Teenage pregnancy presentation

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Teenage pregnancy presentation

  1. 1. Lyndsey Anderson, Nicola Adams, Rachael Baldock, Julie Bambridge, Kathryn Belfer and Alice Brandolini. <br />Teenage Pregnancy<br />
  2. 2. Learning Outcomes<br />Teenage pregnancy demographics and statistics.<br />Key issues facing pregnant teenagers.<br />Key issues facing midwives who care for pregnant teenagers.<br />Local and national strategies that support address the holistic needs of pregnant teenagers.<br />
  3. 3. Demographics of Teenage Pregnancy<br />Depravation in relation to teenage pregnancy.<br />Recurring pregnancies.<br />Father’s age vs. Mother’s age.<br />Scottish teenage pregnancies in 2008. (iSD. 2009)<br />
  4. 4. Demographics Continued<br />
  5. 5. Key Issues Facing Pregnant Teenagers<br />“For some young women having a child when young can represent a positive turning point in their lives, for many more teenagers bringing up a child is incredibly difficult and often results in poor outcomes for both the teenage parent and the child...”<br />Teenage Pregnancy Strategy Beyond 2010 – (Department of Children, Schools and Families, 2010)<br />
  6. 6. Key Issues Continued<br />Should I keep my baby?<br />Abortion issues.<br />I am concerned about parents<br />reaction. <br />Emotions.<br />Support and guidance.<br />Will the father support me?<br />Father’s involvement for child.<br />Support for father.<br />
  7. 7. Key Issues Continued<br />Will I be able to continue smoking?<br />Infant death rates vs. Smoking.<br />Teenage smoking.<br />Will I suffer from depression?<br />Difficulty in diagnosis.<br />What support is out there for me?<br />Study by Ank De Jonge 1999/2000.<br />
  8. 8. Key Issues Continued<br />Do I have to attend antenatal groups?<br />Reluctant/unable to attend.<br />Will I still attend school?<br />Problems facing teenagers <br />out of education for any <br />length of time.<br />Will I get help with money <br />and housing?<br />Not knowing what’s available.<br />Will my friends still want to <br />be around me?<br />Isolation/ loneliness.<br />
  9. 9. Key Issues Facing Midwives<br />“ Young parents and their babies have poorer access to maternity services and experience worse outcomes than older mothers and fathers.”<br />Getting Maternity Services Right for Teenage Mothers and Young Fathers. (Department of Health, 2009)<br />Midwives must provide adequate support to teenage mothers and young fathers.<br />How to adapt to parenthood.<br />To prevent undesirable outcomes.<br />To educate them.<br />
  10. 10. Key Issues Continued<br />Late diagnosis of pregnancy.<br />Average gestation at booking, and reasons why.<br />Challenges to midwife – less time available to provide information and support.<br />Mental health problems.<br />Post natal depression due to home life, housing issues etc.<br />Challenges to midwife – must be able to identify mental health problems and act accordingly to offer support and referral if necessary.<br />
  11. 11. Key Issues Continued<br />The role of the father.<br />Feeling excluded and overwhelmed.<br />Challenges to midwife – <br />Include father as much<br /> as he wants to be.<br />Influential on mother <br />= health promotion? <br />Encourage him <br />to support mother.<br />
  12. 12. Key Issues Continued<br />Contraception.<br />Around 20% of teenage mothers have further pregnancies before the age of 18.<br />Challenge to midwife – clear, concise education on contraception in postnatal period. Referral to family planning clinic if necessary.<br />Confidentiality.<br />Teenagers may not want parents knowing (particularly in under 16s).<br />Challenge to midwife – Confidentiality always applies in practice, but must be able to recognise when child protection becomes an issues and referral is required.<br />Accessibility.<br />Reluctance or inability to attend maternity services.<br />Challenge to midwife – Ensure ease of access. <br />
  13. 13. Local Strategies for Pregnant Teens<br />
  14. 14. National Strategies<br />Teenage Pregnancy Strategy Beyond 2010.<br />Original aims to work with the cause and effect of teenage pregnancy.<br />A target of halving under 18s conception rates by 2010 using rates from 1998 as a base year.<br />To increase the number of teenage parents in education, training or employment to reduce long-term social exclusion.<br />Results.<br />Seven key evidence based factors.<br />
  15. 15. Conclusion<br />Teenage pregnancy demographics.<br />Pregnant teenagers’ issues.<br />Midwives’ issues.<br />Nationally and local strategies.<br />NICE guidelines.<br />
  16. 16. Any Questions?<br />
  17. 17. References/ Bibliography<br />AMICA., (2010) Pregnancy Crisis. http://www.amicapregnancycrisisedinburgh.co.uk/ (Accessed 10 October 2010)<br />Brook ., (2010) Abortion. http://www.brook.org.uk/pregnancy/abortion (Accessed 13 October 2010)<br />De Jonge, A., (2001) Support for Teenage Mothers: A Quantative Study into the Views of Women about the Support the Received as Teenage Mothers. Journal of Advanced Nursing. 36(1), pp 49-57.<br />DSCF., (23 April 2010) About the Teenage Pregnancy Strategy. http://www.dcsf.gov.uk/everychildmatters/healthandwellbeing/teenagepregnancy/about/strategy/ (Accessed 28 September 2010)<br />DoH., (November 2009) Getting Maternity Services Right for Teenage Mothers and Young Fathers. Nottingham.<br />DoH., (February 2010) Teenage Pregnancy Strategy Beyond 2010. Nottingham.<br />DoH., (2008) Teenage Parents: Who Cares? A Guide to Commissioning and Delivering Maternity Services for Young Parents. Nottingham.<br />DoH., (2007) Multi-Agency Working to Support Pregnant Teenagers: A Midwifery Guide to Partnership Working with Connexions and Other Agencies. Nottingham.<br />Egan, S., (22 September 2010) Family Nurse Partnership Board Meeting. Http://www.nhslothian.scot.nhs.uk/aboutus.ourorganisation/nhsboard/meetings/boardpaper/board_paper_100922_05-011.pdf (Accessed 30 September 2010)<br />
  18. 18. References/Bibliography Cont.<br />Ehiri, J., (2009) Maternal and Child Health: Global Challenges, Programmes and Policies. 1sted, London, Springer.<br />Fatherhood Institute., (2010) Fatherhood Institute Research Summary: Young Fathers. http://www.fatherhoodinstitute.org/index.php?id=13&cID=575 (Accessed 01 October 2010)<br />iSD Scotland., (2009) Sexual Health – Teenage Pregnancy. http://www.isdscotland.org/isd/2071.html (Accessed 01 October 2010)<br />National Institute for Health and Clinical Excellence., (September 2010) Pregnancy and Complex Social Factors. http://guidance.nice.org.uk/CG110/QuickRefGuide/pdf/English (Accessed 04 October 2010)<br />Pregnancy Concerns., (03 July 2010) Teenage Pregnancy. http://pregnancyconcerns.info/teenage-pregnancy/linking-family-planning-and-teenage-pregnancy-problems/ (Accessed 04 October 2010)<br />Royal College of Midwives., (Autumn 2009) National Teenage Pregnancy Midwifery Network. http://www.rcm.org.uk/college/standards-and-practice/national-teenage-pregnancy-midwifery-network/ (Accessed 04 October 2010)<br />Thomson, S., (2010) The Complexities of Supporting Teenagers in Pregnancy. British Journal of Midwifery. 18(6), pp368-371.<br />Tommy’s., (2010) Teenage Pregnancy Health Campaign. http://www.tommys.org/Page.aspx?pid=749 (Accessed 10 October 2010)<br />

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