Teenage Pregnancy Research Articles

Statistical Analysis of the Effect of Educational Opportunities and Community Involvement on Adolescents and Sexual Reproductive Health Policy on Retention of Girl Child in Public Secondary Schools in Butula Sub-County, Kenya

Girls’ retention in schools has been found to be a major challenge. Failure to retain girls in secondary schools can be considered as a waste of potential human resources and money spend on them in primary education and time lost in sending them to school in the first place. These girls may become a breed of illiterate women who are less productive economically, socially and politically. Among the critical contemporary social issues affecting many countries is teenage pregnancies. This research, therefore, analyses the effect of educational opportunities and community involvement on girl child retention in public secondary schools in Butula sub-county, Kenya using statistical method. Specifically, the research seeks to establish statistically the impact of educational opportunities and community involvement on girl child retention in public secondary schools in Butula Sub-county, Busia County. The study targeted a sample size of 300 respondents which were selected using convenient and purposive sampling techniques based Mugenda and Mugenda (2004) formula. Also, the data from both primary and secondary sources was used in the study. The instruments for gathering the data comprised questionnaires, interviews, and records from the schools. A SPSS version 25 was used to establish any link between the Adolescent Sexual Reproductive Health Policy and girl child retention in public secondary schools Butula Sub-County, Busia County. This study will increase understanding of the effect of teenage pregnancy on class attendance in public secondary schools in Butula Sub-county. The findings of the study indicated that girls missed school during their menstruation because sanitary facilities were inadequate.

The effects of COVID-19 Pandemic on maternal and childhood health services in Meru County, Kenya

Background: The outbreak of coronavirus put unprecedented burden on healthcare systems, governments and health professionals worldwide. It caused a global crisis of unequalled magnitude on service delivery and accessibility of essential health services. Women and children in poor countries were most affected. In view of the foregoing, it became necessary to examine the effects of COVID -19 outbreak on Maternal Child Health (MCH) in Meru County Kenya, to recommend mitigation strategies and safeguard the gains previously made in MCH indicators. Methods: Ethical clearance for the study was sought from Meru University of Science and Technology Institute Research Ethics and Review Committee (MIRERC). Data were gathered through focus group discussions, key informant interviews and review of health records in Meru County. A period of one year before and one year after COVID-19 pandemic were compared in the nine sub-counties. Analysis was done using SPSS computer package and statistical tests carried out using 2t test. Descriptive and inferential statistics were employed to summarize the data. Results: There were no significant changes in the overall BCG coverage (p=.30), FIC (p=.098), proportion of pregnant adolescents 10-19 years (p=.83), pregnant women attending at least one ANC visit (p=.41) and the number of WRA who received FP commodities (p=.66). Nevertheless, the proportion of women with 4th antenatal care visit and adolescents 10 - 14 years pregnant at the first ANC visit had lower and higher mean scores during the pandemic with significant changes at p=.05 of (p=0.011) and (p=0.003) respectively. Conclusions: COVID- 19 pandemic did not fundamentally affect MCH services during the first year of the sickness in Meru County. However, the proportion of teenage pregnancies increased significantly, while the proportion of women with 4th antenatal care visit decreased.

Access to adolescent sexual and reproductive health services in Accra, Ghana: An exploratory qualitative study

ABSTRACT Nearly 31% of the Ghanaian population are adolescents, and these populations persistently face high rates of teenage pregnancies and unsafe abortions. This is despite sexual and reproductive health (SRH) being taught in the school curriculum. In this qualitative study, we explore the factors affecting adolescents’ access to, and experiences of, SRH services in Accra, Ghana. We conducted 12 focus group discussions (FGDs) with adolescents and 13 key informant interviews (KIs) in Ghana. The FGDs were conducted with school-going and out-of-school adolescents. KIIs were conducted with various stakeholders working with adolescents or in SRH services. All interviews were conducted in English, audio recorded and transcribed verbatim. We applied the Dahlgren-Whitehead Rainbow model of health determinants and used a thematic analysis. Eight themes were identified, across micro, meso and macro levels, that influence adolescents’ SRH access and experience in Accra. These included: family, social networks, the role of schools, health providers and services, the policy landscape, gender norms, cultural norms, and poverty. The findings highlight several factors that influence adolescents’ access to appropriate SRH services in this context and demonstrate the need for a multisectoral effort to address structural factors such as harmful gender norms and persistent poverty.

