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.

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.

This examination of changes in adolescent fertility emphasizes the changing social context within which adolescent childbearing takes place.

Examining the social consequences of teenage childbearing, the editors explain the effects on adolescent parents themselves, their offspring, and their families, and discuss ways of preventing or tempering those effects. Why have Americans suddenly become troubled about teenage sexuality, pregnancy, and childbearing? These are not new problems, certainly, and the birthrate among teenagers--even the youngest of them--has been declining for some years. What has aroused public concern, according to the editors of these essays, is the increased visibility of the problem. The pregnant teenager is no longer expelled from school and forced to marry or discreetly bear a child out of wedlock. She has the option of abortion, and even if she decides to have the child, she is even more likely not to marry. Thus, the sensitivity of Americans to the issues of abortion and illegitimacy is inexorably linked to their concern about adolescent sexuality and pregnancy. The attention focused on the problem has resulted in a considerable amount of research on the causes and consequences of teenage pregnancy, and on the means of preventing it. Over the past decade, Family Planning Perspectives has published much, if not most, of the research on the causes, consequences, and means of coping with problems associated with teenage pregnancy and childbearing. From about 100 articles, the editors have selected 28 key reports that illuminate the issue for scholars, students, and professionals who work with young people in various settings. The contributors to the first section examine historical trends in regard to teenage sexual activity, use of contraception and abortion, pregnancy, and childbirth in and out of wedlock in the context of other changes in social structure and mores. The second section assesses the serious adverse consequences of early childbearing on the young people involved, on their children, and on society. The third section looks into what courses of action are practicable to help teenagers avert the pregnancies and births they do not wish to have, and to cope with problems resulting from early childbearing. The final section evaluates current programs and materials designed to help teenagers prevent unwanted pregnancies or deal with pregnancy when it occurs; it also reviews the state of the law involving contraception, abortion, and pregnancy among teenagers. The book includes an overview and section introductions by the editors, which draw together the implications of the contributions and those of other investigators who have written on this subject. All articles, as well as the editors' contributions, are followed by extensive, up-to-date bibliographies

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.