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Teen Pregnancy

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Camille Weigold

on 18 September 2014

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Transcript of Teen Pregnancy

Local Resources
If a teen comes into Teen Clinic for a pregnancy test and the results are positive:
Gaps in Literature
-More comprehensive sexual education for all teens (Linda, 2014)
References
Health Assessment
-Teen mothers are less likely than older mothers to obtain adequate prenatal care. Because of denial, lack of time, lack of family support or lack of knowledge of the importance of prenatal care, many teens do not see their doctors for regular prenatal visits as recommended. These visits are vital to the health of the mother and the baby. (Maas, 2010)
Patient Education
Introduction to Pregnant Adolescents
US ranks first among developed nations for teenage pregnancy
Teen Pregnancy
Health Assessment
-Teens often are more likely to watch their weight during pregnancy by using the wrong approach such as taking diet pills. Teens become alarmed by their expanding waistline. This often leads to inadequate nutrients delivered to the baby and the mother. (Maas, 2010)
Family Education
Encouragement of Family involvement:
Linda Johnson, Personal Communication, August 20, 2014.
Options are presented but usually the teen already knows what they want to do (Linda, 2014)
Health care providers are obligated to give information about all options including:
--prenatal care, adoption or abortion referrals (Linda, 2014)
Women's Health and Teen Clinic. Boulder, CO & Longmont, CO
Counseling: How would a pregnancy (abortion or adoption) affect you now? How would it affect you in 10 years? 15 years?
Education: contraceptives (long term and short term[3-tier methods])
Typical use (room for error) vs. actual use (Linda, 2014)
Local Resources
Extended counseling: a councilor is brought in and asks if they are interested in a long-term counseling option where they can bring their support systems (boyfriend, mom, sister, friend) (Linda, 2014)
*Counciling can be dependent of insurance and if it is covered or not.
Family branch of Women's Health is separate from the counciling and abortions.
-"Bridging gaps"
-Supportive atmosphere
-Providing a safe environment to talk and share information about reproductive health
-Open conversations (like any other aspect of their health)
-Goals within relationships
-Healthy relationships
(Linda, 2014)
Mandatory reporters of suspected abuse and assult (full disclosure--information being shared is obligated to report)
Making sure teens are having sex for the right reasons and are not feeling pressured (alcohol/drugs) (Linda, 2014)
"Keep in mind that about 50% of teens are not sexually active, so not everyone is having sex." -Linda L. Johnson, Clinical Director at Women's Health
"Every pregnancy should be a wanted pregnancy"-Linda L. Johnson, Clinical Director at Womens Health
Services provided:
-HIV testing (free)
-Free birth control and contraceptives for 17 and under (18 & 19 year olds have a sliding scale)
-Both teen clinic hours and normal clinic hours at both Boulder and Longmont locations
-All services are free or low-cost and confidential
-Anonymous text line
-GENESISTER program (traveling nurse)
-Family planning
-Counseling
(Linda, 2014)
Question #1
In 2013, how many babies were born to adolecent females ages 15-19?
A. 359,678 babies
B. 274,641 babies
C. 124,769 babies
D. 538,726 babies
Answer: B
In 2013, there were 26.6 births for every 1,000 adolescent females ages 15-19. (OAH, 2014)
Question #2
What ethnicity(s) have the highest birth rate for adolecent ages 15-19?
A. Caucasian
B. Asian
C. Hispanic
D. Afrcan American
E. A & C
F. C & D
Answer: F
In 2012, Hispanic adolescent females ages 15-19 had the highest birth rate (46.3 births per 1,000 adolescent females), followed by black adolescent females (43.9 births per 1,000 adolescent females) and white adolescent females (20.5 births per 1,000 adolescent females). (OAH, 2014)
Question #3
On average, how many adolescent births are unplanned?
A. 49%
B. 100%
C. 77%
D. 94%
Answer: C
About 77 percent of teen pregnancies are unplanned. In other words, they are unwanted or occurred “too soon,” according to a national survey of adolescents. (OAH, 2014)
Presented By: Camille Weigold, Gina Naccarato and Stacey Chavez
Amber Albin, Personal Communication, September 3, 2014.
Hope House- Arvada CO
-Safe housing
-GED programs
-Parenting classes
-Counseling etc.
(Hope House of Colorado, 2014)
Planned Parenthood
-Provides contraceptives (birth control, condoms, etc.)
-Abortions
-Information on healthy relationships
-STD testing
-Family planning
(Planned parenthood, 2014)
Monthly weight checks ensure that the mother is gaining weight appropriately. (Maas, 2010)
Blood tests screen for various diseases including gestational diabetes. (Maas, 2010)
Physical exams and blood pressure checks screen for the development of preeclampsia, a potentially life-threatening elevation of blood pressure. (Maas, 2010)
Untreated health conditions in the mother can lead to poor fetal growth, birth defects, preterm delivery, and even miscarriage or stillbirth. (Maas, 2010)
-Adolescent mothers and mothers who receive less prenatal care are less likely than older mothers to breast feed their infants. The mother and baby can benefit in many ways through breast feeding. (Aruda, et al., 2009)
-For the mother: it helps the uterus return to normal size preventing postpartum hemorrhage and burns extra calories to help the mother lose weight (Aruda, et al., 2009)
-For the baby: it provides protection against gastrointestinal infections and irritation, allergic reactions, and long-term problems such as obesity (Aruda, et al., 2009)
Roxanne Maas. (Mar 24, 2010).
Health risks to teen mothers & their baby.
Retrieved from http://http://www.livestrong.com/article/97219-health-risks-teen-mothers-/
In teens, it is important to stress the need for the pelvic examination, because the unprotected intercourse that led to pregnancy also places the adolescent at risk for STIs. (Maas, 2010)
HIV counseling and testing also should be encouraged for all pregnant adolescents. (Maas, 2010)
Aruda, M. M., Waddicor, K., Frese, L., Cole, J. M. C., & Burke, P. (2009). Early pregnancy in adolescents: diagnosis, assessment, options counseling, and referral.
Journal of Pediatric Health Care,
24(1), 4-13. Retrieved from http://www.pncb.org/ptistore/resource/online_docs/pc_cc12/18.pdf.
Kirven, J. (2014). Helping Teen Dads Obtain and Sustain Paternal Success. International Journal Of Childbirth Education, 29(2), 85-88.
Kirven, J. (2014). Maintaining Their Future After Teen Pregnancy: Strategies for Staying Physically and Mentally Fit. International Journal Of Childbirth Education, 29(1), 57-61.
Patel, P., & Sen, B. (2012). Teen Motherhood and Long-Term Health Consequences. Maternal & Child Health Journal, 16(5), 1063-1071. doi:10.1007/s10995-011-0829-2
Phipps, M., & Nunes, A. (2012). Assessing Pregnancy Intention and Associated Risks in Pregnant Adolescents. Maternal & Child Health Journal, 16(9), 1820-1827. doi:10.1007/s10995-011-0928-0
Ages included: 13-19
Teenage pregnancy has health consequences as well as socioeconomic consequences.
75% of all pregnant teens have mothers who were also teenage moms
Making a difference in this teen epidemic- Education is paramount and keeping the lines of communication open is very important to teenagers.
More Local Resources
Florence Crittenton High School
-Provides education, career guidance and parenting training for pregnant and parenting teens

