Brink S, Martin R, Golden D, Smith L
J Adolesc Health Care. 1985 May;6(3):201-5. doi: 10.1016/s0197-0070(85)80018-8.
This survey compares the use of pediatric services during the first year of life by infants whose mothers were under 17 years of age with a random sample of babies born during the same period and at the same hospital but to older mothers. Both sets of mothers were found to have similar patterns of acute and well-child care. For adolescent mothers, use of a group practice emphasizing provider continuity significantly increased well-child visits and immunizations. The adolescent mother's late entry into prenatal care appeared to be related to a greater use of the emergency room and to inadequate well-child care. The existence of a sibling was related to inadequate well-child care for adolescents' babies but to improved levels of well-child care among older mothers' babies. These findings suggest that close monitoring of adolescent mothers with more than one child may improve the quality of medical care for their infants.
这项调查比较了母亲年龄在17岁以下的婴儿在出生后第一年使用儿科服务的情况，与同期在同一家医院出生但母亲年龄较大的婴儿的随机样本。结果发现，两组母亲在急性病护理和健康儿童护理方面的模式相似。对于青少年母亲来说，采用强调医护人员连续性的联合医疗模式显著增加了健康儿童的就诊次数和免疫接种率。青少年母亲进入产前护理较晚似乎与更多地使用急诊室以及健康儿童护理不足有关。有兄弟姐妹与青少年母亲的婴儿健康儿童护理不足有关，但与年龄较大母亲的婴儿健康儿童护理水平提高有关。这些发现表明，对有多个孩子的青少年母亲进行密切监测可能会提高其婴儿的医疗护理质量。
