{"title":"Psychosocial Prenatal Interventions for Teenage Pregnant: A Systematic Review.","authors":"Simin Montazeri, Setareh Yousefi, Nahid Javadifar","doi":"10.18502/jfrh.v19i2.19295","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Adolescent pregnancy is a pressing public health issue that significantly impacts the health and well-being of young mothers and their children. This systematic review evaluates the effectiveness of psychosocial prenatal interventions for pregnant adolescents, aiming to identify strategies that enhance maternal and neonatal outcomes.</p><p><strong>Materials and methods: </strong>Systematic comprehensive literature search was conducted across PubMed, Web of Science, Scopus, Cochrane, Science Direct, Google Scholar, and Grey Literature. Studies published from 1996 to January 2023 were included if they focused on pregnant adolescents aged 10-22 years and employed randomized controlled trial (RCT) designs. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias 2 tool.</p><p><strong>Results: </strong>Out of 2,450 articles screened, 22 studies met the inclusion criteria, revealing diverse interventions categorized into six main types: antenatal/postnatal educational programs, psychological interventions, home visits, partner support, and social support interventions. Findings indicated that these psychosocial interventions significantly improved maternal mental health, increased prenatal care utilization, and enhanced perinatal outcomes. However, the review highlighted the need for more rigorously designed studies to establish definitive conclusions regarding the most effective intervention strategies.</p><p><strong>Conclusion: </strong>Results show Educational programs focusing on antenatal and postnatal care effectively enhance knowledge, reduce substance abuse, and boost breastfeeding confidence, leading to better pregnancy outcomes. While psychosocial interventions have improved mental health and school attendance. Home visiting programs have positively impacted maternal well-being and parenting skills. Group prenatal care (GPNC) is beneficial, especially for high-risk adolescents, by combining health evaluations with group education and support. Integrating psychosocial support into prenatal care models can help reduce health disparities among adolescent populations.</p>","PeriodicalId":15845,"journal":{"name":"Journal of Family and Reproductive Health","volume":"19 2","pages":"69-84"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377414/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family and Reproductive Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18502/jfrh.v19i2.19295","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Adolescent pregnancy is a pressing public health issue that significantly impacts the health and well-being of young mothers and their children. This systematic review evaluates the effectiveness of psychosocial prenatal interventions for pregnant adolescents, aiming to identify strategies that enhance maternal and neonatal outcomes.
Materials and methods: Systematic comprehensive literature search was conducted across PubMed, Web of Science, Scopus, Cochrane, Science Direct, Google Scholar, and Grey Literature. Studies published from 1996 to January 2023 were included if they focused on pregnant adolescents aged 10-22 years and employed randomized controlled trial (RCT) designs. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias 2 tool.
Results: Out of 2,450 articles screened, 22 studies met the inclusion criteria, revealing diverse interventions categorized into six main types: antenatal/postnatal educational programs, psychological interventions, home visits, partner support, and social support interventions. Findings indicated that these psychosocial interventions significantly improved maternal mental health, increased prenatal care utilization, and enhanced perinatal outcomes. However, the review highlighted the need for more rigorously designed studies to establish definitive conclusions regarding the most effective intervention strategies.
Conclusion: Results show Educational programs focusing on antenatal and postnatal care effectively enhance knowledge, reduce substance abuse, and boost breastfeeding confidence, leading to better pregnancy outcomes. While psychosocial interventions have improved mental health and school attendance. Home visiting programs have positively impacted maternal well-being and parenting skills. Group prenatal care (GPNC) is beneficial, especially for high-risk adolescents, by combining health evaluations with group education and support. Integrating psychosocial support into prenatal care models can help reduce health disparities among adolescent populations.
目标：少女怀孕是一个紧迫的公共卫生问题，对年轻母亲及其子女的健康和福祉产生重大影响。本系统综述评估了怀孕青少年产前社会心理干预的有效性，旨在确定提高孕产妇和新生儿结局的策略。材料与方法：系统综合检索PubMed、Web of Science、Scopus、Cochrane、Science Direct、谷歌Scholar、Grey literature。1996年至2023年1月发表的研究，如果他们关注10-22岁的怀孕少女，并采用随机对照试验（RCT）设计，则纳入研究。使用Cochrane风险偏倚2工具评估纳入研究的方法学质量。结果：在筛选的2450篇文章中，有22篇研究符合纳入标准，揭示了六种主要类型的干预措施：产前/产后教育计划、心理干预、家访、伴侣支持和社会支持干预。研究结果表明，这些社会心理干预措施显著改善了孕产妇的心理健康，增加了产前护理的利用率，并提高了围产期结局。然而，审查强调需要更严格设计的研究，以确定最有效的干预策略的明确结论。结论：结果表明，以产前和产后护理为重点的教育项目有效地提高了知识，减少了药物滥用，增强了母乳喂养的信心，从而改善了妊娠结局。社会心理干预措施改善了心理健康和入学率。家访项目对产妇的健康和养育子女的技能产生了积极的影响。通过将健康评估与群体教育和支持相结合，群体产前护理（GPNC）是有益的，特别是对高危青少年。将社会心理支持纳入产前护理模式有助于缩小青少年人口之间的健康差距。
期刊介绍：
The Journal of Family & Reproductive Health (JFRH) is the quarterly official journal of Vali–e–Asr Reproductive Health Research Center. This journal features fulllength, peerreviewed papers reporting original research, clinical case histories, review articles, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology including genetics, endocrinology, andrology, embryology, gynecologic urology, fetomaternal medicine, oncology, infectious disease, public health, nutrition, surgery, menopause, family planning, infertility, psychiatry–psychology, demographic modeling, perinatalogy–neonatolgy ethics and social issues, and pharmacotherapy. A high scientific and editorial standard is maintained throughout the journal along with a regular rate of publication. All published articles will become the property of the JFRH. The editor and publisher accept no responsibility for the statements expressed by the authors here in. Also they do not guarantee, warrant or endorse any product or service advertised in the journal.
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