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青少年怀孕:对母亲和婴儿来说是一种精神病理学风险吗?

Teenage pregnancy: a psychopathological risk for mothers and babies?

作者信息

Goossens Gwendoline, Kadji Caroline, Delvenne Veronique

机构信息

Université libre de Burxelles, Child psychiatry, Htpital Universitaire des Enfants Reine Fabiola (HUDERF), Brussels, Belgium,

出版信息

Psychiatr Danub. 2015 Sep;27 Suppl 1:S499-503.

PMID:26417827
Abstract

INTRODUCTION

Teen pregnancy remains a public health problem of varying importance in developing and developed countries. There are risks and consequences for teen parents and the child on the medical and socioeconomic level.

METHOD

We conducted a literature search on multiple databases, focusing on the risk and the consequences of teen pregnancy and childbearing. We used different combined keywords as teen pregnancy, teen mother, teenage parents, teenage childbearing, teenage mother depression. Our search included different type of journals to have access on different views (medical, psychological, epidemiologic).

RESULTS

The teen mothers are more at risk for postnatal depression, school dropout and bad socioeconomic status. The babies and children are more at risk for prematurity and low birthweight and later for developmental delays and behavior disorders.

CONCLUSIONS

Pregnancy in adolescence should be supported in an interdisciplinary way (gynecologist, psychologist, child psychiatrist, midwives, pediatrician). We need further studies that allow targeting patients most at risk and personalizing maximum support.

摘要

引言

青少年怀孕在发展中国家和发达国家仍然是一个具有不同重要性的公共卫生问题。对于青少年父母及其子女而言,在医学和社会经济层面均存在风险及后果。

方法

我们在多个数据库中进行了文献检索,重点关注青少年怀孕及生育的风险和后果。我们使用了不同的组合关键词,如青少年怀孕、青少年母亲、青少年父母、青少年生育、青少年母亲抑郁。我们的检索涵盖了不同类型的期刊,以便获取不同的观点(医学、心理学、流行病学)。

结果

青少年母亲患产后抑郁症、辍学和社会经济地位差的风险更高。婴儿和儿童早产和低出生体重的风险更高,后期出现发育迟缓及行为障碍的风险也更高。

结论

青少年怀孕应通过跨学科方式(妇科医生、心理学家、儿童精神科医生、助产士、儿科医生)给予支持。我们需要进一步的研究,以便针对风险最高的患者并提供最大限度的个性化支持。

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