Adolescent Pregnancy Outcomes in the Province of Ontario: A Cohort Study

Fleming, Nathalie; Ng, Natalia; Osborne, Christine; Biederman, Shawna; Yasseen, Abdool S.; Dy, Jessica; White, Ruth Rennicks; Walker, Mark

doi:10.1016/j.jpag.2013.01.022

Cited by 17 publications

(42 citation statements)

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“…This dyad is identified as an at-risk population because of the prevalence of challenging life circumstances and increased prevalence of poor maternal and infant health outcomes associated with adolescent motherhood. For instance, compared with adult mothers, adolescents have higher rates of smoking, substance use, low education, and income; emergency cesarean sections; very preterm birth; infants requiring intensive care (Fleming et al, 2013); and postpartum depression (Cantilino et al, 2007; Hudson et al, 2000). Adolescents are less likely than adult mothers to intend to breastfeed (80.3% vs. 90.1%) and attend prenatal care appointments (73.5% vs. 85.5%) (Fleming et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Connecting With Adolescent Mothers: Perspectives of Hospital-Based Perinatal Nurses

Quosdorf

Peterson

Rashotte

et al. 2020

Global Qualitative Nursing Research

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Adolescent mothers are more likely to be dissatisfied with their perinatal nursing care than adult mothers. The purpose of this interpretive descriptive study was to explore adolescent-friendly care from the perspective of hospital-based perinatal nurses. Twenty-seven interviews were conducted with nurses with expertise caring for adolescent mothers. Open-ended questions were used to determine how they adapted their nursing practice when caring for adolescents, how they learned to provide adolescent-friendly care, and the facilitators and barriers to providing adolescent-friendly care. Nurses described two main goals: (a) delivering a positive experience and (b) ensuring mother and infant safety. They accomplished these goals by being nonjudgmental, forming a connection, and individualizing nursing care. The nurses described being mother-friendly, regardless of maternal age, and employing strategies to develop a nurse-adolescent mother therapeutic relationship. This research contributes to our understanding of how hospital-based perinatal nurses engage and support adolescent mothers.

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Section: Introductionmentioning

confidence: 99%

Connecting With Adolescent Mothers: Perspectives of Hospital-Based Perinatal Nurses

Quosdorf

Peterson

Rashotte

et al. 2020

Global Qualitative Nursing Research

View full text Add to dashboard Cite

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“…National Library of Medicine, 2011). These health issues have been associated with many factors such as biological immaturity, increased risk of poor nutrition, inadequate weight gain, tobacco and substance use, poor prenatal care, and psychological stress and depression (Alves, Cisneiros, Dutra, & Pinto, 2012; Anderson & Perez, 2015; Fleming et al, 2013; Wang, Wang, & Lee, 2012; Weng, Yang, & Chiu, 2014). These factors may pose significant risks for the neonates born to adolescents and younger emerging adult mothers including low birth weight and low Apgar scores, thereby increasing neonatal risks for congenital defects, morbidity, and mortality (Cederbaum, Putnam-Hornstein, King, Gilbert, & Needell, 2013; Martin et al, 2013; U.S.…”

mentioning

confidence: 99%

Access Barriers to Prenatal Care in Emerging Adult Latinas

Torres

2016

Hisp Health Care Int

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Despite efforts to improve access to prenatal care, emerging adult Latinas in the United States continue to enter care late in their pregnancies and/or underutilize these services. Since little is known about emerging adult Latinas and their prenatal care experiences, the purpose of this study was to identify actual and perceived prenatal care barriers in a sample of 54 emerging adult Latinas between 18 and 21 years of age. More than 95% of the sample experienced personal and institutional barriers when attempting to access prenatal care. Results from this study lend support for policy changes for time away from school or work to attend prenatal care and for group prenatal care.

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“…To the best of our knowledge, this was the first study to investigate whether obstructed labor and obstetric fistula are more common after early pregnancy, although other studies have previously cast doubt on such a link. For example, a large study of more than 500 000 deliveries in Canada (approximately 24 000 among adolescents) showed that pregnancies during adolescence resulted in fewer cesarean deliveries but more perineal tears than did those delivering beyond the teenage years. Additionally, studies from low‐resource settings reported fewer cesarean deliveries among pregnancies in adolescence than among later pregnancies, opposing the commonly held belief that early pregnancy leads to obstructed labor …”

Section: Discussionmentioning

confidence: 99%