Childbearing Age

Question 1

Stats about global context of young childbearing age

Answer 1

Approx 12 mil girls aged 15-19th old and at least 777000 girls under 15 yrs give birth each year in developing regions
Complications in pregnancy and childbirth is leading cause of death for 15-19 years globally

Question 2

Risk factors for pregnancy under 18

Answer 2

Free school meal eligibility
Persistent school absence
Lower than expected academic progress
First sex before 16
Expereince of sexual abuse and exploitation
Alcohol

Question 3

Risk factors for young men experiencing parenthood

Answer 3

Subjected to forms of punishment at home are twice as likely to have been sexually abused
Pre existing serious anxiety.depression and conduct disorder
Poor health and nutrition
Drink, smoke or misuse other substance

Question 4

Relevance of maternal age under 20years

Answer 4

30% higher rate of stillbirth
60% higher infant mortality rate
30% higher rate of low birth weight baby
3x higher rates of smoking in pregnancy
Higher rates of poor maternal mental health
Higher rates of child developmental delay
1/2 rate of breastfeeding at 6-8 weeks

Question 5

Social outcomes from child of pregnancy

Answer 5

Higher chance of having lower educational attainment
Higher nance of economic inactivity in adulthood
Higher chance of teenage childbearing
Higher chance of lower earnings

Question 6

Social outcomes of adolescent pregnant

Answer 6

More likely tto be NEET
More likely to have been a looked after child

Question 7

General care recommendations for women with complex social factors

Answer 7

Multi agency needs assessment
Right to confidentiality
Hand held maternity notes

Question 8

Care recommendations for young parents

Answer 8

Using a flexible model
Antenatal care and education in peer groups in a variety of setting - one stop shop
Named midwife
Prodvide opportuniy for the partner of father of the baby to be involved with the care

Question 9

Gillick competence

Answer 9

16 or over 0 they have capacity so can accept or decline
Under 16 - may be able to give consent if health staff think they can
If havent got capacity - parent responsibility

Question 10

Older maternal age stats

Answer 10

Average age of childbirth is rising over western countries
Apporox 1 in 15 babies now born to over 40s a four fold increase in 30years

Question 11

Risk of older maternal age

Answer 11

Miscarriage
Stillbirth
Ectopic
Placenta abruption and praevia
Mal presentation.
Pre and post term delivery
PPH
Pre existing med condition inc hypertension, obesity and diabetes increase with age - influence fetal health

Question 12

Increased mat age and fetal anomaly

Answer 12

Increased risks of downs Edward’s and Patau
25years 1 in 1250
40 years 1 in 100
45yrs 1in30

Question 13

Increase age with stillbirth

Answer 13

At 41/40 risk is 0.75 in 1000 women under 35yrs old and 2.5 in over 40
Nulliparous are at higher risk, aged 40 years or above and are at term have a 5x higher chance of still births compared to younger women
Aetiology unknown