scoreopf.blogg.se - Teenage Sex and Pregnancy by Peggy J. Parks

Screen for sexual abuse and exploitation, particularly among younger adolescents – coercive relationships may be difficult to identify, as many adolescents who fall pregnant to older partners describe caring, consensual relationships.

Provide nonjudgmental support and counselling, including all options.

Where unintended adolescent pregnancy occurs:

Developmentally appropriate sexual health and contraceptive counselling, with particular attention to correct condom use, access to condoms and emergency contraception.

The Family Planning Alliance of Australia provides training in intrauterine device and contraceptive implant insertion ( ).

Long-acting reversible contraceptives (LARCs) have been shown far more reliable in this age group than any other option, and should be the first-line recommendation.

Sensitive and developmentally appropriate exploration of pregnancy and contraceptive beliefs.Aboriginal and Torres Strait Islanders, disadvantaged or rural/remote residentsĪct to reduce the risk of unintended adolescent pregnancy:.Identify teenagers at increased risk for unintended pregnancy: Confirm hepatitis B and human papillomavirus vaccination status and test and vaccinate if coverage is incomplete.Screen sexually active teenagers annually for sexually transmissible infections (STIs).For general mental health screening, the Strengths and Difficulties Questionnaire can be scored instantly online (.Validated screening instruments recommended by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists include TACE and Substance Use Risk Profile Pregnancy Scale.Interventions and practice recommendations for the general practitionerĮstablish trustful relationships with young patientsĪsk about substance use, relationships, experience with violence and sexual abuse: Box 1 summarises clinical recommendations for general practice. We recognise that teenage fathers also have important health and wellbeing concerns, but in this review we focus on teenagers who become pregnant, teenage mothers, and their children.

However, if these young people receive appropriate healthcare intervention, including non-judgemental medical and psychosocial support, outcomes can be improved for both the young parent and their child. 1 Pregnant teenagers and their children are vulnerable to numerous adversities. Most teenage pregnancies in Australia, as elsewhere, are unintended, and around half are terminated.