It’s Teen Pregnancy Prevention Month in some parts of the world
We want to emphasise that sex-education can prevent teenage pregnancy, but let’s not forget a teen mom is not only struggling with the normal issues of being a teenager, yet another part is facing the responsibilities of an adult!
Teenage pregnancy rates in South Africa are high, with around 30% of teenagers in the country reporting ever having been pregnant. According to the 2015 annual school survey, over 15,000 pupils fell pregnant during the academic year. This is nearly triple the worldwide rate of pregnancy in teenagers.
The psychological impact of pregnancy on teenagers is pronounced; adolescents are twice as likely as adults to experience postpartum depression. Another concern is the lack of education, with only about a third of pregnant girls in South Africa going on to finish their schooling. Incomplete education and lack of skills make it difficult for these young women to find work in order to support themselves and their children.
There are a number of physical ramifications to teenage pregnancy – unsafe abortions, for example, can cause injury or death. As a whole, complications during pregnancy and birth are the second leading cause of death for adolescent girls worldwide. But it’s not only them that face serious risks during this period – their babies also have a much higher risk of dying than those born to older mothers.
One way of decreasing the risks to both mother and child is by making skilled antenatal, childbirth and postnatal care available in a safe, teen-friendly environment. This should include counselling with the intent of providing emotional support, mobilising potential resources, and teaching important information about childcare.
Further readings: Pregnancy – a guide for teens
A guide to pregnancy, giving birth, and life as a mom for teens
Written by: Meagan Dill, PMHP volunteer
Crosspost from World Maternal Mental Health day blog by Josee Grenier
In my experience through Postpartum Depression and Anxiety it felt like every fear and trauma I had ever experienced was fresh in my mind. It’s like PPD’s ugly hand had reached deep into my heart in the ‘trauma’ area and just started pulling at things and ‘stirring the pot’.
I remember some days just laying on the couch completely exhausted from the onslaught of painful thoughts and emotions. I felt like someone also pushed the ‘off’ switch on all my filters and coping skills. I had zero ability to sort through or process all the thoughts and emotions I was experiencing. I remember spending a lot of time trying to process every thought and feeling as though I could solve this problem through understanding my feelings. It was exhausting and often it would make my anxiety so much worse. It also felt like unless I could miraculously heal from every trauma I had ever experienced, I would never be OK.
I felt like I must be experiencing all of this emotional distress because I had done something wrong or had neglected to do something good. I felt broken and like there was no hope that I could ever ‘fix’ this. […]
This post is crossposted on the WMMHday campaign site by Liz Shane
In the summer of 2013, my life was going great. I’d married my high-school sweetheart two years earlier and we had just moved into to an amazing rental house with our dog. It seemed like the perfect time to expand our family and I soon became pregnant with our first child. While I was initially ecstatic about the pregnancy, several weeks later, I started experiencing some very troubling symptoms.
I had a history of episodic anxiety and depression, usually centered around major life transitions, but this was something far beyond anything I had experienced in the past. I remember sitting in my office one day when I started to feel completely and utterly terrified, even though nothing was objectively wrong. I felt like crying all the time, could not focus on my work, and there was nothing that anyone could say or do to alleviate my anxiety. […]
Source: Falling Over the Edge – WMMH Day
This post is crossposted by Kathy Schommer
I feel like I’m drowning.” It was 7:00 a.m. on a weekday morning and my husband had just left for work. I was already sobbing on the phone to my mother, 1,800 miles away in North Dakota.
My then seven-month-old twin girls were bouncing away in their ExerSaucers. “I feel like I am treading water and trying so hard to keep my head up, but I keep sinking further down,” I cried to my mom. ”I’m trying to come up for air, but I feel like I can’t catch my breath.” […]
Source: Coming Up for Air – WMMH Day
The PMHP identified a major obstacle to providing mental health care: the relevant mental health screening tool validated for our setting
The high prevalence of maternal depression in South Africa requires that maternal mental health screening, performed routinely and on-site, be logistically feasible and responsive to the local risk factors which may influence mental distress. To address this gap, we have developed a brief 5-question screening tool to identify symptoms of depression, anxiety and suicidal ideation.
The study was based at our Hanover Park site. Women attending the maternity service were screened, offered counselling if required and referred to social support services where appropriate. Screening included the PMHP’s risk factor assessment, as well as several other risk and mood screens which are being assessed against a diagnostic gold standard. The most robust screening items were identified for inclusion in a valid, responsive and pragmatic new tool which may be used in limited-resource settings.
Overview of the Hanover Park maternal mental health screening study