Aruda Mary M, McCabe Margaret, Litty Carolyn, Burke Pamela
Connell School of Nursing, Department of Maternal Child Health, Boston College, Chestnut Hill, MA 02467-3812, USA.
J Pediatr Adolesc Gynecol. 2008 Feb;21(1):17-9. doi: 10.1016/j.jpag.2007.10.002.
To explore pregnancy diagnosis, outcome choice, and time to referral appointment for adolescents.
A descriptive study using retrospective chart review and clinical logs of all positive pregnancy tests between January 2000 and December 2005.
Adolescent clinic in a hospital-based academic center.
625 pregnant teens were identified. Thirteen teens (2%) were lost to follow-up. Exclusion criteria included teens with advanced pregnancy, 22 weeks gestation or older at initial pregnancy diagnosis (n=11).
All pregnant teens participated in a multidisciplinary tracking program.
Outcome choice and time interval to prenatal or termination appointment.
The 601 pregnant teens had a mean age of 18.2 years with a range of 13 to 23 years. Pregnancy outcomes indicate 48.2% (N=290) opted to continue their pregnancy and entered prenatal care, 45% (N=275) chose to terminate, and 6% (N=36) experienced a miscarriage. Adolescents who continued their pregnancy presented with a mean gestational age of 7.98 weeks versus 7.20 weeks for teens choosing to terminate (P < or = 0.001). They also had a significantly longer time interval to their referral site, averaging 24 days until a prenatal appointment, compared to 17 days for a termination (P < or = 0.05).
Over the six-year study period, the number of adolescent pregnancies diagnosed within this clinical site remained constant. Adolescents who chose to continue their pregnancy were more likely to present later for diagnosis and experienced a longer wait time to their referral appointment for prenatal care. Pregnant adolescents may delay entry into timely reproductive health services.
探讨青少年的妊娠诊断、结局选择及转诊预约时间。
一项描述性研究，采用回顾性病历审查及2000年1月至2005年12月期间所有阳性妊娠试验的临床记录。
一家医院学术中心的青少年诊所。
共识别出625名怀孕青少年。13名青少年（2%）失访。排除标准包括初次妊娠诊断时孕周已达22周或更大的晚期妊娠青少年（n = 11）。
所有怀孕青少年均参与多学科追踪项目。
结局选择及产前或终止妊娠预约的时间间隔。
601名怀孕青少年的平均年龄为18.2岁，年龄范围为13至23岁。妊娠结局显示，48.2%（N = 290）选择继续妊娠并进入产前护理，45%（N = 275）选择终止妊娠，6%（N = 36）发生流产。继续妊娠的青少年的平均孕周为7.98周，而选择终止妊娠的青少年为7.20周（P≤0.001）。他们转诊至相应机构的时间间隔也显著更长，产前预约平均为24天，而终止妊娠预约平均为17天（P≤0.05）。
在为期六年的研究期间，该临床机构诊断出的青少年妊娠数量保持稳定。选择继续妊娠的青少年更有可能较晚就诊，且转诊至产前护理预约的等待时间更长。怀孕青少年可能会延迟获得及时的生殖健康服务。
