Adolescent Pregnancy Compilation Notes

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Adolescent pregnancy - Overview
Alternative Names
Teenage pregnancy; Pregnancy - teenage
Definition of Adolescent pregnancy:
Adolescent pregnancy is pregnancy in girls age 19 or younger. Causes, incidence, and risk factors:
The rate of adolescent pregnancy and the birth rate for adolescents have generally declined since reaching an all-time high in 1990, mostly due to the increased use of condoms. Adolescent pregnancy is a complex issue with many reasons for concern. Younger adolescents (12 - 14 years old) are more likely to have unplanned sexual intercourse and more likely to be coerced into sex. Adolescents 18 - 19 years old are technically adults, and half of adolescent pregnancies occur in this age group. Risk factors for adolescent pregnancy include:

* Younger age
* Poor school performance
* Economic disadvantage
* Single or teen parents
Adolescent pregnancy
Teenage pregnancy; Pregnancy - teenage
Last reviewed: September 12, 2011.
Adolescent pregnancy is pregnancy in girls age 19 or younger. Causes, incidence, and risk factors
Adolescent pregnancy and babies born to adolescents have dropped since reaching an all-time high in 1990. This is mostly due to the increased use of condoms. Adolescent pregnancy is a complex issue with many reasons for concern. Kids age 12 - 14 years old are more likely than other adolescents to have unplanned sexual intercourse . They are more likely to be talked into having into sex. Up to two-thirds of adolescent pregnancies occur in teens age 18 - 19 years old. Risk factors for adolescent pregnancy include:

* Younger age
* Poor school performance
* Economic disadvantage
* Older male partner
* Single or teen parents
Symptoms
Pregnancy symptoms include:
* Abdominal distention
* Breast enlargement and breast tenderness
* Fatigue
* Light-headedness or actual fainting
* Missed period
* Nausea/vomiting
* Frequent urination
Signs and tests
The adolescent may or may not admit to being involved sexually. If the teen is pregnant, there are usually weight changes (usually a gain, but there may be a loss if nausea and vomiting are significant). Examination may show increased abdominal girth, and the health care provider may be able to feel the fundus (the top of the enlarged uterus). Pelvic examination may reveal bluish or purple coloration of vaginal walls, bluish or purple coloration and softening of the cervix, and softening and enlargement of the uterus. * A pregnancy test of urine and/or serum HCG are usually positive. * A pregnancy ultrasound may be done to confirm or check accurate dates for pregnancy. Treatment

All options made available to the pregnant teen should be considered carefully, including abortion, adoption, and raising the child with community or family support. Discussion with the teen may require several visits with a health care provider to explain all options in a non-judgmental manner and involve the parents or the father of the baby as appropriate. Early and adequate prenatal care, preferably through a program that specializes in teenage pregnancies, ensures a healthier baby. Pregnant teens need to be assessed for smoking, alcohol use, and drug use, and they should be offered support to help them quit. Adequate nutrition can be encouraged through education and community resources. Appropriate exercise and adequate sleep should also be emphasized. Contraceptive information and services are important after delivery to prevent teens from becoming pregnant again. Pregnant teens and those who have recently given birth should be encouraged and helped to remain in school or reenter educational programs that give them the skills to be better parents, and provide for their child financially and emotionally. Accessible and affordable child care is an important factor in teen mothers continuing school or entering the work force. Expectations (prognosis)

Having her first child during adolescence makes a...
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