Flashcards in Adolescent pregnancy Deck (13):
What are the pregnancy rates among Canadian adolescents in 2003?
<20yo 27.1 per 1000
18-19yo 54.1 per 1000
15-17yo 16.8 per 1000
<15yo 2.0 per 1000
How many adolescent pregnancies end in induced abortion?
Just over 50%
What are some symptoms of pregnancy?
1. menstrual irregularities
5. abdominal pain
When can hCG be detected in serum?
As early as 6 days post-conception
When can hCG be detected in urine?
Monoclonal antibody detection as early as 10-14d after ovulation
May not detect pregnancy until 1wk post missed period
Confirm negative w/ serum tests
What other tests are useful in diagnosing pregnancy?
Bimanual pelvic examination, uterus is palpable above pelvic bone @ 9-12wks GA
US to determine dates
What should health practitioners assess when taking a history from a pregnant adolescent?
1. inquire about physical and emotional effects of her pregnancy
2. determine her knowledge of the options and her feelings about these options
3. explore any family, cultural or community issues
4. when appropriate, explore her partner's opinion about the options and discuss his role in the young woman's decision-making progress
5. establish the extent of her support system
6. assess for any underlying health issues and for any complications
7. assess for current substance use and high-risk health behaviours
8. review housing and school status and personal and academic goals
What should health care practitioners counsel adolescents on who plan to continue the pregnancy?
1. refer the adolescent to appropriate resources: maternity homes, drop in centres, and support groups
2. encourage continuing education
3. encourage, if appropriate, the presence of the baby's father and/or her current partner in the f/u
4. in the case of young women who choose adoption, refer them to an adoption service that provides counseling and support
5. stay in contact with all mothers (if they keep their babies or not)
6. provide contraceptive counseling
7. advocate for high-quality subsidized child care and for flexible school programs
What percentage of adolescents who delivery will have another pregnancy within the following two years?
What should HCP counsel adolescents who plan to terminate the pregnancy?
1. information about the specific procedures available
2. anticipatory guidance about common emotional response, i.e. grief, relief, anger
3. referral to appropriate medical and surgical services
4. appointments for f/u that include a review of any complications such as excessive bleeding, fever, cramps after the 1st 48h, abnormal discharge, physical and emotional concerns and contraceptive f/u
What are the characteristics of more effective programs for preventing unplanned adolescent pregnancies?
1. longitudinal f/u
2. provision of continuum of options from abstinence to contraceptive information
3. life skills training
Which adolescents are at risk for unprotected intercourse?
1. experiencing social and family difficulties
2. whose mothers were adolescent mothers
3. undergoing early puberty
4. who have been sexually abused
5. with frequent school absenteeism or lacking vocational goals
6. with siblings who were pregnant during adolescence
7. who use tobacco, alcohol, and other substances
8. who live in group homes, detention centres or are street-involved