Swipe om te navigeren naar een ander artikel
This article describes an issue of importance to the field of medicine and nursing. We examined factors related to the seeking of prenatal care (PNC) and contribution of PNC on infant complications and psychological birth trauma among adolescents. Additionally, we addressed the confounding factors of violence and depression, common occurrences within this frequently overlooked age range. We collected data from a convenience sample of 260 ethnically diverse adolescents, ages 13–19, within 72 h of birth. We found that most adolescents did not receive the minimum number of PNC visits. Logistic regression models documented that none of the study variables influenced seeking PNC. However, we did find gestational age, as expected, and partner violence to affect the number of PNC visits obtained. Depressive symptoms significantly influenced infant complications, and psychological birth trauma, which was measured via objective and subjective indicators (appraisal). Our findings also revealed that PNC did not contribute to infant complications or birth trauma. Yet, despite obtaining the most PNC visits, Black adolescents appeared most at risk for infant complications, depression, and birth trauma. We believe that the clinical significance of these findings supports the need to better address the psychosocial dimension of care as part of routine PNC. We recommend increased assessments of violence and depression throughout pregnancy, especially for the Black adolescent with targeted education to aid in recognition of symptoms, consequences to maternal and infant health, and connections to psychological birth trauma.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Altarac, M., & Strobino, D. (2002). Abuse during pregnancy and stress because of abuse during pregnancy and birthweight. Journal of the American Medical Women’s Association, 57, 208–214. PubMed
American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed., pp. 269–286). Washington, DC: American Psychological Association.
Anderson, C. (2010). Using the Edinburgh Postnatal Depression Scale to screen for depression among Latina, African American, and Caucasian adolescents. Southern Online Journal of Nursing Research, 10. Retrieved from http://snrs.org/publications/SONJR_articles2/Vol10Num01Art03.html.
Beck, C. T., Gable, R. K., Sakala, C., & Declercq, E. R. (2011). Posttraumatic stress disorder in new mothers: Results from a two stage U.S. national survey. Birth, 18, 216–226. CrossRef
Coimbra, L. C, et al. (2003). Factors associated with inadequacy of prenatal care utilization. Review. Saúde Pública [online].vol. 37, [cited 2015-01-03], pp. 456–462. < http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102003000400010&lng=en&nrm=iso>. ISSN 0034-8910. doi: 10.1590/S0034-89102003000400010.
Collins, N., Dunkel-Schetter, C., Lobel, M., & Scrimshaw, S. (1993). Social support in pregnancy: Psychosocial correlates of birth outcomes and postpartum depression. American Psychological Association, 65, 1243–1258. doi: 10.1037/0022-3522.214.171.1243.
Creedy, D. K., Shochet, I. M., & Horsfall, J. (2000). Childbirth and the development of acute traumatic symptoms: Incidence and contributing factors. Birth, 28, 111–118.
Delgado-Rodriquez, M., Gomez-Olmedo, M., Bueno-Cavanillas, A., & Galvez-Vargas, R. (1997). Unplanned pregnancy as a major determinant in inadequate use of prenatal care. Preventative Medicine, 26, 834–838. CrossRef
Ford, K., Weglicki, L., Kershaw, T., Schram, C., Hoyer, P. J., & Jacobson, M. I. (2002). Effects of prenatal care intervention for adolescent mothers on birth weight, repeat pregnancy, and educational outcomes at one year postpartum. Journal of Perinatal Education, 11, 35–38. CrossRefPubMedPubMedCentral
Garthus-Niegel, S., von Soest, T., Vollrath, M. E., & Eberhard-Gran, M. (2012). The impact of subjective birth experiences on post-traumatic stress symptoms: A longitudinal study. Archives of Women’s Mental Health. doi: 10.1007/s00737-012-0301-3.
Gavin, N. I., Adams, E. K., Hartmann, K. E., Benedict, M. B., & Chireau, M. (2004). Racial and ethnic disparities in the use of pregnancy related health care among Medicaid women. Journal of Maternal and Child Health, 8, 113–126. CrossRef
Gennearo, S., Shults, J., & Garry, D. J. (2008). Stress and preterm labor and birth in Black women. Journal of Obstetrical and Gynecological Neonatal Nursing, 37, 538–545. CrossRef
Glass, N., Fredland, N., Campbell, J., Yonas, M., Sharps, P., & Kub, J. (2003). Adolescent dating violence: Prevalence, risk factors, health outcomes, and implications for clinical practice. Journal of Obstetrical and Gynecological Neonatal Nursing, 32, 227–238. CrossRef
Grady, M. A., & Bloom, K. C. (2004). Pregnancy outcomes of adolescents enrolled in a Centering Pregnancy program. Journal of Midwifery Woman’s Health, 49, 412–420. CrossRef
Hamilton, B. E., Martin, J. A., & Ventura, S. J. (2013). Births: Preliminary data for 2012. National Vital Statistics Reports, 62(3).
