Can Fam Physician. 1984 Apr;30:903-7.
More liberal teenage behavior has made pregnancy in this age group an important issue. Live births to adolescent mothers have decreased, while therapeutic abortions for this age group have increased by 27.9% in Canada. The obstetrical and psychosocial risks of the pregnant teenager are related more to inadequate care than to her age. There is a higher perinatal mortality rate among infants born of teenaged mothers. Risk of abuse, neglect, or developmental delay is mitigated by family and societal support. Management of the pregnant adolescent is multi-faceted. She needs nutritional counselling, optimal antenatal and obstetrical care, and access to continuing education or job training. After the child is born, follow up should be directed towards health care, nutrition, education, employment, financial counselling or support, and family and community support.
更加自由放任的青少年行为使得这一年龄段的怀孕成为一个重要问题。加拿大青少年产妇的活产婴儿数量有所下降,而针对这一年龄段的治疗性人工流产增加了 27.9%。青少年孕妇的产科和心理社会风险与其年龄关系不大,更多的是与其护理不足有关。青少年产妇所生婴儿的围产期死亡率较高。家庭和社会支持可以减轻虐待、忽视或发育迟缓的风险。对怀孕的青少年的管理是多方面的。她需要营养咨询、最佳的产前和产科护理,以及接受继续教育或职业培训的机会。孩子出生后,应关注其健康、营养、教育、就业、财务咨询或支持,以及家庭和社区支持。