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青少年怀孕。

Teenage pregnancy.

作者信息

Molina Cartes Ramiro, González Araya Electra

机构信息

Centro de Medicina Reproductiva y Desarrollo Integral de la Adolescencia (CEMERA), Facultad de Medicina, Universidad de Chile, Santiago, Chile.

出版信息

Endocr Dev. 2012;22:302-31. doi: 10.1159/000326706. Epub 2012 Jul 25.

Abstract

Teen pregnancy is a social problem not resolved in developing and some developed countries. Adolescent fecundity has become the most exact bio-demographic and health indicator of development. In developing countries that are expected to follow the sexual behaviour patterns of developed countries, without offering the levels of education and services for adolescents, the consequences will be adolescent fecundity and STI prevalence increase. The ignorance about sexuality and reproduction both in parents, teachers and adolescents increases the early initiation of coital relations and of unwanted pregnancies. Extreme poverty and being the son or daughter of an adolescent mother are risk factors of repeating the early pregnancy model. The application of predictive risk criteria in pregnant adolescents to facilitate the rational use of Health Services to diminish the maternal and perinatal mortality is discussed as well as the social factors associated with adolescent pregnancy as socioeconomic levels, structure - types and characteristics of the family, early leaving school, schooling after delivery, female employment, lack of sexual education, parental and family attitudes in different periods of adolescent pregnancy, adolescent decisions on pregnancy and children, unstable partner relationship and adoption as an option. Social consequences are analyzed as: incomplete education, more numerous families, difficulties in maternal role, abandonment by the partner, fewer possibilities of having a stable, qualified and well-paid job, greater difficulty in improving their socioeconomic level and less probability of social advancement, lack of protection of the recognition of the child. Finally, based on evidence, some measures that can reduce adverse consequences on adolescent mothers, fathers and their children are suggested.

摘要

青少年怀孕是发展中国家和一些发达国家尚未解决的社会问题。青少年生育能力已成为发展最确切的生物人口统计学和健康指标。在那些预期会遵循发达国家性行为模式,但又不提供青少年教育和服务水平的发展中国家,后果将是青少年生育能力和性传播感染患病率上升。父母、教师和青少年对性与生殖的无知增加了过早开始性交关系和意外怀孕的情况。极端贫困以及身为青少年母亲的子女是重复早孕模式的风险因素。本文讨论了在怀孕青少年中应用预测风险标准,以促进合理利用卫生服务,降低孕产妇和围产期死亡率,以及与青少年怀孕相关的社会因素,如社会经济水平、家庭结构类型和特征、过早辍学、产后上学、女性就业、缺乏性教育、青少年怀孕不同阶段父母和家庭的态度、青少年对怀孕和孩子的决定、伴侣关系不稳定以及收养选择。分析了社会后果包括:教育不完整、家庭增多、母亲角色困难、被伴侣抛弃、获得稳定、合格且高薪工作的可能性降低、提高社会经济水平的难度加大以及社会晋升的可能性降低、儿童得不到认可的保护。最后,基于证据,提出了一些可以减少对青少年母亲、父亲及其子女不利后果的措施。

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