Teen Pregnancy Lecture Powerpoint Flashcards
High school drop outs in teen mothers
Only 50% of teen mothers receive a high school diploma by 22 years
Age of menarche trend
Has decreased in recent years to an avg of 12.5, thought to be due to BMI
Why are teen pregnancies decreasing? (2)
- Teens are less sexually active
- those who are are using birth control
Condom use in teens trend
Decreasing over past 10 years
Counseling considerations in teenagers (7)
- contraception education
- STI’s and gardasil
- sexual violence
- confidentiality (know state laws)
- normalization
- respect
- avoid assumptions
___ of female adolescents have lab evidence of at least one of the following: HPV, chlamydia, trichomonas, HSV, gonorrhea
1/4
Most common STI seen in teenage women and how is it treated? (2)
Chlamydia
Single dose azithromycin or doxycycline BID
Gardasil 9 vaccine prevents these against these 3 diseases
- genital warts
- cancers of vulva or penis
- cervical cancer
1 contraception failure is due to…
…patient noncompliance
Predictors and social aspects of teenage pregnancy (4)
- sexuality on tv
- parental involvement matters
- community
- friends and social groups
Up to __% of teen pregnancies are planned
31%
Outcomes of teen pregnancies
-1/2 result in live birth
1/4 terminated electively
1/4 result in miscarriage
Problems in teen pregnancy (5)
- more likely to delay seeking prenatal care
- higher rates of unfavorable birth outcomes
- more likely to drop out of school
- more likely to live in poverty
- children 2x more likely to be abused or neglected or end up in prison
Pretest counseling for teen pregnancy**
Asking a patient what they would do if their pregnancy test was positive in order to help them consider their options and unearth any potential concerns about well being and health of the patient
PA minor consent to treat laws
- minor can consent to birth control, pregnancy tests, and testing for STI without adult permission
- pregnant teen can consent to their own prenatal care
- to have an abortion must have a parent or guardians consent unless in medical emergency
- teens parents cannot force abortion
- father has no rights in abortion chioce
- No open adoption so once parents rigths are terminated parent has no legal right to see child unless adoptive parents allow it
- mother cannot give up rights until child is 72 hours old for adioption, father can consent as soon as he hears of birth, consent must be voluntary