ABSTRACT
Pregnancy outside 19-34 years interval is risk factors of the maternal and fetal morbidity and mortality. Tunisia, witch known an epidemiological transition, implanted the national program of perinatality since 1990 and one of its objectives is the surveillance of the high risk pregnancies. The aim of this study is to draw up the epidemiological profile of the parturient in extreme ages in the region of Monastir and to study the chronological tendencies of the associated factors during a decade [1994 -2003]. In all, the study interest 13225 extreme ages parturient, representing 22.5% of all women admitted for delivery in the public maternities of the district. The mean age was 18.6% +/- 0.6 years for the parturient less than 20 years and 37 +/- 2 years for the older than 35 years and more, among them 40% were older primipara. The prenatal care was inadequate for 35.4% of younger women and 47.6% of aged women. During the decade, we notice a significant decrease of the frequency of pregnancy for teenager parturient [from 3 in 1994 to 1.99% to 17.7% in 2003] [p<0.001]. Adequate prenatal care increased and the frequency of parturient without any follow-up decreased [from 17.2 to 2%] [p<0.001]. Given to this demographic and social transition, our healthcare system is called for greater vigilance and a more rigorous application of the recommendations of the national program of perinatality