Pregnancy Symptoms, Stages and Tips : Doctor-Reviewed Information at Yahoo! Health

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} first_child(this).innerHTML = "Expand <img src='/partner/yahoohealth/images/clear.gif' class='hl-expandArrow' alt='' />"; } } } YAHOO.util.Event.onContentReady('hl-div-threecol-lc-rc',ra_toggle.init); </script> <div class="hl-box" style="margin-top:0"><div class="hl-box-white-border"><img src="/web/20100730100734im_/http://health.yahoo.net/partner/yahoohealth/images/hc/ph_pregnancy.jpg" width="449" alt=""/></div></div><div class="hl-result-noborder"> <h3 id="definition">Definition</h3><p>Adolescent pregnancy is pregnancy in girls age 19 or younger.</p></div> <div class="hl-result-border"> <h3 id="symptoms">Symptoms</h3><p>Pregnancy symptoms include:</p><ul><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/abdomen-swollen">Abdominal distention</a></li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/breast-premenstrual-tenderness-and-swelling">Breast enlargement</a> and <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/breast-pain">breast tenderness</a></li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/fatigue">Fatigue</a></li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/fainting">Light-headedness</a> or actual <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/fainting">fainting</a></li><li>Missed period</li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/nausea-and-vomiting">Nausea/vomiting</a></li><li>Frequent urination</li></ul></div> <div class="hl-result-border"> <h3 id="causesandriskfactors">Causes & Risks</h3><p>The rate of adolescent pregnancy and the birth rate for adolescents have generally declined since reaching an all-time high in 1990, mostly due to the increased use of <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/condoms">condoms</a>.</p><p>Adolescent pregnancy is a complex issue with many reasons for concern. Younger adolescents (12 - 14 years old) are more likely to have unplanned sexual intercourse and more likely to be coerced into sex. Adolescents 18 - 19 years old are technically adults, and half of adolescent pregnancies occur in this age group.</p><p>Risk factors for adolescent pregnancy include:</p><ul><li>Younger age</li><li>Poor school performance</li><li>Economic disadvantage</li><li>Single or teen parents</li></ul></div> <div class="hl-result-border"> <h3 id="testsanddiagnostics">Tests & Diagnostics</h3><p>The adolescent may or may not admit to being involved sexually. If the teen is <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/pregnancy-3" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">pregnant</a>, there are usually weight changes (usually a gain, but there may be a loss if nausea and vomiting are significant). Examination may show increased <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/abdominal-girth">abdominal girth</a>, and the health care provider may be able to feel the fundus (the top of the enlarged uterus).</p><p><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/pelvic-exam" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">Pelvic examination</a> may reveal bluish or purple coloration of vaginal walls, bluish or purple coloration and softening of the <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/cervix">cervix</a>, and softening and enlargement of the uterus.</p><ul><li>A <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/pregnancy-test">pregnancy test</a> of urine and/or <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/hcg-blood-test-qualitative">serum HCG</a> are usually positive.</li><li>A <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/pregnancy-ultrasound">pregnancy ultrasound</a> may be done to confirm or check accurate dates for pregnancy.</li></ul> <a name="page2"></a> </div> <div class="hl-result-border"> <h3 id="treatments">Treatments</h3><p>All options made available to the <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/pregnancy-3" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">pregnant</a> teen should be considered carefully, including abortion, adoption, and raising the child with community or family support. Discussion with the teen may require several visits with a health care provider to explain all options in a non-judgmental manner and involve the parents or the father of the baby as appropriate.</p><p>Early and adequate <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/prenatal-care" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">prenatal care</a>, preferably through a program that specializes in teenage pregnancies, ensures a healthier baby. Pregnant teens need to be assessed for smoking, alcohol use, and drug use, and they should be offered support to help them quit.</p><p>Adequate <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/nutrition-6" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">nutrition</a> can be encouraged through education and community resources. Appropriate <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/exercise" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">exercise</a> and adequate sleep should also be emphasized. <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/ahfscontent/estrogen-progestin-combinations" onclick="urchinTracker('/healthline/navclick/Article/ahfsbodylink')">Contraceptive</a> information and services are important after delivery to prevent teens from becoming pregnant again.</p><p>Pregnant teens and those who have recently given birth should be encouraged and helped to remain in school or reenter educational programs that give them the skills to be better parents, and provide for their child financially and emotionally. Accessible and affordable child care is an important factor in teen mothers continuing school or entering the work force.</p></div> <div class="hl-result-border"> <h3 id="complications">Complications</h3><p>Adolescent pregnancy is associated with higher rates of illness and death for both the mother and infant. Death from violence is the second leading cause of death durig pregnancy for teens, and is higher in teens than in any other group.</p><p><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/pregnancy-3" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">Pregnant</a> teens are at much higher risk of having serious medical complications such as:</p><ul><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/placenta-previa">Placenta previa</a></li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/preeclampsia">Pregnancy-induced hypertension</a></li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/premature-birth" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">Premature delivery</a></li><li>Significant <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/anemia">anemia</a></li><li><a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/preeclampsia">Toxemia</a></li></ul><p>Infants born to teens are 2 - 6 times more likely to have <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/intrauterine-growth-restriction">low birth weight</a> than those born to mothers age 20 or older. Prematurity plays the greatest role in low birth weight, but <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/intrauterine-growth-restriction">intrauterine growth retardation</a> (inadequate growth of the fetus during pregnancy) is also a factor.</p><p>Teen mothers are more likely to have unhealthy habits that place the infant at greater risk for inadequate growth, <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/travelers-guide-to-avoiding-infectious-diseases" onclick="urchinTracker('/healthline/navclick/Article/adambodylink')">infection</a>, or <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/adamcontent/drug-dependence" onclick="urchinTracker('/healthline/navclick/Article/adambodylink')">chemical dependence</a>. The younger a mother is below age 20, the greater the risk of her infant dying during the first year of life.</p><p>It is very important for pregnant teens to have early and adequate <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/prenatal-care" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">prenatal care</a>.</p></div> <div class="hl-result-border"> <h3 id="prevention">Prevention</h3><p>There are many different kinds of teen pregnancy prevention programs.</p><p>Abstinence education programs encourage young people to postpone sexual activity until marriage, or until they are mature enough to handle sexual activity, and a potential <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/pregnancy-3" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">pregnancy</a>, in a responsible manner.</p><p>Knowledge-based programs focus on teaching adolescents about their bodies and their normal functions, as well as provide detailed information about <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/ahfscontent/estrogen-progestin-combinations" onclick="urchinTracker('/healthline/navclick/Article/ahfsbodylink')">contraceptives</a> and preventing STDs. Research indicates that abstinence-only education without information about <a class="hllink" href="/web/20100730100734/http://health.yahoo.net/galecontent/contraception-4" onclick="urchinTracker('/healthline/navclick/Article/galebodylink')">contraception</a> does not decrease teen pregnancy rates, but knowledge-based programs do reduce rates.</p><p>Clinic-focused programs provide easier access to information, counseling by health care providers, and contraceptive services. Many of these programs are offered through school-based clinics.</p><p>Peer counseling programs typically involve older teens, who encourage other adolescents to resist peer and social pressures to become sexually involved. These programs tend to take a personal approach, helping teens understand their own risks. 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