Adolescent Pregnancy Guidelines

Adolescent Pregnancy Guidelines
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DOI:
10.1016/s1701-2163(15)30180-8
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发表时间:
2015-08-01
影响因子:
1.8
通讯作者:
Spitzer, Rachel
Spitzer, Rachel
中科院分区:
其他
文献类型:
--
作者:
Fleming, Nathalie;O'Driscoll, Teresa;Spitzer, Rachel

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目的:描述针对加拿大怀孕青少年(包括特殊人群)护理的需求和基于证据的实践。结果:加拿大青少年女性的健康怀孕,提供文化敏感和适合年龄的护理,以确保这些年轻女性及其婴儿和年轻家庭获得最佳结果,并降低重复怀孕率。证据:通过检索 PubMed 和 Cochrane 图书馆于 2012 年 5 月 23 日使用适当的受控词汇检索已发表的文献(例如,青春期怀孕)和关键词(例如,怀孕、青少年、青年)。结果仅限于系统评价、随机对照试验/对照临床试验和观察性研究。结果仅限于 1990 年或之后出版的英文或法文材料。检索定期更新,并纳入到 2013 年 7 月 6 日的指南中。通过检索卫生技术评估和卫生技术相关机构、国家和国际医学专业协会以及临床实践指南集合的网站来识别灰色(未发表)文献。 值:本文件中的证据质量是使用加拿大预防保健工作组报告中描述的标准进行评级的(表1).好处/危害/成本:这些指南旨在帮助护理加拿大怀孕期间青少年女性的从业者,并让他们能够以适合这些年轻女性年龄、文化背景和风险状况的方式为她们提供最好的护理。
Objective: To describe the needs and evidence-based practice specific to care of the pregnant adolescent in Canada, including special populations.Outcomes: Healthy pregnancies for adolescent women in Canada, with culturally sensitive and age-appropriate care to ensure the best possible outcomes for these young women and their infants and young families, and to reduce repeat pregnancy rates.Evidence: Published literature was retrieved through searches of PubMed and The Cochrane Library on May 23, 2012 using appropriate controlled vocabulary (e.g., Pregnancy in Adolescence) and key words (e.g., pregnancy, teen, youth). Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. Results were limited to English or French language materials published in or after 1990. Searches were updated on a regular basis and incorporated in the guideline to July 6, 2013. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology-related agencies, national and international medical specialty societies, and clinical practice guideline collections.Values: The quality of evidence in this document was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table 1).Benefits/Harms/Costs: These guidelines are designed to help practitioners caring for adolescent women during pregnancy in Canada and allow them to take the best care of these young women in a manner appropriate for their age, cultural backgrounds, and risk profiles.