Barnes Wesley, Ismail Khaled M K, Crome Ilana B
Academic Psychiatric Unit, Keele University Medical School (St George's Hospital Campus), Keele, UK.
Crim Behav Ment Health. 2010 Dec;20(5):335-48. doi: 10.1002/cbm.776.
Teenage substance misuse and pregnancy are major public health problems in the UK, where the most recent figures on maternal deaths suggest that they have doubled among young substance misusers. In general, little is known about their pregnancy outcomes.
The aims of this study were to describe the characteristics of a sample of teenage pregnant drug users in the UK, to examine their psychosocial risk and complicating factors at presentation, to evaluate adherence to current national guidelines and to assess the adequacy of guidelines in relation to identified characteristics.
A six-year records survey of young people attending a specialist adolescent drug misuse service in the west midlands of the UK.
Ten pregnant adolescents were identified from records. These girls have had unstable or abusive experiences through childhood, half having other substance misusers in the family. All were with substantially older partners, who were also substance misusers. All had required a mental health assessment and 90% had a history of self-harm. There were no maternal or neonatal deaths, and only one girl had a miscarriage, but in four cases, the child had to be fostered.
To our knowledge, this is the first analysis of this kind in the UK. Available guidelines were followed, but our findings suggest that more detailed and comprehensive guidelines are required. Preventive measures through education are likely to be hampered by the early age at which these girls cease attending school.
青少年药物滥用和怀孕是英国主要的公共卫生问题，最新的孕产妇死亡数据表明，年轻药物滥用者中的孕产妇死亡率已翻倍。总体而言，人们对她们的妊娠结局知之甚少。
本研究旨在描述英国青少年怀孕吸毒者样本的特征，检查她们就诊时的心理社会风险和复杂因素，评估对现行国家指南的遵循情况，并根据已确定的特征评估指南的充分性。
对英国西米德兰兹郡一家专门的青少年药物滥用服务机构的年轻人进行了为期六年的记录调查。
从记录中识别出10名怀孕青少年。这些女孩在童年时期经历过不稳定或受虐待的情况，其中一半家庭中有其他药物滥用者。她们的伴侣年龄都比她们大得多，且伴侣也吸毒。所有人都需要进行心理健康评估，90%有自残史。没有孕产妇或新生儿死亡，只有一名女孩流产，但有4例孩子不得不被寄养。
据我们所知，这是英国首次进行此类分析。虽然遵循了现有指南，但我们的研究结果表明需要更详细、全面的指南。由于这些女孩辍学年龄过早，通过教育采取的预防措施可能会受到阻碍。
