Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
By:
JESSIEL E. VICENTE, RN
Specific Objectives
By the end of the session, participants will
be able to:
List factors contributing to adolescent
pregnancy
Discuss risks of too early pregnancy to teen
mothers and children
Discuss management and psychosocial
support to pregnant adolescent during
perinatal (prenatal, intra-partum,
postpartum) period
OUTLINE
Teen Pregnancy
Statistics
Risks
Factors contributing to TeenPregnancy
Management and psychosocial
support to pregnant teen
Assessment
Pre-natal Care
During Labor and Delivery
Post Partum Care
Sheila
Marie
Dia
Sheila, 14 y/o ,
G1P1
Marie, 17 y/o,
G2P2
Dia, 13 y/o,
G2P1 (mother
of 1, 3- month
pregnant
5
22% of maternal
deaths are
from among
mothers aged
15 to 24 years
-
(2007)
employment esp. if
educational attainment
has been impaired
If marriage is forced,
has a higher probability
of ending in failure.
1. Martin, J.A., Hamilton, B.E., Ventura, S.J., Menacker, F. & Kirmeyer, S.,
Births: Final Data for 2004. National Vital Statistics Reports, 2006. 55(1).
2. Wolfe, B., & Perozek, M. , Teen children's health and health care use, in
Kids having kids: Economic and Social Costs of Teen Pregnancy, R. Maynard,
Editor. 1997, The Urban Institute Press: Washington, DC
HOME
EDUCATION
ACTIVITY/ Peers
DRUGS
SEXUALITY
Early dating
Sexual or physical abuse
Low rate of contraceptive use
SPIRITUALITY
Lack of religious affiliation
16
ASSESSMENT
Common Presentations
Missed menstrual Periods
Nausea and vomiting (morning
sickness)
Sudden, intense aversion to certain
foods
Sore nipples or breast
Unusual Fatigue
Frequent Urination
18
19
TEENS, ITS
REALLY OKAY TO
WAIT.!!
25
IF
pregnancy
test is
POSITIVE..
26
Medical history
Chronic Illness
Medications
P.E. and Pelvic Exam
LABORATORY Exams
psychosocial issues!
Nutrition
Smoking, alcohol, drugs
STI
Battering / abuse
Contraception
Delay or prevent repeat
pregnancy
a) Menarche
to <18 years
b) 18 to 45
years
c) >45 years
a) Menarche
to <20 years
b) >20 years
COC P
CIC
POP
POI
Implant
IUD
Cu
LNG
COC
CIC
b) >40 years
POP
DMPA
LNG/ETG
Implant
1
b) 18 to 45 years
c) >45 years
Evidence: Most studies have found that women lose bone mineral density
(BMD) during DMPA use, but recover BMD after discontinuation. Limited
evidence shows a weak association with fracture, although 1 large study
suggests that women who choose DMPA may be at higher risk for fracture
even prior to initiation of the method. It is unclear whether adult women with
long duration of DMPA use can regain BMD to baseline levels before entering
menopause and whether adolescents can reach peak bone mass after
discontinuation of DMPA. The relationship between these changes in BMD
during the reproductive years and future fracture risk is unknown. Studies
generally find no effect of POCs other than DMPA on BMD
CU-IUD
LNG-IUD
b) > 20 years
Evidence: Risks of pregnancy, infection and perforation are low among IUD
users of any age. Heavy bleeding or removals for bleeding do not seem to be
associated with age. Young women using Cu-IUDs may have an increased risk
of expulsion compared with older Cu-IUD users.
Conclusion
baby
Clothes for mother and baby
Sanitary pads after birth
Food and water
Some money
Go as soon as possible
Pallor or anemia
Abdominal pain
Vaginal
discharge
Painful
urination
Watery vaginal
Getting ready
Recognition of signs of labor
advise to go to facility or contact SBA if any
Walk-through
Where to go
Taking Care of Me
Nutrition
Exercise
Use of alcohol, tobacco and
drugs
Parenting
Early Labor
Provide comfortable chairs for the adolescent
and her support person(s)
Encourage the adolescent to walk around.
Offer light meals (fruits, porridge) and liquids
(water, juices, tea).
Active Labor
Do not leave the adolescent alone.
Strong, rapid contractions can make her feel
frightened.
Help her cope with her fears and discomfort.
Active Labor
Provide IV fluids, if indicated.
Help the client and her support person get
in position for pushing
Talk to the adolescent during the actual
birth to minimize tension and fear from the
intense sensations and to gain her
cooperation for a controlled birth.
Eye care;
Keep baby warm and in skin-to-skin contact
with the mother
Encourage the mother to initiate
breastfeeding
Breastfeeding
Infant Care
Well-baby check-ups
Normal infant behavior
WE should be
advocates
for pregnant teen
Have a Good
Day :D !