Exploring the relationship between socioeconomic status and teenage pregnancy in India: a review on National Family Health Survey

Exploring the relationship between socioeconomic status and teenage pregnancy in India: a review on National Family Health Survey

Exploring mental health problems and support needs among pregnant and parenting teenagers in rural areas Of Limpopo, South Africa

BackgroundGlobally, teenage pregnancy is among the most social problems, affecting 21 million adolescents aged 15–19. Due to the increased responsibility of prenatal and postnatal care for their infants without support, pregnant and parenting teenagers, tend to experience mental health problems. Factors contributing to these problems among pregnant and parenting teenagers in rural African settings have hardly received scholarly attention and, therefore, are less understood. The purpose of the study was to explore mental health and challenges among pregnant and parenting teenagers,.Method(s)The study adopted a qualitative descriptive, exploratory, and phenomenological design. Purposive sampling was used to select 22 pregnant and parenting teenagers 18 years or older. Data were collected in ten selected clinics within the Demographic Surveillance Systems (HDSS) of DIMAMO and analysed using qualitative content analysis.ResultsThe findings reveal that pregnant and parenting teenagers in rural areas experience various mental challenges such as depression. These challenges are caused by social problems such as stigmatisation, lack of support from families and friends, as well as parenting demands that contribute to poor progress at school or dropouts. Pregnant teens expressed concerns about the lack of spousal support resulting from abandoning their partners.ConclusionsStress and depression were self-reported as mental problems among participants with various psychosocial implications, such as school dropout and miscarriage. There are various contributing factors to the mental health problems identified among pregnant and parenting teenagers, including inadequate family and spousal support. Access to integrated reproductive, psychosocial, and mental health services could be essential for these pregnant and parenting teenagers, to improve their mental well-being and improve the support system.

What do they Know: Adolescents' Discernment on Pornography

The proliferation of the internet has sparked concerns among educators and advocates for gender equality that pornography is becoming both more severe and more accessible. The study described the perception of students from private and public schools concerning pornography. The study also determined the values of students from private and public schools about pornography. This study used descriptive method and surveyed a total of 289 students both from public and private schools. Based on the data, the researchers concluded that pornographic media did not encourage students to engage in such sexual practices. Hence, the students were not embarrassed while seeing sexual videos. The researchers also determined that the students did not enjoy watching pornography with their partner, as perceived by their values, and that they were not ashamed to disclose that they do so. As the majority of high school students were adolescents, it is suggested that parents, guardians, and teachers of both public and private schools monitor and educate students to prevent teenage pregnancy. Students, parents, guardians, and educators should be informed on this topic in order to raise their awareness. Since the sample size is insufficient to represent the high school student population as a whole, additional research should be conducted.

"Challenges of Teenage Pregnancy: Characterization of the Population of a Portuguese Hospital"

"Challenges of Teenage Pregnancy: Characterization of the Population of a Portuguese Hospital"

Healthcare professionals' experience of teenage pregnancy and motherhood in Haiti.

The aim of this study was to explore healthcare professionals' experience of pregnant and motherhood in adolescence in Haiti. The methodology for collecting and analyzing qualitative data was based on John Dewey's social survey. The study was conducted in nine health institutions in the North and North-East departments of Haiti from October 2020 to January 2021. Data were collected through individual semi-structured interviews with 15 healthcare professionals. All interviews were audio-recorded. The recordings were listened to carefully and transcribed in verbatim form. After checking and validation, the verbatims in Word format were exported to QDA Miner software version 6.0.5 for coding. The data were analyzed using Paillé and Mucchielli thematic analyses. Health professionals such as gynecologists, nurses, midwives, nursing assistants, matrons and health workers took part in the study. These study participants indicate that teenage pregnancy and motherhood are social and public health problems whose negative consequences affect teenage girls, children, healthcare professionals, the healthcare system, and Haitian society in general. The services offered to adolescent girls are medical, educational, psychological, economic, and social in nature. When caring for pregnant adolescents during the transition to motherhood, healthcare professionals face many challenges that are linked to the socio-economic status and physiological reality of adolescents, as well as the healthcare system. Programs involving home care visits should also be set up to offer ongoing support to pregnant or parenting teenagers. The distribution of food aid or materials such as clothing, hygiene products and baby kits should also be considered.

