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Experience with an adolescent pregnancy program. A preliminary report.
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1977
Year
Teenage PregnancyCommunity LiasonAdolescent Behavioral HealthMedication AdministrationContraceptionPrimary CareAdolescent MedicinePregnant AdolescentsAdolescent Pregnancy ProgramDrug MonitoringPrenatal CarePublic HealthProgram ComponentsHealth Services ResearchSexual And Reproductive HealthPregnancy PreventionHealth PolicyPediatric GynecologyMaternal HealthAdolescent PsychologyChild DevelopmentAdolescent Primary CarePediatricsPatient SafetyMedicineAdolescent Gynecology
A program has been designed to give comprehensive health care services to pregnant adolescents. The program components include community liason, patient education, counseling and social services, a nurse "on call" program for labor and delivery, and pediatric nurse-practitioner followup. In addition, a drug use identification component screens the patients by interview and urinalysis. Hypertensive disorders of pregnancy occurred in 10% of the first 202 patients. Forty-three percent had anemia (hematocrit less than 35%), and screening cervical cultures for gonorrhea were positive in 3.5%. Cigarettes, alcohol, and marijuana constituted the most common nonmedical drugs used, and aspirin the most common medical drug. Eighty-one percent of the patients attended 7 or more antenatal visits, one-half did not miss a single clinic appointment, and 95% completed a post-partum visit, indicating that the program was well accepted by the adolescents.