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KMID : 0367320020130010117
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2002 Volume.13 No. 1 p.117 ~ p.128
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OBSTETRICIAN´S VIEW OF TEENAGE PREGNANCY:PRESENT STATUS, PREVENTION AND PSYCHIATRIC CONSULTATION
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Lee Young-Sik
Kim Eun-Young
Kim Bung-Nyun
Hong Kang-E
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Abstract
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Objectives : For the purpose of obtaining the more vivid present status and prevention program of teenage pregnancy, this survey was done by Obstetricians, as study subject, who manage the pregnant teenager in real clinical situation.
Methods : Structured survey form about teenage pregnancy was sent to 2,800 obstetricians. That form contained frequency, characteristics, decision making processes, and psychiatric aspects of the teenage pregnancy. 349 obstetricians replied that survey form and we analysed these datas.
Results : (1) The trend of teenage pregnancy was mildly increased. (2) The most common cases were unwanted pregnancy by continuing sexual relationship with boyfriends rather than by forced, accidental sexual relationship with multiple partners. (3) The most common reason of labor was loss the tim of artificial abotion. (4) Problems of pregnant girls´ were conduct behaviors and poor informations about contraception rather than sexual abuse or mental retardation. (5) Most obstetricians percepted the necessity of psychiatric consultation, however psychiatric consultation was rare due to parents refusal and abscense of available psychiatric facility. (6) For the prevention of teenage pregnancy, the most important thing was practical education about contraception.
Conclusions : Based on the result of this study, further study using structured interview schedule with pregnant girl is needed for the detecting risk factor of teenage pregnancy and effective systematic approach to pregnant girl.
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KEYWORD
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Teenage pregnancy, Present status, Prevention, Psychiatric consultation
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