Adolescents’ Contraceptive Knowledge and Attitudes Toward Premarital Sex: Educational and Counselling Implications

The quest for abstinence has made the dissemination of information on contraceptives to be sporadic. This study investigated the relationship between knowledge of contraceptive and attitudes towards premarital sex among senior high school students in Asante Akim North district of Ghana. The study sample comprised 365 students selected from two senior high schools in the district, 11 teenage mothers and six pregnant teenagers. The questionnaire and a semi-structured interview guide were the main tools for data collection. After cleansing the data, 361 responses were used for the quantitative data analyses. Descriptive and inferential statistics were used for the quantitative analyses, and thematic analysis used for the qualitative analyses. The study findings revealed that respondents’ knowledge of modern, and natural contraceptives significantly and negatively predicted the variance of attitude toward pre-marital sex (β = -0.15, p < 0.05), and (β = -0.09, p < 0.05) respectively. However, respondents’ knowledge on emergency contraceptive significantly and positively predicted the variance of attitude toward pre-marital sex (β = 0.19, p < 0.05). The study concluded that although a good contraceptive knowledge is needed to promote chastity and also protect adolescents from unwanted pregnancies and other health-related issues, contraceptives must be made available for the youth. The study recommends to heads of the institutions, school counsellors as well as parents to provide adolescents with information on contraceptives to enable them make right decisions whenever they decide to engage in premarital sex.

Obstetric outcomes of teenage pregnancies: A record-based study in a rural hospital of North 24 Parganas district, West Bengal

Background: Teenage pregnancy is a pregnancy in a woman within 10–19 years of age groups. It results from a number of factors such as early age at marriage, illiteracy, poverty, premarital sex, lack of awareness, and access to contraception. Teenage pregnancy imposes serious social and medical implications relating to both maternal and child health. It is a worldwide public health problem in both developed and developing countries. Aims and Objectives: The study was conducted in a rural hospital of North 24 Parganas in West Bengal. The primary objective was to compare different maternal and perinatal outcomes of teenage primigravida mothers with those of adult primigravida mothers. The secondary objective was to assess the association between various sociodemographic factors on the prevalence of teenage pregnancy. Materials and Methods: The cross-sectional hospital record-based study includes a sample of 78 study subjects each in cases and comparison group. Records were taken from June 2019 to December 2019. Results: Of a total of 379 labor room admissions during the study period, 86 (22.69%) were of the teenage group and 8 cases were excluded from the study. A total of 78 teenage pregnancies were analyzed and compared with 78 adult pregnancies. The mean (standard deviation) age of teenage in our study was 18.10±0.63 and that of the comparison group was 22.74±1.68 years. Results revealed that teenage mothers had a statistically higher proportion of anemia (OR=2.30, P=0.05) and low-birth-weight babies (OR: 3.6, P=0.05) compared to adult-primigravida mothers, respectively. Conclusion: Teenage pregnancy is still a rampant and important public health problem in India with unfavorable perinatal outcomes and needs to be tackled on a priority basis.

Prevalence and Associated Factors of Teenage Pregnancy in Sub-Saharan Africa: Multilevel Modified Poisson Regression Analysis

In sub-Saharan African countries, teenage pregnancy received less attention and weak policy responses, and the pooled prevalence of teenage pregnancy is not yet studied. Therefore, this study aimed to determine the pooled prevalence and determinants of teenage pregnancy in sub-Saharan African countries. A total weighted sample of 96,185 teenage girls were included in the study. A multilevel modified poison regression analysis model was fitted to identify factors associated with teenage pregnancy. Finally, the Adjusted Prevalence Odds Ratio (APOR) with its 95% confidence interval was reported. Statistical significance was declared at p-value <.05. The overall pooled prevalence of teenage pregnancy in sub-Saharan Africa was 21.36% (95% CI: 21.10, 21.62%). Being 18 to 19 years (APOR = 1.70, 95% CI [1.64, 1.77]), teenager’s mother is working (APOR = 1.09, 95% CI: 1.06, 1.13), married adolescents (APOR = 5.54, 95% CI [5.01, 6.12]), media exposure (APOR = 0.96, 95% CI [0.94, 0.99]), middle and high wealth index (APOR = 0.96, 95% CI [0.93, 0.98]), and (APOR = 0.79, 95% CI [0.75, 0.83]), low-middle-income countries (APOR = 0.79, 95% CI [0.63, 0.92]), upper-middle-income (APOR = 0.61, 95% CI [0.41, 0.80]) and the Central African region (APOR = 1.46, 95% CI [1.29, 1.64]) were the factors found to be associated with teenage pregnancy. Teenage pregnancy in SSA was unacceptably high. Age, adolescent marital status, teenager’s mother’s working status, media exposure, wealth index, countries’ income, and regions of SSA had a significant association with teenage pregnancy. Therefore, addressing geographical disparities and socio-economic inequalities help to reduce teenage pregnancy.

