Adolescent Pregnancy Nardnarumon Thongmee, RN. HPC 10th UB.

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Presentation transcript:

Adolescent Pregnancy Nardnarumon Thongmee, RN. HPC 10th UB

Adolescent pregnancy Pregnancy in below 20 yrs old women Early Adolescent: 11-14 yrs old. - Immature, depend on parents. Middle Adolescent: 15-17 yrs old. - More developed but inappropriate mature, need social Late Adolescent: 18-19 yrs old. - Mature, responsibility, future planning

Prevalence Adolescent fertility rate in AEC (births per 1,000 women age15-19) 65 61 50 51 45 38 17 21 4 ที่มา: data.worldbank.org/indicator; 2014

Influence Factors Family factor - poor relationship with parents, single mom/dad, orphan or foster child Personal factor - inappropriate sex education, substance use, abuse or rape Socioeconomic factor - poverty, low education level

Effects To adolescent Pregnancy period : - Stunting - Hypertensive disorder in pregnancy - Malnutrition & Anemia - Preterm Delivery - Sexually transmitted diseases :STD - Maternal Mortality in Adolescents

Effects To adolescent (cont.) Postpartum period : - Criticize - Guilty - Depression - Inappropriate child rearing

Effects To Infants - Increase complications - Increase Infant mortality - Congenital abnormally - Long term problems : Cognitive disorder : High risk for criminal or substance use

Effects To social welfare - High rate of Abortions - Long time for recovery - High cost of medical treatment - Poverty (unemployed)

Recurrent Adolescent pregnancy Recurrent pregnancy within 1-2 yrs after first delivered Effects of recurrent pregnancy - Rising abortion rate : 68% after first abortion cases : 42% after first delivered cases

Recurrent Adolescent pregnancy Effects of recurrent pregnancy (cont.) - Rising preterm delivery rate : 12% for first pregnancy cases : 15% for second pregnancy cases - Child abuse - Loss of opportunity to

Recurrent Adolescent pregnancy Cause of recurrent pregnancy - Planned - Unplanned : Abuse & Violence : Lack of contraception knowledge & accessibility

Contraception Prevention of conception or impregnation by any of various drugs, techniques or devices; birth control. Contraception Behaviors - None - Ineffective Contraceptive use - Effective contraceptive use

Contraception Factors related to contraception Age of Adolescent Family income Knowledge of Contraception Attitude to ward contraception Social support

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