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Concept: Pregnancy over age 50

147

Adolescent pregnancy remains a public health concern, with diverse serious consequences, including increased health risk for mother and child, lost opportunities for personal development, social exclusion, and low socioeconomic attainments. Especially in Africa, teenage pregnancy rates are high. It is important to find out how girls without pregnancy experience differ in their contraceptive decision-making processes as compared with their previously studied peers with pregnancy experience to address the high rate of teenage pregnancies.

Concepts: Pregnancy, Poverty, Educational psychology, Abortion, Adolescence, Sex education, Teenage pregnancy, Pregnancy over age 50

21

Australia has high rates of teenage pregnancy compared with many Western countries. Long-acting reversible contraception (LARC) offers an effective method to help decrease unintended pregnancies; however, current uptake remains low. The aim of this study was to investigate barriers to LARC use by young women in Australia.

Concepts: Pregnancy, Childbirth, Birth control, Educational psychology, Menstrual cycle, Abortion, Teenage pregnancy, Pregnancy over age 50

15

In 2017, of the 22.5 million parenting adolescents (ages 15-19) in 60 countries, approximately 4.1 million gave birth to a second or higher-order child. Adolescent pregnancy in general, and rapid repeat pregnancies specifically, expose young mothers and their children to multiple health and socioeconomic risks. The purpose of this article is to review the impact of interventions designed to prevent unintended, rapid repeat pregnancies among adolescents, including those aimed at changing norms to postpone “intended” closely spaced pregnancies to promote healthy spacing.

Concepts: Pregnancy, Childbirth, Childhood, Abortion, Adolescence, Multiple birth, Hazard prevention, Pregnancy over age 50

9

In recent years, English local authorities have been forced to make significant cuts to devolved expenditure. In this paper, we examine the impact of reductions in local expenditure on one particular public health target: reducing rates of teen pregnancy. Contrary to predictions made at the time of the cuts, panel data estimates provide no evidence that areas which reduced expenditure the most have experienced relative increases in teenage pregnancy rates. Rather, expenditure cuts are associated with small reductions in teen pregnancy rates, a result which is robust to a number of alternative specifications and tests for causality. Underlying socio-economic factors such as education outcomes and alcohol consumption are found to be significant predictors of teen pregnancy.

Concepts: Alcohol, Poverty, Redox, Educational psychology, Abortion, Adolescence, Teenage pregnancy, Pregnancy over age 50

3

Adolescent pregnancy has been persistently high in sub-Saharan Africa. The objective of this review is to identify factors influencing adolescent pregnancies in sub-Saharan Africa in order to design appropriate intervention program.

Concepts: Pregnancy, Africa, Sub-Saharan Africa, North Africa, Sahara, Abortion, Southern Africa, Pregnancy over age 50

2

Few, if any, studies have systematically examined the relationship between substance use and teen pregnancy using population-based samples. We aim to provide a comprehensive examination of substance use among pregnant adolescents in the United States.

Concepts: Pregnancy, United States, Poverty in the United States, Abortion, Adolescence, Examination, Comprehensive examination, Pregnancy over age 50

1

There is an increasing trend to delay childbearing to advanced parental age. Increased risks of advanced maternal age and assisted reproductive technologies are widely accepted. There is limited data regarding advanced paternal age. In order to adequately counsel patients on risk, more research regarding advanced paternal age is necessary.

Concepts: Pregnancy, Reproduction, Fertility, Mother, Paternal age effect, Advanced maternal age, Maternal age effect, Pregnancy over age 50

1

Teen pregnancy and childbearing have declined over the past two decades to historic lows. The most recent declines have occurred during a time of coordinated national efforts focused on teen pregnancy. This article highlights a federal partnership to reduce teen pregnancy through the implementation of innovative, evidence-based approaches in affected communities, with a focus on reaching African-American and Latino/Hispanic youth. This initiative has the potential to transform the design and implementation of future teen pregnancy prevention efforts and provide a model that can be replicated in communities across the nation.

Concepts: Time, Pregnancy, Birth control, Sexual intercourse, Abortion, Design, Past, Pregnancy over age 50

1

Bangladesh has the highest rate of adolescent pregnancy in South Asia. Child marriage is one of the leading causes of pregnancies among adolescent girls. Although the country’s contraceptive prevalence rate is quite satisfactory, only 52% of married adolescent girls use contraceptive methods. This qualitative study is aimed at exploring the factors that influence adolescent girls' decision-making process in relation to contraceptive methods use and childbearing.

Concepts: Family, Pregnancy, Birth control, Marriage, Sexual intercourse, Childhood, Abortion, Pregnancy over age 50

1

Extensive research defines the impact of advanced maternal age on couples' fecundity and reproductive outcomes, but significantly less research has been focused on understanding the impact of advanced paternal age. Yet it is increasingly common for couples at advanced ages to conceive children. Limited research suggests that the importance of paternal age is significantly less than that of maternal age, but advanced age of the father is implicated in a variety of conditions affecting the offspring. This review examines three aspects of advanced paternal age: the potential problems with conception and pregnancy that couples with advanced paternal age may encounter, the concept of discussing a limit to paternal age in a clinical setting, and the risks of diseases associated with advanced paternal age. As paternal age increases, it presents no absolute barrier to conception, but it does present greater risks and complications. The current body of knowledge does not justify dissuading older men from trying to initiate a pregnancy, but the medical community must do a better job of communicating to couples the current understanding of the risks of conception with advanced paternal age.

Concepts: Reproduction, Fertility, Idea, Knowledge, Paternal age effect, Advanced maternal age, Maternal age effect, Pregnancy over age 50