Hidalgo, L. A., Chedraui, P. A., & Chavez, M. J. (2005). Obstetrical and neonatal outcomes in young adolescents of low socioeconomic status: A case control study. Archives of Gynecological Obstetrics, 271, 207–211. CrossRef
Horowitz, M., Wilner, N. & William, A. (1979). Impact of event scale: A measure of subjective distress. Psychosomatic Medicine, 41(3). Retrieved from: http://journals.lww.com/psychosomaticmedicine/Abstract/1979/05000/Impact_of_Event_Scale__A_Measure_of_Subjective.4.aspx.
Hoyer, P. J., Jacobson, M., Ford, K., & Walsh, F. (1994). Pregnancy care for the adolescent. Nurse Practitioner, 19(27–28), 31–32.
Kilpatrick, D. G., Ruggiero, K. J., Acierno, R., Saunders, B. E., Resnick, H. S., & Best, C. (2003). Violence and risk of PTSD, major depression, substance abuse/dependency, and comorbidity: Results from a national study of adolescents. Journal of Counseling and Clinical Psychology, 71, 692–700. CrossRef
Lathrop, B., & Pritham, U. A. (2015). A pilot study of blended group and individual prenatal care visits for women with low income. Nursing for Women’s Health, 18, 462–474. CrossRef
Leeners, B., Stiler, R., Block, E., Gorres, G., Rath, W., & Tschudin, S. (2012). Prenatal care in adult women exposed to childhood sexual abuse. Journal of Perinatal Medicine, 25, 1–10. doi: 10.15/jpm-2011-0086.
Meltzer-Brody, S., Bledsoe-Mansori, S. E., Johnson, N., Killian, C., Hamer, R. M., Jackson, C., et al. (2013). A prospective study of perinatal depression and trauma history in pregnant minority adolescents. American Journal of Obstetrics and Gynecology, 208, 211.e1–211.e7. CrossRef
Olde, E., Kleber, R. J., van der Hart, O., & Pop, V. J. M. (2006). Childbirth and posttraumatic stress responses: A validation study of the Dutch Impact of Event Scale-Revised. European Journal of Psychological Assessment, 22, 259–267. CrossRef
Partridge, C. A., & Holman, J. R. (2005). Effects of a reduced visit prenatal care clinical practice guideline. Journal American Board of Family Practitioners, 18, 555–560. CrossRef
Petersen, R., Connelly, A., Martin, S. L., & Kupper, L. L. (2001). Preventative counseling during prenatal care: Pregnancy risk assessment monitoring system (PRAMS). American Journal of Preventative Medicine, 20, 245–250. CrossRef
Rosen, D., Seng, J. S., Tolman, R. M., & Mallinger, G. (2007). Intimate partner violence, depression and posttraumatic stress disorder as additional predictors of low birth weight infants among low income mothers. Journal of Interpersonal Violence, 22, 1305–1314. doi: 10.1177/0886260507304551. CrossRefPubMed
Seng, J. S., Low, L. K., Sperlich, M., Ronis, D. L., & Liberzon, I. (2011). Posttraumatic stress disorder, child abuse history, birthweight and gestational age: A prospective cohort study. BJOG: An International Journal of Obstetrics and Gynecology, 118, 1329–1339. CrossRef
Shaw, R. J., St. John, N., Lilo, E. A., Booil, J., Benitz, W., Stevenson, D. K., & Horwitz, S. M. (2013). Prevention of traumatic stress in mothers with preterm infants: A randomized controlled trial. Pediatrics. doi: 10.1542/peds.2013-1331.
Soderquist, J., Wijma, B., & Wijma, K. (2006). The longitudinal course of post-traumatic stress after childbirth. Journal of Psychosomatic Obstetrics & Gynecology, 27, 113–119. CrossRef
Sumner, L. A., Wong, L., Dunkel Schetter, C., Myers, H., & Rodriquez, M. (2012). Predictors of posttraumatic stress disorder symptoms among low income Latinas during pregnancy and postpartum. Psychological Trauma, Theory, Research, Practice and Policy, 4, 196–203. CrossRef
U.S. Department of Health and Human Services, Health Resources and Services Administration and Maternal and Child Health Bureau. (2013). Child Health USA 2013. Rockville, MD: U.S. Department of Health and Human Services. Retrieved from http://mchb.hrsa.gov/chusa13/dl/pdf/chusa13pdf.
Vanderbuilt, D., Bushley, T., Young, R., & Frank, D. (2009). Acute posttraumatic stress symptoms among urban mothers with newborns in the neonatal intensive care unit: A preliminary study. Journal of Developmental and Behavioral Pediatrics, 30(1), 50–56. CrossRef
Youngblut, J. M., & Casper, G. R. (1993). Single item indicators in nursing research. Research in Nursing & Health, 16, 459–465. CrossRef
- Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents
Cheryl Ann Anderson
- Springer US