Perception, practices and understanding of teenage pregnancy among the adolescent girls in India: A scoping review protocol.

Teenage pregnancy is a subject of concern among adolescents. Inadequate knowledge and misperceptions about pregnancy are major contributing factors to teenage pregnancy. Without a proper understanding, adolescents are involved in unsafe sexual practices, which results in pregnancy. So, perception and understanding are important aspects to explore among adolescents. In this planned scope review, all eligible studies will be identified around the perception, practices, and understanding of teenage pregnancy among married and unmarried adolescent girls. The Arksey and O'Malley (2005) scoping review framework and the Joanna Briggs Institute Reviewers' Manual (2015) will be used for the planned scoping review. The population, concept, and context strategy (PCC) will be used to develop the research question, search strategy, and eligibility criteria. Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews (PRISMA ScR) will be used for the findings of the study. For the literature search, authors will use Google Scholar, PubMed, and ResearchGate electronic databases with specific words such as "teenage", "adolescence", "pregnancy", "perception", "knowledge", "awareness" and "abortion". The planned scoping review will be helpful in addressing the lack of adolescent misperception, malpractices, and misunderstandings regarding teenage pregnancy. It can provide detailed information about teenage pregnancy in the Indian context. The evidence synthesis and gap analysis will be helpful in suggesting insights into the issue of teenage pregnancy, which will be helpful in future policies and programs.

Psychological meanings reported on access to guidance on love life and sexuality in prenatal consultations at a public primary health care service in a Brazilian metropolitan city: a qualitative study with pregnant adolescents

IntroductionWhat topics from their personal lives do patients bring to talk to the clinical team, in addition to reporting their health-illness complaints, being examined, and receiving medical and nursing guidance? Knowing the symbolic aspects of the professional-patient relationship allows for care with more empathy and greater adherence to outpatient service follow-ups. The sociocultural contexts of vulnerable adolescents amplify the importance of reproductive health care and understanding perceptions about romantic relationships and sexuality. During adolescence, risky behaviours can interfere with life opportunities and the future. The lack of care for adolescents’ reproductive health is associated with irreparable physical and psychosocial consequences. In Brazil, the Unified Health System functions as an important support for the community.ObjectivesTo interpret the symbolic meanings attributed by pregnant teenagers regarding the possible experience of talking and receiving guidance about romantic relations and sexuality from the clinical team of public primary attention (in the EPA-2023, we presented the work “on family relationships”, another branch belonging to the same PhD research).Methods We used the Clinical-Qualitative Method (Turato. Portuguese Psychos. J, 2000 2(1): 93-108). For data collection, the main researcher used the Semi-Directed Interview with Open-ended Questions In-Depth and Field Notes, fully transcript. The employ of the Seven Steps of the Clinical-Qualitative Content Analysis (Faria-Schützer et al. Cien Saude Colet. 2021; 26(1): 265-274) permits the solid discussion categories. Sample closed by saturation information criterion (Fontanella et al. Cad Saude Publica. 2008; 24(1): 17-27).Results Sample of 10 adolescents, from 15 to 19 years. Interviewed by the first author, a female psychologist, online from September 2020 to June 2022. Findings validated by peer reviewers from Lab of Clinical-Qualitative Research. Categories to this congress: 1) maternal figure referred to as the axis of orientations on sexuality. This seems to empty the opportunity or the need to discuss these aspects in clinical consultations; 2) interviewees do not cite teenage pregnancy in its new emotional status as present in the prenatal consultation protocol; 3) there is a discourse of the re-signification of relationship with a loving partner by assuming also symbolically the pregnancy by both.ConclusionsProfessionals that the teenagers access in clinical consultations at primary attention are not perceived psychoanalytically as transferential figures for conversations about romantic relationships and/or sexuality. It is opportune to rediscuss the expected and/or desired roles of the clinical team in that studied context from the psychic and cultural symbolic universe.Disclosure of InterestNone Declared

Maternal and child oral health barriers and solutions: Case studies from South Africa, Brazil, and Indonesia.

