Citation

Moriarty Daley A, Sadler LS, Dawn Reynolds H. Curr. Probl. Pediatr. Adolesc. Health Care 2013; 43(4): 71-95.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.cppeds.2013.01.001

PMID

unavailable

Abstract

Clinicians across disciplines and practice settings are likely to encounter adolescents who are at risk for a pregnancy. In 2010, 34.2/1000 15-19-year-old teens had a live birth in the United States, many more will seek care for a pregnancy scare or options counseling. Teen mothers are also at risk for a second or higher-order pregnancy during adolescence. This paper provides clinicians with adolescent-friendly clinical and counseling strategies for pregnancy prevention, pre- and post-pregnancy test counseling, pregnancy-related care, and a review of the developmental challenges encountered by teens in the transition to parenthood. Clinicians are in a better position to approach the developmental, health and mental health needs of adolescents related to pregnancy if they understand and appreciate the obstacles adolescents may face negotiating the healthcare system. In addition, when clinical services are specially tailored to the needs of the adolescent, fewer opportunities will be lost to prevent unintended pregnancies, assist teens into timely prenatal services, and improve outcomes for their pregnancies and the transition to parenthood. © 2013 Mosby, Inc.

Language: en

Keywords

United States; adolescent; human; counseling; mental health; homicide; suicide; health education; child abuse; screening; social support; drug abuse; adolescent pregnancy; pain; risk factor; parent; obesity; alcohol consumption; teaching; article; primary medical care; health program; sexual behavior; smoking; community care; Human immunodeficiency virus infection; emotional attachment; physical examination; groups by age; medical decision making; child development; child parent relation; constipation; prenatal care; paracetamol; high risk behavior; drug safety; health care cost; confidentiality; child health care; home care; diphenhydramine; fever; anamnesis; parenthood; school health service; health care need; underweight; pruritus; indigestion; allergic rhinitis; health care system; maternal care; child advocacy; coughing; immunization; sexually transmitted disease; contraception; partner violence; body mass; pseudoephedrine; pregnancy outcome; maternal welfare; sexual development; guaifenesin; nose obstruction; social stress; heartburn; live birth; maternal stress; aluminum magnesium hydroxide; anticipatory guidance; cognitive development; HIV test; ispagula; magaldrate; tums