Document Detail

Don't miss preconception care opportunities for adolescents.
MedLine Citation:
PMID:  20585211     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To examine pregnant adolescents' desire for pregnancy and determine whether there were opportunities for preconception care for pregnant adolescents with desired pregnancies. STUDY DESIGN: Retrospective chart review in a federally funded, urban adolescent care clinic. Medical records for 108 pregnant women under the age of 19 were the sample. A logistic regression model was developed to determine whether desiring pregnancy was associated with a lack of clinic visits before conception. For those adolescents who desired pregnancy and did have previous visits, preconception risks were identified. RESULTS: Of the 33% of adolescents who responded that their pregnancy was desired now or sooner, 18.5% arrived at the clinic already pregnant with no previous care, whereas 81.5% had at least one previous visit at this clinic. Those who desired pregnancy and did have previous visits had a multitude of risk factors present that could have been addressed with preconception counseling (including smoking, drugs, interpersonal violence, and weight issues). The majority of these adolescents had not desired a pregnancy at the time of pregnancy diagnosis; 57.4% of those had one or more documented visits at the clinic before receiving a pregnancy diagnosis. CLINICAL IMPLICATIONS: Nurses who provide care to adolescents have an opportunity to discuss future pregnancies and to use healthcare visits to teach about preconception health. Teaching adolescents who both express a desire for pregnancy and those who do not express such a desire is an important part of comprehensive nursing care. Teens require thorough teaching about healthcare risks such as smoking cessation, body weight control, interpersonal violence, and the need for folic acid. Adolescents should be prime recipients of preconception education at every healthcare visit.
Elizabeth Heavey
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  35     ISSN:  1539-0683     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-06-29     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  213-9     Citation Subset:  IM; N    
SUNY College at Brockport, New York, USA.
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MeSH Terms
Adolescent Health Services / organization & administration*
Adolescent Psychology
Analysis of Variance
Attitude to Health*
Chi-Square Distribution
Choice Behavior*
Family Planning Services
Logistic Models
Needs Assessment
New York / epidemiology
Nursing Methodology Research
Patient Education as Topic
Preconception Care / organization & administration*
Pregnancy in Adolescence / psychology*,  statistics & numerical data
Primary Health Care
Retrospective Studies
Urban Health Services / organization & administration

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

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