The World Federation of Public Health Associations (WFPHA) has introduced a maternal oral health framework and launched its Global Maternal and Child Oral Health Initiative, advocating for maternal and child health as a strategic entry point for oral health to be integrated into primary healthcare systems. This article delves into maternal oral health initiatives in South Africa, Brazil, and Indonesia, exploring challenges and proposing context-specific solutions aligned with the WFPHA maternal oral health framework and its Global Maternal and Child Oral Health Initiative. The apartheid legacy in South Africa has led to the gross health inequalities, including oral health disparities characterized by maldistribution of dental facilities and dental professionals in the public sector. The proposed objectives focus on effective leadership, human resource capacity building, and integration of maternal and child oral health policy into existing health policies. Brazil faces challenges in reaching pregnant women, especially pregnant teens, due to workforce shortages. Brazil's Oral Health National Program mandates all pregnant women undergo at least one dental appointment, but a shortage of oral health teams persists and impedes timely access to dental care during pregnancy. Dental students' outreach to vulnerable pregnant teens can enhance the future oral health workforce's sensitivity to maternal oral health matters. In Indonesia, the Antenatal Care Innovative (iANC) Project has introduced a co-training model for midwives and oral health professionals addressing oral health needs of mothers and their spouses and fostering a comprehensive understanding of the interplay between oral health and maternal well-being. These country cases demonstrate the importance of tailored policies, health promotion, and care delivery interventions in maternal oral health. All cases highlight the importance of workforce training and distribution, fostering cross-disciplinary collaboration and future oral health workforce who can promote health beyond treatment delivery.

Study protocol for a type-II hybrid effectiveness-implementation trial to reach teenagers using mobile money shops to reduce unintended pregnancies in Uganda

IntroductionUnintended teenage pregnancies have become a global public health challenge, particularly in sub-Saharan Africa. There is a notably high prevalence of unintended pregnancies among unmarried teenagers in Uganda. This study...

Reproductive Justice as an Alternative to the Pregnancy Planning Paradigm for Teens

In this critical commentary, we describe the many limitations of the pregnancy planning paradigm as applied to pregnant and parenting teens. We describe how this paradigm, in characterizing pregnancies as intended or unintended, has shaped campaigns to prevent teen pregnancy and remains largely embedded in formal sex education and family planning programs in the United States. We argue that a paradigm shift is long overdue and describe how the reproductive justice framework addresses the limitations of the pregnancy planning paradigm. Although reproductive justice is endorsed by a growing number of organizations, recommended policies face formidable obstacles given that comprehensive sex education, contraception, and legal abortion are increasingly at risk in a post-Dobbs world.

A Critical Review of the Plight of Teenage Pregnant Girls Displaced by the COVID-19 Pandemic in Namibian Schools

The phenomenon of teenage pregnancy has become a thorn in the flesh for many countries, including Namibia as many learners become pregnant while schooling. This study gives an exploratory analysis on the increased number of girls who were impregnated during lockdown. Pregnancies among learners threaten not only their human rights, but their health and social welfare, as well as the health and welfare of the children born to them. These young females often terminate their education, and this has implications for girls becoming uneducated, thereby hindering their ability to contribute to the socio-economic development of the country, as opposed to their male counterparts. This practice may lead to a perpetual cycle of the culture of poverty in which their children may further go on to become teenage parents. Using a critical review of secondary data, this study examined the higher rate of teen pregnancy among girls in Namibian schools during the COVID-19 pandemic. Numerous sources, including academic databases, scholarly journals, books, laws, policies, programs, newspaper stories, school reports, and guidelines for life skills education, are included in the literature review. The gathered data was subjected to thematic analysis in order to provide light on the difficulties that girls encountered throughout the pandemic. Therefore, this critical review paper focuses on four main areas: it presents the plight of teenage pregnancy displayed by COVID-19 in Namibia; depicts the ideas of learner pregnancy policy and life skills education guidelines; reveals factors influencing teenage pregnancy in schools in Namibia; and unpacks the implications of learners’ teenage pregnancy (pertaining to human rights, health, socio-economic, psychological/mental health) on education, women and girls’ empowerment agenda, and socio-economic development. The article concludes by unveiling strategies to mitigate the scourge (the fresh ways of dealing) with the plight of teenage pregnancy in this transforming society and point out some areas for further studies. Although the answers provided by theoretical analysis are not always definitive in nature, they might provide some insights into future phenomena.

