Montazeri Simin, Yousefi Setareh, Javadifar Nahid
Department of Midwifery, Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Student Research Committee, Midwifery Department, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Family Reprod Health. 2025 Jun;19(2):69-84. doi: 10.18502/jfrh.v19i2.19295.
Adolescent pregnancy is a pressing public health issue that significantly impacts the health and well-being of young mothers and their children. This systematic review evaluates the effectiveness of psychosocial prenatal interventions for pregnant adolescents, aiming to identify strategies that enhance maternal and neonatal outcomes.
Systematic comprehensive literature search was conducted across PubMed, Web of Science, Scopus, Cochrane, Science Direct, Google Scholar, and Grey Literature. Studies published from 1996 to January 2023 were included if they focused on pregnant adolescents aged 10-22 years and employed randomized controlled trial (RCT) designs. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias 2 tool.
Out of 2,450 articles screened, 22 studies met the inclusion criteria, revealing diverse interventions categorized into six main types: antenatal/postnatal educational programs, psychological interventions, home visits, partner support, and social support interventions. Findings indicated that these psychosocial interventions significantly improved maternal mental health, increased prenatal care utilization, and enhanced perinatal outcomes. However, the review highlighted the need for more rigorously designed studies to establish definitive conclusions regarding the most effective intervention strategies.
Results show Educational programs focusing on antenatal and postnatal care effectively enhance knowledge, reduce substance abuse, and boost breastfeeding confidence, leading to better pregnancy outcomes. While psychosocial interventions have improved mental health and school attendance. Home visiting programs have positively impacted maternal well-being and parenting skills. Group prenatal care (GPNC) is beneficial, especially for high-risk adolescents, by combining health evaluations with group education and support. Integrating psychosocial support into prenatal care models can help reduce health disparities among adolescent populations.
青少年怀孕是一个紧迫的公共卫生问题，对年轻母亲及其子女的健康和幸福有重大影响。本系统评价评估了针对怀孕青少年的心理社会产前干预措施的有效性，旨在确定可改善孕产妇和新生儿结局的策略。
在PubMed、科学网、Scopus、考克兰图书馆、科学Direct、谷歌学术和灰色文献库中进行了系统全面的文献检索。纳入1996年至2023年1月发表的研究，这些研究聚焦于10至22岁的怀孕青少年，并采用随机对照试验（RCT）设计。使用考克兰偏倚风险2工具评估纳入研究的方法学质量。
在筛选的2450篇文章中，22项研究符合纳入标准，揭示了分为六种主要类型的多种干预措施：产前/产后教育项目、心理干预、家访、伴侣支持和社会支持干预。研究结果表明，这些心理社会干预措施显著改善了孕产妇心理健康，提高了产前护理利用率，并改善了围产期结局。然而，该评价强调需要设计更严谨的研究，以就最有效的干预策略得出明确结论。
结果显示，关注产前和产后护理的教育项目有效提高了知识水平，减少了药物滥用，并增强了母乳喂养信心，从而带来更好的妊娠结局。心理社会干预改善了心理健康和上学出勤率。家访项目对孕产妇幸福感和育儿技能产生了积极影响。团体产前护理（GPNC）通过将健康评估与团体教育和支持相结合，尤其对高危青少年有益。将心理社会支持纳入产前护理模式有助于减少青少年人群中的健康差距。
