Advertisement

Reprint of: Obstetric Trauma-Informed Care: Pregnant Adolescents’ Voices

      Although rates of births to young women aged 15-19 years have declined significantly in the United States between 2007 and 2017, a total of 194,377 babies were born to young women in this age group in 2017.
      CDC
      Centers for Disease Control and Prevention.
      Numerous studies have established that social determinants of health such as race, low socioeconomic status, and inadequate education among pregnant adolescents are associated with adverse maternal and birth outcomes.
      • Amjad S
      • MacDonald I
      • Chambers T
      • et al.
      Social determinants of health and adverse maternal and birth outcomes in adolescent pregnancies: a systematic review and meta-analysis.
      Of special concern in recent years has been the effect of a history of trauma and adverse childhood experiences (ACEs) on pregnant and parenting adolescents. ACEs such as emotional, physical, and sexual abuse, and household dysfunction were reported to have long-term negative effects later in life.
      • Felitti VJ
      • Anda RF
      • Nordenberg D
      • et al.
      Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study.
      Studies have documented high rates of such ACEs among pregnant and parenting adolescents.
      • Madigan S
      • Vaillancourt K
      • McKibbon A
      • et al.
      The reporting of maltreatment experiences during the Adult Attachment Interview in a sample of pregnant adolescents.
      ,
      • Ashby BD
      • Ehmer AC
      • Scott SM
      Trauma-informed care in a patient-centered medical home for adolescent mothers and their children.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric and Adolescent Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • CDC
        Centers for Disease Control and Prevention.
        National Center for Health Statistics, Health, United States2018 (– Data Finder. Available: https://www.cdc.gov/nchs/hus/contents2018.htm?search=Births. Accessed December 22, 2020)
        • Amjad S
        • MacDonald I
        • Chambers T
        • et al.
        Social determinants of health and adverse maternal and birth outcomes in adolescent pregnancies: a systematic review and meta-analysis.
        Paediatr Perinat Epidemiol. 2019; 33: 88
        • Felitti VJ
        • Anda RF
        • Nordenberg D
        • et al.
        Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study.
        Am J Prev Med. 1998; 14: 245
        • Madigan S
        • Vaillancourt K
        • McKibbon A
        • et al.
        The reporting of maltreatment experiences during the Adult Attachment Interview in a sample of pregnant adolescents.
        Attach Hum Dev. 2012; 14: 119
        • Ashby BD
        • Ehmer AC
        • Scott SM
        Trauma-informed care in a patient-centered medical home for adolescent mothers and their children.
        Psychol Serv. 2019; 16: 67
        • U.S. Department of Health and Human Services
        Substance Abuse and Mental Health Services Administration (SAMHSA): SAMHSA's concept of trauma and guidance for a trauma-informed approach.
        December 26, 2020 (Available:) (Accessed)
        • Sperlich M
        • Seng JS
        • Li Y
        • et al.
        Integrating trauma-informed care into maternity care practice: conceptual and practical issues.
        J Midwifery Womens Health. 2017; 62: 661
        • Machtinger EL
        • Cuca YP
        • Khanna N
        • et al.
        From treatment to healing: the promise of trauma-informed primary care.
        Womens Health Issues. 2015; 25: 193
        • Machtinger EL
        • Davis KB
        • Kimberg LS
        • et al.
        From treatment to healing: inquiry and response to recent and past trauma in adult health care.
        Womens Health Issues. 2019; 29: 97
        • Millar HC
        • Lorber S
        • Vandermorris A
        • et al.
        No, you need to explain what you are doing”: obstetric care experiences and preferences of adolescent mothers with a history of childhood trauma.
        J Pediatr Adolesc Gynecol. 2021; (. In press)
        • Song W
        • Qian X
        Adverse childhood experiences and teen sexual behaviors: the role of self-regulation and school-related factors.
        J Sch Health. 2020; 90: 830

      Linked Article

      • Obstetric Trauma-Informed Care: Pregnant Adolescents’ Voices
        Journal of Pediatric and Adolescent GynecologyVol. 34Issue 3
        • Preview
          Although rates of births to young women aged 15-19 years have declined significantly in the United States between 2007 and 2017, a total of 194,377 babies were born to young women in this age group in 2017.1 Numerous studies have established that social determinants of health such as race, low socioeconomic status, and inadequate education among pregnant adolescents are associated with adverse maternal and birth outcomes.2 Of special concern in recent years has been the effect of a history of trauma and adverse childhood experiences (ACEs) on pregnant and parenting adolescents.
        • Full-Text
        • PDF