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reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 7<br />

Specific Objective #1: Explain the importance of delaying<br />

childbearing<br />

CONTENT<br />

Knowledge/Attitudes/Skills<br />

HEALTH RISKS OF EARLY<br />

PREGNANCY<br />

• Cephalopelvic disproportion<br />

(CPD): Adolescents younger than 17<br />

often have not reached physical<br />

maturity and their pelvises may be<br />

too narrow to accommodate the<br />

baby's head. In these cases,<br />

obstructed delivery and prolonged<br />

labor are more likely, thereby<br />

increasing the risk of hemorrhage,<br />

infection, and fistula.<br />

• Pre-eclampsia (hypertension of<br />

pregnancy): If pre-eclampsia is left<br />

uncontrolled, it can progress to<br />

extreme hypertension, seizures,<br />

convulsions, and cerebral<br />

hemorrhage.<br />

• Anemia: The World Bank reports that<br />

anemia is 2 times more common in<br />

adolescent mothers than among<br />

older ones.<br />

• Unsafe abortion: Few young women<br />

have sufficient money to pay <strong>for</strong> an<br />

abortion. They tend to wait later in<br />

their pregnancy be<strong>for</strong>e seeking an<br />

abortion and often resort to cheaper<br />

and more dangerous methods.<br />

• Premature Birth: Infants born to<br />

adolescent mothers are more likely to<br />

be premature, of low birth weight, and<br />

to suffer consequences of retarded<br />

fetal growth.<br />

• Spontaneous Abortion and Still<br />

Births: Young <strong>adolescents</strong> under the<br />

Training/Learning Methods<br />

(Time Required)<br />

TRAINER PRESENTATION AND<br />

DISCUSSION (15 MIN.)<br />

The trainer should:<br />

Ask Px, what are the <strong>health</strong> risks<br />

related to early pregnancy<br />

• Using Transparency 7.1: Health<br />

Risks of Early Pregnancy and the<br />

content on the left-hand side of the<br />

page, fill in any missing in<strong>for</strong>mation.<br />

7.1<br />

• Using Trainer’s Tool 7.1<br />

Demographic Data or available local<br />

data, fill in Transparency 7.2:<br />

Pregnancy Outcomes by Age.<br />

7.1<br />

7.2<br />

MIND MAPPING (30 MIN.)<br />

The trainer should:<br />

• Draw a picture of a tree on a flipchart.<br />

• The trunk of the tree should be<br />

labeled "Unwanted pregnancy.” See<br />

<strong>Pathfinder</strong> <strong>International</strong><br />

90<br />

Adolescent Curriculum

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