Document Detail


Adolescent pregnancy diagnosis and outcomes: a six-year clinical sample.
MedLine Citation:
PMID:  18312795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To explore pregnancy diagnosis, outcome choice, and time to referral appointment for adolescents. DESIGN: A descriptive study using retrospective chart review and clinical logs of all positive pregnancy tests between January 2000 and December 2005. SETTING: Adolescent clinic in a hospital-based academic center. PARTICIPANTS: 625 pregnant teens were identified. Thirteen teens (2%) were lost to follow-up. Exclusion criteria included teens with advanced pregnancy, 22 weeks gestation or older at initial pregnancy diagnosis (n=11). INTERVENTIONS: All pregnant teens participated in a multidisciplinary tracking program. MAIN OUTCOME MEASURES: Outcome choice and time interval to prenatal or termination appointment. RESULTS: The 601 pregnant teens had a mean age of 18.2 years with a range of 13 to 23 years. Pregnancy outcomes indicate 48.2% (N=290) opted to continue their pregnancy and entered prenatal care, 45% (N=275) chose to terminate, and 6% (N=36) experienced a miscarriage. Adolescents who continued their pregnancy presented with a mean gestational age of 7.98 weeks versus 7.20 weeks for teens choosing to terminate (P < or = 0.001). They also had a significantly longer time interval to their referral site, averaging 24 days until a prenatal appointment, compared to 17 days for a termination (P < or = 0.05). CONCLUSION: Over the six-year study period, the number of adolescent pregnancies diagnosed within this clinical site remained constant. Adolescents who chose to continue their pregnancy were more likely to present later for diagnosis and experienced a longer wait time to their referral appointment for prenatal care. Pregnant adolescents may delay entry into timely reproductive health services.
Authors:
Mary M Aruda; Margaret McCabe; Carolyn Litty; Pamela Burke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  21     ISSN:  1083-3188     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-03     Completed Date:  2008-05-06     Revised Date:  2009-05-29    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  17-9     Citation Subset:  IM    
Affiliation:
Connell School of Nursing, Department of Maternal Child Health, Boston College, Chestnut Hill, MA 02467-3812, USA. mary.aruda@bc.edu
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MeSH Terms
Descriptor/Qualifier:
Abortion, Therapeutic*
Adolescent
Adult
Cohort Studies
Decision Making
Female
Gestational Age
Humans
Patient Acceptance of Health Care*
Pregnancy
Prenatal Care*
Retrospective Studies
Waiting Lists
Comments/Corrections
Erratum In:
J Pediatr Adolesc Gynecol. 2009 Feb;22(1):69

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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