PP17AdolescentParenting09.ppt

PP17AdolescentParenting09.ppt - Care of adolescent parents...

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Unformatted text preview: Care of adolescent parents and their children, Pediatrics, 2001, 249-255. http://www.youtube.com/watch?v=S9NUtsRZFDA Medical and Psychosocial Risks for Mother a a a a a a Medical complications , especially youngest Inadequate prenatal care Domestic violence Single parenthood Dropping out of school Child abuse/neglect Post-partum resumption of alcohol, drug, nicotine use (decrease during gestation) Importance of Grandmother a Majority of adolescent mothers share parenting with their mother Adolescent mothers who take on caregiving with support from their mother tend to feel competent in their parenting role Subsequent Births a a a a Are often intentional Are more likely when mother drops out of school after first birth Are more likely when grandmother is primary caregiver of child Less likely when mother participates in an intensive program for teen mothers Long-acting contraceptives are more effective Protective/Resiliency Factors for Mother and Child Spouse/partner support a Family support a School completion a Participation in a program http://www.youtube.com/watch?v=n3ekTORxcEU a Sense of control over life a At least 2 yrs. before next child a Only 1 or 2 subsequent children Importance of Balance If grandmother or baby’s father give too much help, there is an increased risk for subsequent pregnancy If they give too little help, adolescent mother’s parenting may suffer a Fathers of Infants Born to Adolescent Mothers a a a a Are less likely to be adolescent themselves Are more likely than others their age to live in poverty and to live with their parents or a close relative Paternal support for mother results in better maternal mental health and self-esteem but greater risk of mother not completing school Most adolescent marriages due to pregnancy end in divorce Paternal involvement produces better outcomes in children Infants of Adolescent Mothers Have Increased Incidence of: a a a Low birth weight Prematurity Developmental disabilities Poor developmental outcomes (including cognitive and social development) Adolescent Mothering a a Less likely to vocalize, touch, and play with child Less sensitive and accepting of child’s behavior May have unrealistic expectations of child Harsher discipline More anger, low self-esteem, withdrawal a a May lack maturity to provide appropriate care More social support associated with less anger and less punitive parenting methods Helpful Programs a School-based programs that provide services and education to mothers Non-school based team programs that provide mothers with medical care, psychological support, and life skills Some provide care for both mothers and children a Peer group and role model programs (lack of supportive data) Special Education Initiatives a a Low intellectual ability is a risk factor for adolescent pregnancy Need for sexuality education, selfefficacy, and life skills including decision-making skills Special education programs can link adolescent to external supports and services, help develop supportive family relationships AAP Recommendations a a a a a a a a Continuity of care and medical home for adolescents and their children Use of community social, medical and developmental resources Promotion of breastfeeding Contraceptive counseling Stress importance of completing high school Emphasis on continuing health life habits from pregnancy Stress importance of adolescent caring for child Sensitivity to developmental needs of adolescent and infant/child Assess for domestic violence ...
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This note was uploaded on 01/24/2011 for the course FMSC498A 498A taught by Professor Professorwallen during the Fall '09 term at Maryland.

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PP17AdolescentParenting09.ppt - Care of adolescent parents...

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