Care Of Pregnant Adolescents Research Articles

NURSING CARE FOR ADOLESCENTS IN PRENATAL

The problematization of teenage pregnancy and its care through prenatal care, being multifactorial, permeated by social and cultural prejudices, poses challenging factors for the practice of nurses in Primary Care. Objective: Highlight the role of the nurse in the sensitized reflection of care, to establish bonds and trust, fundamental for the humanization of this process. Methodology: Integrative review of the literature developed with original articles, published between 2018 and 2023, with the theme of teenage pregnancy and nursing care. Results: It was constructed from this study that the concept of sensitized reflection on the care of pregnant adolescents must value their biographies, their values, their fears and desires; characterizing the nurse’s performance free from prejudice and prejudgment, stigma, aggression or discrimination. Final considerations: It is suggested that the role of nurses working in Primary Health Care is to recommend and ensure that care for pregnant adolescent women, a population so fragile and vulnerable, is more welcoming, attentive, warm, harmonious and humanized than their current practices.

Recognising the challenges of providing care for Thai pregnant adolescents: Healthcare professionals’ views

BackgroundIn Thailand, maternal complications and poor neonatal outcomes are common in pregnant adolescents. There are attempts to improve outcomes for this group through specialised antenatal clinics, however, neither the way in which these clinics are provided nor the attitudes of healthcare professionals to pregnant adolescents are known. The aim of this study was to understand the experiences of healthcare professionals in caring for pregnant adolescent women in Thailand. MethodsA qualitative descriptive design was used. Semi-structured interviews were conducted with 21 healthcare professionals involved in caring for pregnant adolescents across three public hospitals in Bangkok, Thailand. All interviews were analysed thematically. ResultsThe core concept ‘recognising the challenges of providing care for young Thai pregnant women’ explained the provision of care. This concept contained three main themes: 1) having an awareness of the political and societal contexts and environment of care; 2) being aware of attitudes and the need to develop psychosocial skills in caring for adolescent women; and 3) having different approaches to caring for pregnant adolescents. A lack of continuity of care was a significant barrier in terms of structure and process. Effective communication was important to provide quality care. ConclusionHealthcare professionals recognised that there were barriers to providing effective care for adolescent women. These findings may inform healthcare professionals and policymakers in Thailand in relation to the systems of care required and addressing the needs of pregnant adolescents. This would enable Thailand to meet the goal in providing a positive pregnancy experience for all women.

Pregnancies and their obstetric outcome in two selected age groups of teenage women in Greece

Aim: The aim of this study was to evaluate the outcome of pregnancies in adolescents in the Department of Obstetrics and Gynaecology of Democritus University of Thrace, North-Eastern Greece. Material and methods: We retrospectively reviewed 194 cases of adolescent pregnancies, with an average maternal age of 16.5 years, from 1st January 2006 to December 30th 2008. Socioeconomic characteristics, type of delivery and complications, such as preterm labor, preeclampsia, intra- and post-partum complications, were evaluated. Results: The median age at first intercourse was 14.2 years and the average period between first intercourse and pregnancy was 1.2 years. Most teen mothers (86.6%) did not use any contraceptive method. Among the teen mothers recruited for the study, 89.7% were married. Adolescent pregnancies accounted for 9.02% of all deliveries (2150) in our Department. In 49 (25.3%) of the pregnant adolescents, no previous pregnancy was reported. The rates of preterm birth of teen mothers were 11.3%, 41.3% and 47.4% in correlation to <32 weeks, 32–34 weeks and >34 weeks, respectively. In 95.4% of the cases, deliveries were not complicated. According to our results, the main complications, especially in very young girls, are preterm labor, anaemia, hypertensive disease, obstructed labor after premature rupture of the membranes and increased neonatal mortality and morbidity. Antenatal care is often inadequate. Conclusion: Early teenage pregnancies have always been considered of increased risk for obstetric complications. Prevention of adolescent pregnancy, by wide use of effective contraception programs, would decrease its frequency and intensive care of pregnant adolescents may reduce the pregnancy complications.

Evaluation of a Unique Canadian Community Outreach Program Providing Obstetrical Care for Pregnant Adolescents: A Matched Cohort Study

completed the vaccination series. Pregnancy was associated with not completing the vaccination series during the entire four year study period (p<0.001). Conclusions: We identified a need for contraceptive provision at the time of HPV vaccination. Adolescents and young women presenting for HPV vaccination overwhelmingly are at risk of unintended pregnancy. The majority use contraception, however they are using less effective methods. Women who became pregnant during HPV vaccination were less likely to complete the vaccination series than those who did not become pregnant, demonstrating a need to both prevent pregnancy during vaccination and a need for counseling and support to increase postpartum vaccination completion in this vulnerable population.

Nurses Are Integral in the Care of Pregnant Adolescents

Nurses Are Integral in the Care of Pregnant Adolescents

Ethical care of pregnant adolescents in correctional settings

Ethical care of pregnant adolescents in correctional settings

Care for adolescent pregnancy and childbirth

The rise in adolescent pregnancy in the 20th century has been influenced by declining age at menarche, increased schooling, delay of marriage, inadequate contraception and poverty. The main problems are preterm labor, hypertensive disease, anemia, more severe forms of malaria, obstructed labor in very young girls in some regions, poor maternal nutrition and poor breastfeeding. In many regions HIV infection is an important problem. The infants of adolescent mothers are more prone to low birth weight and increased neonatal mortality and morbidity. Antenatal care is often inadequate. The most important problem is the increased incidence of preterm labor and delivery, the youngest age groups running the highest risk. Technically, care of adolescents during labor need not differ from care of older women; most adolescents are not at increased risk during labor, although, they are more in need of empathic support. Generally, care of pregnant adolescents should be adjusted to their specific needs.

The status of prenatal care among Medicaid Managed Care patients in Connecticut.

Providing quality prenatal care to high-risk, pregnant adolescents represents an important challenge to health care providers and health plans. Using national prenatal care guidelines, this study sought to evaluate the quality of important processes and outcomes of prenatal care delivered to women age 21 years and younger enrolled in three health plans serving the Connecticut Medicaid population. Some important findings include 93% compliance with recommended processes of prenatal care, an 11% C-section rate, an average length of hospital stay of 4.0 days for women having a C-section, and a 10% premature delivery rate. Opportunities for improvement include 40% failing to begin prenatal care in the first trimester, 31% not receiving the recommended number of prenatal care visits, and 8% delivering a low-birth-weight infant. This study provides important descriptive information on processes and outcomes of care for pregnant adolescents within Medicaid Managed Care and also identifies opportunities for improvement.

Nurse-midwifery management of health care for pregnant adolescents.

Nurse-midwifery management of health care for pregnant adolescents.