Resident Education Curriculum in Pediatric and Adolescent Gynecology: The Short Curriculum 3.0

Gibson, Marie Eve S.; Alaniz, Veronica I.; Coble, Chanelle; Dumont, Tania; Howell, Jennifer O.; Karjane, Nicole W.; Lawson, Ashli; Nur, Marcella; Parks, Melissa; Teelin, Karen; Thieu, Hong-Thao; Romano, Mary

doi:10.1016/j.jpag.2021.01.016

Cited by 6 publications

(1 citation statement)

References 9 publications

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“…This stands in contrast to the American College of Obstetrics and Gynecologists (ACOG) recommendation that any clinician providing prenatal care assess for depressive symptoms at least once during pregnancy and the postpartum period using a validated and standardized assessment [33]. In the United States and Canada, pediatric clinicians report low confidence assessing for and treating reproductive health concerns [34]. Acknowledging that there has been limited education on this topic, we provide guidance on assessment of prenatal depressive symptoms among adolescents (Table 2).…”

Section: Assessmentmentioning

confidence: 99%

Depressive symptomatology in pregnant adolescents: considerations for care

Wittenberg

Fitzgerald

Pluhar

2023

Current Opinion in Pediatrics

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Purpose of review Adolescents who are pregnant experience higher levels of depressive symptoms than nonpregnant peers and pregnant adults. Clinicians caring for youth are often the first point of clinical contact for pregnant adolescents but report low confidence in assessing and treating reproductive health concerns. In the current review, we outline risk factors for depressive symptoms among pregnant adolescents and provide guidance on best practices in assessment and treatment of depressive symptoms in this pediatric sub-population. Recent findings Depressive symptoms are persistent across pregnancy. In adolescents, they are linked to greater risk of suicidal ideation, suicidal behavior, and nonsuicidal self-injury. Risk factors for prenatal depressive symptoms among adolescents include lower levels of income, history of depression, exposure to childhood maltreatment and/or recent abuse, and/or lifetime exposure to racial/ethnic discrimination. These risk factors likely interact with each other. Summary Clinicians should assess carefully for depressive symptoms in all pregnant adolescents using a standardized, validated measure supplemented by thoughtful clinical interviewing. Clinicians can educate adolescents on the distinction between symptoms of pregnancy versus symptoms of depression. We encourage clinicians to increase their comfort in providing psychopharmacological treatment, consulting with colleagues in psychiatry, and referring adolescents for psychopharmacological treatment and therapy as needed.

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Section: Assessmentmentioning

confidence: 99%