Temple University Health Sciences Center, Philadelphia, Pennsylvania.
J Youth Adolesc. 1973 Sep;2(3):233-49. doi: 10.1007/BF02213859.
Pregnancy among adolescents, and especially among low-income adolescents, represents a high-risk situation from multiple points of view. When compared to data for the population at large, obstetrical outcome is worsened, subsequent educational attainment is poor, social prognosis is guarded, and repeat unwanted pregnancies are common. The surviving infants, similarly have relatively high incidences of medical and developmental problems. In recent years, comprehensive interdisciplinary programs have been organized to offer more meaningful help to these individuals. The present report describes the authors' 5-year experience with one early intensive program. Considerable medical, educational, and social successes have been noted. The results are especially striking when contrasted with the authors' current experience with an improving but still more fragmented and less successful program. Findings concerning infant development and the mother-infant interaction are also noted. Finally, issues related to the achievement of successes and the persistence of problems after provision of more adequate comprehensive services are discussed.
青少年妊娠，尤其是低收入青少年妊娠，从多个角度来看都是高危情况。与一般人群的数据相比，其分娩结局较差，后续教育程度低，社会预后较差，且反复发生非意愿妊娠较为常见。存活的婴儿同样也存在较多的医疗和发育问题。近年来，已经组织了综合性的跨学科项目，为这些人提供更有意义的帮助。本报告描述了作者在一个早期强化项目中的 5 年经验。已经注意到了相当多的医学、教育和社会方面的成功。与作者目前在一个正在改善但仍然较为分散且不太成功的项目中的经验进行对比，结果更为显著。还注意到了关于婴儿发育和母婴互动的发现。最后，讨论了在提供更全面的服务后取得成功和持续存在问题的相关问题。
