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Similar to ARH and BS: Understanding Adolescent Development and Contraceptive Options
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ARH and BS: Understanding Adolescent Development and Contraceptive Options
- 1. ARH and BS
- 2. How do you understand adolescent? Transition from childhood to adulthood Developing physically, psychologically and socially Age range: 10 – 24 years
- 3. Adolescent developmental stages Physical Psychosocial Behavioral Early Adol (10-13) puberty Beyond family Concerned peer’s acceptance Think abstractly Middle Adol (14-16) ↑Interest in sex Strongly influenced by peer continue Challenge rules and limits Late Adol (17-19) ↓peer influence Reintegrate into family ↑problem solving Taking adult’s responsibilities Sexual maturity
- 4. Which of the followings will adolescent encounter? Peer’s influence Sex Employment Education Alcohol Smoking Drug abuse Family’s supporter
- 5. What consequences will occur from having sex during adolescence? SEX STIs/HIV Unwanted pregnancy Sex promiscuous 100 100 200 Abortion Pregnancy complications Premature delivery Trafficking Sexual violence PLWHIVs PLWHAs Maternal death Neonatal death
- 6. What are the health risk of early pregnancy in adolescent? Spontaneous abortion and still birth Unsafe abortion Premature birth Anemia Pre-eclampsia Cephaloplevic disproportion
- 7. What are their voices for the consequences? We don’t want HIV? How to do BS? How to access BS? Choice
- 8. How could you help them?
- 9. Who is suitable for which BS? BS method? 1. She is 17 year-old, single and she has a boyfriend. They have sex sometime. She is worried about pregnancy. 2. She is 15 year-old, student and she had a sex with her boyfriend last 2 days ago. She is concerned for pregnancy. 3. She is 18 year-old, collage student and she has been married last month. She does not want baby now but plan to get baby 2 years later.
- 10. Who is suitable for which BS? BS method? 4. She is 19 year-old, single and she has many sex partners. She does not want baby. 5. She is 17 year-old, student and newly married. she wants to get contraception until finishing her graduation (5 years later) and she wishes regular period
- 11. Which BS is suitable for adolescent women? Fill a suitable color in blocks Use without any restriction Not allow to use Use generally Source: WHO 2004
- 12. Which BS should adolescent postpartum women be used? Delivery 3 weeks 6 weeks >6 months Which BS? 1. Breast feeding adolescent women LAM OK-3 OK pills 2. Non-Breast feeding adolescent women OK-3 OK pills 3. All adolescent women OK condom OK IUD
- 13. Which BS should adolescent postaborted women be used? Delivery 6 weeks >6 weeks Which BS? 1. First trimester Any BS 2. Second trimester OK-3, condom OK IUD
- 14. How to communicate with adolescent? Relax her by using facial expression showing interest R Open up her by using a warm and caring tone of voice O Lean toward her and not away from her L Establish and maintain eye contact with her E Smile S
- 15. How to give information? Clear information Ask question effectively Listen attentively Let her decide on BS method choice
Editor's Notes
- Cephalopelvic disproportion (CPD): Adolescents younger than 17 often have not reached physical maturity and their pelvises may be too narrow to accommodate the baby's head. In these cases, obstructed delivery and prolonged labor are more likely, thereby increasing the risk of hemorrhage, infection, and fistula.• Pre-eclampsia (hypertension of pregnancy): If pre-eclampsia is left uncontrolled, it can progress to extreme hypertension, seizures, convulsions, and cerebral hemorrhage.• Anemia: The World Bank reports that anemia is 2 times more common in adolescent mothers than among older ones.• Unsafe abortion: Few young women have sufficient money to pay for an abortion.They tend to wait later in their pregnancy before seeking an abortion and often resort to cheaper and more dangerous methods.• Premature Birth: Infants born to adolescent mothers are more likely to be premature, of low birth weight, and suffer consequences of retarded fetal growth.• Spontaneous Abortion and Still Births: Young adolescents under the age of 15 are more likely to experience spontaneous abortion and still births than older women.