Integral care for pregnant adolescents: impact on offspring

Int J Adolesc Med Health. 2008 Oct-Dec;20(4):537-46. doi: 10.1515/ijamh.2008.20.4.537.

Abstract

Purpose: To assess the impact of integral support on the health of children of adolescent mothers and their children.

Methods: A prospective study involving 50 adolescent mothers, who had frequent meetings with a multi-professional group throughout pregnancy. After birth, medical followup was provided to mother and child.

Results: Mean schooling proved higher than the national average. After follow-up, the rate of return to education was 24%. These adolescents had good social network support from both family and father of the child. They considered themselves good mothers and felt happier after maternity experience. Adolescents demonstrated a responsible sex life involving family planning and correct use of contraception, yielding extremely low levels of repeat pregnancy. Of the mothers, 48% were employed, working, earning a mean monthly salary of 150% minimum wage. The children of mothers followed by were breastfed longer and had greater vaccination cover than the average for São Paulo State.

Conclusions: The results suggest that our program promotes education of adolescents and their children; demonstrates the importance of a social support network through the family of the young mother and father of the child; fosters positive maternal social model addressing self-esteem and responsibility; informs mothers on contraception and encourages a responsible sex life, baby care, vaccination, and maternal breastfeeding.

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology
  • Adolescent Health Services*
  • Brazil
  • Breast Feeding / statistics & numerical data
  • Child, Preschool
  • Educational Status
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Interprofessional Relations
  • Maternal Health Services / methods*
  • Mother-Child Relations*
  • Patient Care Team
  • Pregnancy
  • Pregnancy in Adolescence / psychology*
  • Prospective Studies
  • Schools
  • Social Support*
  • Student Dropouts / psychology