Elster A B, Lamb M E, Tavaré J, Ralston C W
JAMA. 1987 Sep 4;258(9):1187-92.
To assess the medical and psychosocial effects of services provided by a comprehensive adolescent pregnancy and parenthood program, 125 adolescents who received care from a comprehensive program were compared with 135 adolescents who received care from community health providers. Few differences were found in pregnancy outcome measures. At 12 and 26 months after delivery, however, the intervention group scored significantly better on composite measures encompassing medical, psychosocial, and parenting events than did the comparison group, even after accounting for possible confounding factors. This suggests that comprehensive care has little effect on pregnancy outcomes for those adolescents who are already receiving prenatal and nutritional services, but does have a significant effect on events occurring during the first and second postpartum years.
为评估一项综合性青少年怀孕与为人父母项目所提供服务的医学和社会心理影响，将125名接受综合性项目护理的青少年与135名接受社区卫生服务提供者护理的青少年进行了比较。在妊娠结局指标方面未发现明显差异。然而，在分娩后12个月和26个月时，即使在考虑了可能的混杂因素后，干预组在包括医学、社会心理和育儿事件的综合指标上的得分仍显著高于对照组。这表明，对于那些已经接受产前和营养服务的青少年来说，综合护理对妊娠结局影响不大，但对产后第一年和第二年发生的事件有显著影响。
