia in adolescent girls was 71,4%. The second adolescence (15-19 years) accounted for 88,9% of patients; 66,7% had secondary education, half (50%) were single and 95,2% were unemployed. However, none of these showed a statistically significant association. Among obstetrical data, prepartam anemia, soft issue lesions, delivery pathologies and number of prenatal visits were significantly associated with postpartum anemia. In multivariate logistic regression, teenage mothers with prepartum anemia were 7 times more likely to develop postpartum anemia than those without anemia (AOR=7,08; 2,79 -- 19,6). Conclusion: The prevalence of postpartum anemia is very high in adolescent girls. Prepartum anemia is more signoificantly associated with postpartum anemia in adolescent girls. [ABSTRACT FROM AUTHOR]