Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy

Chlamydia trachomatis infections in neonates and young children

Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: implications for prevention of repeat pregnancy.

New sex partner acquisition and sexually transmitted disease risk among adolescent females.

An exploration of the relationship between youth assets and engagement in risky sexual behaviors.

Adolescent women in Maputo Mozambique have a high risk of death from pregnancy-related causes and the great majority of such deaths are avoidable. Overall 52 adolescents died of pregnancy-related causes at Maputo Central Hospital between 1989 and 1993 for a rate of 387 deaths per 100000 live births compared with a ratio of 294 per 100000 among older women. Although adolescents were 30% more likely than older women to die of maternal causes prenatal records indicate that adolescents who died were significantly less likely than others to have been classified as being at high risk (2% vs. 21%). Of the 19 risk factors listed on prenatal cards at the hospital only 5 were identified among pregnant adolescents. The investigators note that the low number of risk factors identified on the cards of adolescents who later died suggests that the screening program at the hospital is not sufficiently sensitive. Estimating that 8 of 10 maternal deaths at the hospital could have been prevented they conclude that "recognizing the existence of avoidable factors in the majority of maternal deaths must be the first step...in designing and implementing reproductive health care programs adequate for young people." (full text)

Pregnant adolescents at risk.

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Pregnant adolescents at risk.