Exploring the Perceptions and Challenges of Teenage Pregnancy and Motherhood with Its Way Forward: A Phenomenological Study among the Tribal Population in a Rural Area of Udaipur, Rajasthan, India

Abstract Background: Teenage pregnancy and motherhood are one of the global public health problems. In India, 6.8% of women aged 15–19 years began childbearing between 2019 and 2021 and this is more common in rural areas and socioeconomically disadvantaged states. During the National Family Health Survey-5, it was seen that 4.2% of 15–19 years were already pregnant or had children. Thus, this study aims to explore the various challenges faced by teenage mothers with the barriers in service delivery and solutions to tackling the issue from their perspective. Materials and Methods: A qualitative study with a phenomenological approach was conducted from October to November’ 2023 in the tribal hamlets of Udaipur, Rajasthan. In-depth interviews of 21 purposively selected with snowball sampling teenage mothers were conducted. Audio recording and note-taking were done during the interview. Thematic analysis was done. Results: The teenage mothers were subjected to various types of medical problems, lack of unawareness, lack of parental and spousal support, as well as psychosocial stressors and social constraints as the major challenges being faced. The major themes for its solutions were parental and spousal cooperation, education, and ownership taken by the village head. Conclusion: Lack of unawareness, medical problems, and familial issues probably due to socioeconomic factors are the major challenges for teenage mothers, whereas the prime solution, as suggested, is parental support and cooperation. Regulation on the sale of alcohol was also cited as a factor in curbing the problems of teenage pregnancy.

Discovery of Knowledge and Perception among the Indigenous People Related to Teenage Pregnancy and Sexual Education

This study examined the knowledge and perceptions of sexual education and teenage pregnancy among Indigenous people in Pekan, Malaysia. The research aimed to address the high rates of teenage pregnancy, particularly among unmarried teenagers, in the country. Through qualitative methods, including semistructured interviews with Indigenous participants, several themes emerged. These themes included the sources of sexual education, such as formal and informal channels, first sexual experiences, safe-sex beliefs, and the importance of sexual education for children. The study also explored perceptions of teenage pregnancy, identifying factors like young marriage and premarital dating. Participants shared their views on premarital motherhood among those under 20 years old, as well as the acceptance and responses of parents and the responsibility of the baby’s father. The study highlighted the complications of teenage pregnancy for both the baby and mother. The findings revealed a lack of sexual education knowledge among Indigenous participants, attributed to limited access to facilities like mobile phones and limited interaction with outsiders. The study recommends further research and the dissemination of awareness and knowledge about sexual education, particularly through campaigns and outreach efforts to Indigenous communities, while also emphasise the need to review the effectiveness of these initiatives.

Use of infant simulators as an aid in pregnancy and parenting educational interventions for school-aged students: a scoping review.

Schools and school teachers often focus on content aimed at delaying sexual debut and preventing teenage pregnancy, and address the impacts of risky behaviours on infant health. Infant simulators are increasingly used in health education courses. However, it is unclear how effective this education is. In this review, we examined the evidence for the effectiveness and use of pregnancy/parenting education programmes for school-aged students using infant simulators. Infant simulators are lifelike replicas of human newborn babies that have electronic capacity to mimic a range of infant behaviours. These may include feeding, comfort needs and nappy changing. Responses to these replicated behaviours may be recorded to provide feedback of the adequacy of the response for educational purposes and provide feedback to prospective parents and caregivers. This review followed the guidelines for conducting a scoping review developed by Joanna Briggs Institute (JBI). After following the process as recommended by the JBI, 32 eligible articles were selected for inclusion. Eight themes emerged from the analysis and it was found that the use of infant simulators in terms of effectiveness was not conclusive. This may be due to lack of longitudinal studies examining the impact of the education provided. Furthermore, the literature did not address innovations of infant simulators that replicate infants with particular characteristics, those with fetal alcohol spectrum disorder, shaken baby syndrome or challenges from parental substance use. Further research is required to determine the long-term impact of using infant simulators on reducing risky behaviours. Given these challenges, it is important to support initiatives for sex, pregnancy and parenting education among all students.