A Health Care Program for First-Time Adolescent
Mothers and their Infants
Originally designed for low-income, unwed teens under 17 years of age, this
clinic-based program aims to help first-time mothers prevent repeat pregnancies,
return to school, improve immunization rates for their infants, and reduce
their use of hospital emergency room services for routine infant care. Several
services are offered in the context of a teen baby clinic, including: (1) well-baby
care at 2 weeks, and at months 2, 4, 6, 9, 12, 15, and 18; (2) discussion of
family planning and referral to a birth control clinic; (3) instruction on
parenting skills with a social worker; and (4) informal parenting education
through videotapes, slides, and discussions with a nurse practitioner or trained
volunteer. A field study and 18-month follow-up assessment of the intervention
were conducted with 243 African-American mothers at an urban teaching hospital.
Compared to a control group of teens receiving routine well-baby care, program
participants experienced significantly fewer repeat pregnancies (12% vs. 28%),
reduced their use of the emergency room for routine care, and were more likely
to obtain full immunization for their newborns. View
more detailed information on this program.
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