The rates are on the decline worldwide. But adolescent pregnancies still occur, placing millions of girls each year at risk for medical complications and social isolation and their babies for severe health problems-especially when prenatal care is inadequate or nonexistent. But as the opportunity for young women and girls increases around the world, adolescent pregnancy will continue to decline. Featuring reports from countries across the developed and developing worlds, the International Handbook of Adolescent Pregnancy analyzes the scope of the problem and the diversity of social and professional responses. Its biological/ecological perspective identifies factors influencing childhood pregnancy, as well as outcomes, challenges and needs of very young mothers as they differ across nations and regions. Salient comparisons are made as cultural contexts and community support vary widely and attention is paid to issues such as child marriage, LGBT concerns and the impact of religion and politics on health care, particularly access to contraception, abortion and other services. This global coverage heightens the understanding of readers involved in care, education and prevention programs and otherwise concerned with the psychosocial development, reproductive health and general well-being of girls. Included in the Handbook: Biological influences of adolescent pregnancy. Adolescent maternal health and childbearing. Adolescent pregnancy and mental health. International perspectives on adolescent fathers. Adolescent pregnancy as a feminist issue. Adolescent pregnancy as a social problem. Plus viewpoints from more than thirty countries. As a unique source of up-to-date findings and clear-headed analysis, the International Handbook of Adolescent Pregnancy is a go-to reference for practitioners and researchers in maternal and child health, pediatrics, adolescent medicine and global health.

More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.

By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.

Unwed teenage pregnancy is a national problem - and a puzzle for clinicians and social psychologists. For how are we to understand a pattern of behavior that is strongly motivated and yet likely to end in unfortunate outcomes? Moreover, why does the pattern of unwed teenage pregnancy repeat in successivegenerations in some families, despite education and previous experience, whereas in other families the pattern is broken? Reporting on intensive social and psychological research in a rural African American community in Louisiana, Anne Dean offers a compelling view of this phenomenon that integrates historical and economic analysis with a sensitive psychological inquiry into the minds of mothers and daughters and the patterns of communication between them. Teenage Pregnancy: The Interaction of Psyche and Culture transcends earlier investigations by going beyond conventional research strategies to test psychodynamic theories about the formation of internal worlds. Drawing on the work of Erik Erikson and Hans Loewald, Dean not only finds empirical justification for psychodynamic theories of psychic structure, but also extends the scope and methodology of attachment research in an exciting new direction. Specifically, her analysis reveals how different kinds of attachment relationships between mothers and daughters manifest themselves in adolescence as internal working models that become the templates for interpreting, and acting upon, contradictory economic, social, and familial expectations. In demonstrating how social factors and cultural schemas interact with psychodynamic motives and structures, Teenage Pregnancy has widespread applicability to social science research in general. And it offers psychodynamically oriented clinicians working with adolescents the opportunity to become better acquainted with the ways in which mother-daughter relationships gain expression in the identity choices of teenage girls.

Adolescence is a developmental period of accelerating physical, psychological, social! cultural, and cognitive development, often characterized by confronting and surmounting a myriad of challenges and establishing a sense of self-identity and autonomy. It is also, unfortunately, a period fraught with many threats to the health and well-being of adoles cents and with substantial consequent impairment and disability. Many of the adverse health consequences experienced by adolescents are, to a large extent, the result of their risk behaviors. Many adolescents today, and perhaps an increasing number in the future, are at risk for death, disease, and other adverse health outcomes that are not primarily biomedical in origin. In general, there has been a marked change in the causes of morbidity and mortality among adolescents. Previously, infectious diseases accounted for a dispro portionate share of adolescent morbidity and mortality. At present, however, the over whelming toll of adolescent morbidity and mortality is the result of lifestyle practices.

Traces the way popular attitudes came to demonize young mothers and examines the profound social and economic changes that have influenced debate on the issue, especially since the 1970s. --From publisher description.