Adolescent Pregnancy and the First 1000 Days (the Philippine Situation)

少女怀孕和第一个1000天（菲律宾形势）

Mario V Capanzana PhD ； Divorah V Aguila MSPH ； Charina A Javier MDE ； Teresa S Mendoza MSPH ； Virginia M Santos-Abalos MD

《Asia Pacific Journal of Clinical Nutrition》 24卷4期 (2015/12) Pp. 759-766

https://doi.org/10.6133/apjcn.2015.24.4.07

摘要

少女怀孕和第一个1000天（菲律宾形势）研讨会于2013年9月在马尼拉举行。主要目的是：1）描述目前菲律宾青年女性怀孕和哺乳期营养及健康状况；2）讨论引起她们关注的现有计划；3）找出现有知识和计划之间的差距以及解决这些差距的方法。少女怀孕率从2003年的8%上升到2008年的10%。2008年，在20岁以下孕妇中35%以上被认定为有营养风险。碘缺乏和贫血是各年龄孕妇和哺乳期妇女的主要健康问题。虽然现行的政府计划也强调加强孕妇的需要，但没有一个是针对少女怀孕特殊需求的计划。结论：需要开展提高青少年健康和有效防范和应对少女意外怀孕的研究。建议包括：1）发展青少年友好健康中心，在青年和健康工作人员中发放信息和教育材料以提高生殖和健康意识；2）检查影响怀孕／非怀孕青少年确定出生结局和营养状况的心理及营养因素；3）检查青年女性分娩后的成长模式；4）评估目前计划和干预措施对改善青少年和产妇健康的影响；更重要的是，5）找出菲律宾少女怀孕持续上升的可能原因。

關鍵字

菲律宾少女 ； 孕妇营养 ； 少女怀孕 ； 孕妇和哺乳期妇女

並列摘要

The Seminar on Adolescent Pregnancy and the First 1000 Days (the Philippine Situation) was held in Metro Manila on September 2013. The objectives were to: 1) describe the current nutrition and health status of Filipino adolescent females, including those pregnant and lactating; 2) discuss existing programs that address their concerns; and 3) identify gaps in existing knowledge and programs, and ways to address these gaps. Adolescent pregnancy rates had increased from 8% in 2003 to 10% in 2008. In 2008, more than 35 percent of pregnant women below 20 years old were considered nutritionally-at-risk. Iodine deficiency and anaemia were major health problems in both pregnant and lactating women of all ages. While government programs exist to address the needs of pregnant women, none were geared towards meeting the specific needs of pregnant adolescents. Conclusions: Studies are needed to find ways to improve adolescent health and to effectively prevent and deal with unwanted pregnancies among adolescents. Recommendations include 1) developing adolescent-friendly health centers, information and education materials to increase reproductive and health awareness among youth and health workers, 2) examining the psychosocial and nutritional factors that determine birth outcomes and nutritional status of pregnant/ non-pregnant adolescents, 3) examining adolescent growth patterns following delivery, 4) evaluating the impact of current programs and interventions geared towards improving adolescent and maternal health, and more importantly, 5) identifying the underlying reasons for the continued rise in adolescent pregnancy in the country.

並列關鍵字

adolescent females ； maternal nutrition ； adolescent pregnancy ； pregnant and lactating women ； Philippines