Gupta Neeru, Jain Sharda
Indian Council of Medical Research, New Delhi 110029.
J Indian Med Assoc. 2008 Aug;106(8):516, 518-9.
Adolescent pregnancy is alarmingly common in India. These young girls face considerable health risks due to higher maternal and perinatal mortality. Early child bearing is not only a health problem for mother and child but is also associated with serious socio-economic and demographic implications as well. In developing countries 20% to 60% of young women's pregnancies and births are unintended, most coming sooner than planned. In India some demographers have estimated that if marriages were postponed from the age of 16 to 20 years, the number of births would decrease by 20 to 30 per-cent. That is the reason one of the socio-demographic goals set by national population policy, 2000 is to promote delayed marriages for girls, not earlier than age of 18 years and preferably after 20 years of age. It is important to maximise utilisation of prenatal, intranatal and postnatal care services among adolescent mothers. Lastly, it is important to improve the heamoglobin status and nutrition and empower our girls by educating them and making them aware of disadvantages of anaemia, early marriage and also of legal laws against teenage marriages.
青少年怀孕在印度极为常见,令人担忧。由于孕产妇和围产期死亡率较高,这些年轻女孩面临着相当大的健康风险。早育不仅对母婴来说是个健康问题,还会带来严重的社会经济和人口问题。在发展中国家,20%至60%的年轻女性怀孕和生育是意外情况,大多数比计划来得更早。在印度,一些人口统计学家估计,如果将结婚年龄从16岁推迟到20岁,出生人数将减少20%至30%。这就是2000年国家人口政策设定的社会人口目标之一是促进女孩晚婚,不早于18岁,最好在20岁以后的原因。最大化青少年母亲对产前、产中和产后护理服务的利用率很重要。最后,提高血红蛋白水平和营养状况,并通过教育女孩、让她们了解贫血、早婚的弊端以及反对青少年婚姻的法律,增强她们的能力,这一点很重要。