-Program helps teen mothers stay in school and graduate, give birth to healthy babies, learn how to be nurturing mothers, pursue post-secondary education and acquire marketable job skills

-Largest and most complete provider of services to teen mothers in Denver (Florence Crittenton, 2014)
Denver,CO
"What to Expect" Forum Group
Denver, CO
-Teen moms can ask questions and get advice from other teen moms that have been in similar situations

-Forums range from where to deliver the baby to relationship problems (What to expect, 2014)
The Media
-More education and information for the fathers in order for a better understanding (Kirven, 2014)
-Doctors vs. Midwives (Albin, 2014)
Office of Adolescent Health. (2014). Adolescent Health Topics.
U.S Department of Health and Human Services.
Retrieved from http://http://www.hhs.gov/ash/oah/resources-and-publications/info/parents/.
Kearney, M., Levine, P. (2014). Media influences on social outcomes: the impact of MTV's 16 and pregnant on teen childbearing.
National Bureau of Economic research
. Retrieved from http://http://www.nber.org/papers/w19795.
Kearney & Levine, (2014)
Florence Crittenton. (2014). Florence crittenton services. Retrieved from http://www.flocritco.org/
What to expect: Pregnancy and parenting, every step of the way. (2014).
Everyday Health.
Retrieved from http://www.whattoexpect.com/what-to-expect/landing-page.aspx#.
Hope house of Colorado. (2014). Retrieved from http://www.hopehouseofcolorado.org/
Planned parenthood of the rocky mountains. (2014). Retrieved from http://www.plannedparenthood.org/planned-parenthood-rocky-mountains
Card, J. (1999). Teen pregnancy prevention: Do any programs work? Annual Review of Public Health, 20, 257-85. (1999, January 1). Retrieved August 30, 2014, from ProQuest Nursing & Allied Health Source.
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