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Tuesday 10 January 2012

Dealing With Teenage Pregnancy.

I got pregnant as a teenager years ago; as some who know me or have been following my sex, youth/teenage/pregnancy, women, children etc. focussed articles on my blog might know. Back then, I realised that I knew little about sex and its consequences. I never really stayed with my parents and when I did eventually stay with them, I guess they treaded with caution but didn't say anything. Getting pregnant then changed my life: I almost dropped out of school; having to deal with the stigma and making huge sacrifices. If someone had talked to me about sex back then, I would have known better and kept myself. In addition, I lost a neighbour who got pregnant at the age of 15. Unlike me, she couldn’t stand the stigma and burden and eventually had an abortion that claimed her life. These two heart-harrowing experiences, birthed in me the passion to stand as a light bearer to show millions of young girls around the world today who may be going through the same challenge how to prevent making the faux pas I did, and for those who have, guide them (and or their parents or guardians) on how to handle this precarious situation, through which my neighbour lost her life like many others too have and are still losing their lives today.

- What is Teenage Pregnancy?
Teenage Pregnancy is pregnancy in girls age 19 or younger.


- Causes, Incidence, and Risk Factors -





The rate of adolescent pregnancy and the birth rate for adolescents have generally declined since reaching an all-time high in 1990, mostly due to the increased use of condoms. 
Adolescent pregnancy is a complex issue with many reasons for concern. Younger adolescents (12 - 14 years old) are more likely to have unplanned sexual intercourse and more likely to be coerced into sex. Adolescents 18 - 19 years old are technically adults, and half of adolescent pregnancies occur in this age group.




- Risk factors for adolescent pregnancy include:

Younger age
• Poor school performance
• Economic disadvantage
• Single or teen parents




- Teenage Pregnancy symptoms include:

Abdominal distension
• Breast enlargement and breast tenderness
• Fatigue
• Light-headedness or actual fainting
• Missed period
• Nausea/vomiting
• Frequent urination





- Signs and tests -     

The adolescent may or may not admit to being involved sexually. If the teen is pregnant, there are usually weight changes (usually a gain, but there may be a loss if nausea and vomiting are significant). Examination may show increased abdominal girth, and the health care provider may be able to feel the fundus (the top of the enlarged uterus).
Pelvic examination may reveal bluish or purple coloration of vaginal walls, bluish or purple coloration and softening of the cervix, and softening and enlargement of the uterus.
• A pregnancy test of urine and/or serum HCG are usually positive.
• A pregnancy ultrasound may be done to confirm or check accurate dates for pregnancy.





- Treatment -

All options made available to the pregnant teen should be considered carefully, including abortion, adoption, and raising the child with community or family support. Discussion with the teen may require several visits with a health care provider to explain all options in a non-judgmental manner and involve the parents or the father of the baby as appropriate.
Early and adequate prenatal care, preferably through a program that specializes in teenage pregnancies, ensures a healthier baby. Pregnant teens need to be assessed for smoking, alcohol use, and drug use, and they should be offered support to help them quit.
Adequate nutrition can be encouraged through education and community resources. Appropriate exercise and adequate sleep should also be emphasized. Contraceptive information and services are important after delivery to prevent teens from becoming pregnant again.
Pregnant teens and those who have recently given birth should be encouraged and helped to remain in school or re-enter educational programs that give them the skills to be better parents, and provide for their child financially and emotionally. Accessible and affordable child care is an important factor in teen mothers continuing school or entering the work force.




- Expectations (prognosis) -

Having her first child during adolescence makes a woman more likely to have more children overall. Teen mothers are about 2 years behind their age group in completing their education. Women who have a baby during their teen years are more likely to live in poverty.
Teen mothers with a history of substance abuse are more likely to start abusing by about 6 months after delivery.
Teen mothers are more likely than older mothers to have a second child within 2 years of their first child.
Infants born to teenage mothers are at greater risk for developmental problems. Girls born to teen mothers are more likely to become teen mothers themselves, and boys born to teen mothers have a higher than average rate of being arrested and jailed.




- Complications -

Adolescent pregnancy is associated with higher rates of illness and death for both the mother and infant. Death from violence is the second leading cause of death durig pregnancy for teens, and is higher in teens than in any other group.
Pregnant teens are at much higher risk of having serious medical complications such as:

• Placenta previa
• Pregnancy-induced hypertension
• Premature delivery
• Significant anemia
• Toxemia

Infants born to teens are 2 - 6 times more likely to have low birth weight than those born to mothers age 20 or older. Prematurity plays the greatest role in low birth weight, but intrauterine growth retardation (inadequate growth of the fetus during pregnancy) is also a factor.
Teen mothers are more likely to have unhealthy habits that place the infant at greater risk for inadequate growth, infection, or chemical dependence. The younger a mother is below age 20, the greater the risk of her infant dying during the first year of life.
It is very important for pregnant teens to have early and adequate prenatal care.




- Calling your Health Care Provider -

Make an appointment with your health care provider if you have symptoms of pregnancy. Vigilant parents or guardians who have discovered that their daughter is pregnant or seem to show such symptoms may be in a better position to do this as it is characteristic of such girl to want to hide it from the parents (especially in parts of the world where being pregnant at such age is strongly frowned at by parents.) Your health care provider can also provide counseling regarding birth control methods, sexually transmitted
diseases etc.

1 comment:

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