The medical impact of an antepartum program for pregnant adolescents: a statistical analysis.

Abstract

Rates went up with age and were higher for males than females, for blacks than whites, and for Philadelphia as compared with non-Philadelphia residents. As of December 31, 1974, 62 per cent of the patients were on center maintenance, 28 per cent were on home dialysis, and 10 per cent had received a transplant. It was concluded that there is a great need for further research to delineate the role of the various factors which lead to end-stage renal disease with the goal of preventing the development of this condition.

Perinatal Outcome of Teenage Pregnancies in a Selected Group of Patients

“…As a result, the rate of complications dropped markedly. 8,9 Thus the complications were mainly attributed to absence of prenatal care in this population.…”

Effectiveness of prenatal care and education for pregnant adolescents Nurse-midwifery intervention and team approach

“…Also, many studies have investigated methods to improve the poor outcomes. These methods included the use of nurse‐midwives, nurse practitioners, multi‐disciplinary teams, and special educational programs 1–13 …”

“…The potential for specialized prenatal intervention to reduce rates of maternal and infant problems has been evaluated by programs such as the Young Women's Clinic at the University of California, 2 Booth Maternity Center in Philadelphia, 6 Adolescent Obstetric Clinic at the Medical University of South Carolina, 7 Young Mothers Clinic at the University of Colorado, 10 and the Goldfarb Adult Development Clinic, Houston, Texas 11 . The program evaluations revealed decreased rate of prenatal urinary tract infection 8 and increased rate of prenatal and postpartum visits 6,11 . The adolescents experienced less medication while in labor 10 and a decreased incidence of labor and delivery complications 6 .…”

“…The adolescents experienced less medication while in labor 10 and a decreased incidence of labor and delivery complications 6 . Infants experienced a lower rate of low birth weight 7 and infant complications 2 and an increase in birth weight and Apgar scores 2,8 . Infants also experienced fewer intensive care admissions and number of hospital days 2 .…”

Costs averted by providing comprehensive prenatal care to teenagers

“…Pregnancy outcomes among adolescent women have been shown to be improved by providing prenatal care. Some studies have suggested that offering specialized comprehensive care can improve outcomes even further 1,2 . Because care of this type usually is labor intensive, comprehensive programs for pregnant teenagers are more expensive, in both their inception and maintenance, than are standard prenatal care programs.…”