Importance of Targeted Care in Improving Maternal-Child Outcomes in Teen Pregnancy.

IMPORTANCE: The United States continues to have one of the highest adolescent pregnancy rates compared with other high-income countries. Adolescents and their children have an increased risk of adverse health effects. These disparities demonstrate the need for access to comprehensive health resources. OBJECTIVE: This review investigates how access to a variety of care and services, such as diverse models of prenatal care; affordable health insurance; the Women, Children, and Infants program; lactation support; and targeted postpartum care, can impact the health outcomes and overall well-being of pregnant adolescents and their children. EVIDENCE ACQUISITION: Original and review articles were obtained from a literature search in PubMed; pertinent articles were reviewed. RESULTS: Targeted interventions during pregnancy can improve outcomes for adolescents. Different models of prenatal care focus on the unique challenges faced by this population and address the limitations of traditional prenatal care for adolescents, including time constraints, low provider-patient interaction, decreased social support, and conflicts with school schedules. Other important interventions include reproductive and sexual health education, feeding and nutrition access, and postpartum care. CONCLUSION AND RELEVANCE: This review highlights the importance of providing culturally appropriate, age-specific prenatal care to adolescents. Nontraditional models such as group prenatal care, school-based programs, and age-specific pregnancy programs are more effective at addressing the complex social, emotional, and health care needs of adolescent mothers. Improvements in contraception access, reproductive education, expanded clinic access, and postpartum care can lead to better health outcomes for both adolescent mothers and their infants.

Duke Scholars

Author Jeffrey Adam Kuller Obstetrics and Gynecology, Maternal Fetal Medicine

Author Sarah K. Dotters-Katz Obstetrics and Gynecology, Maternal Fetal Medicine