Early pregnancy has so many connotations to so many people to the youth it is simply another stage in their life, a result of their teen-age children and to the remaining state of the community; early pregnancy is just an issue to be debated upon. The reason, the effects and the repercussions of early pregnancy have so many things to consider. It is not just an issue, nor, it is just a perception it is a very serious matter that everyone in society should be aware of.
It is in fact, one of the factors that affect the future of the nation.A community that is divided in its attitudes towards early pregnancy would create big challenges to the leaders of today. Teens are the one involved to early pregnancy are the protagonist.
Usually teenagers comprise the big part of those women that undergo teen-pregnancy or early pregnancy. There is a great risk at staled during this condition and therefore concerned people should be the leaders or the community should join hands with the school, the church, and the home impressing the moral culture of society for the world is on the hands of these youth and their outlook and decision in life greatly affect the nation’s progress.What is Early Pregnancy? According to Webster’s dictionary Pregnancy is the condition wherein an unborn child is developed inside the womb of a female or a woman.
This means that the woman; be she is capable of giving birth, thus making her a mother. This condition is made possible when the woman comes in contact in or has experienced sexual intercourse with a man. It is indeed very impossible for a woman; as a scientific principle; to bring forth a child without any contact with a partner. Early pregnancy; as the title of our research paper suggests; is a condition where teen-agers (Those girls from 13-19) experienced being pregnant.Much to their disbelief, they are not expecting this condition to happen to the due to many reasons. This condition exists in almost all countries of the world today. It is an issue that has created different levels of acceptance that bordered a complacency or apathy. To some places it is already accepted as a “worm” or “fact of life” –something that can’t be change-and so were less apt to work actively to change or address it.
To notice it took opposite viewpoint. They felt that t this condition is a challenge and that t they have to work actively to address the issue.Different attitudes In some cities in the western world, early pregnancy is address seriously. In fact they developed some programs like healthy, project empower and young family improvement program to be the model of the youth in auburn, Washington, USA. The key leaders in the city had changed their attitude from “tolerant and judgmental” to that of “concerned and realistic”.
These leaders realized that the kids having sex whether they conform or not and that they have to inform their teenage children that sex is not just for fun; it also entails a lot of responsibilities.It is an accepted norm that you can’t talk about early pregnancy without talking about sex. We have to understand that the more mention of “sex” has brought curiosity to teenagers and they tend to know more about it by experiencing or experimenting. In the Philippines, our traditional folks have a conservative perception of early pregnancy. To them sex is sacred and should be done by married couples.
They are also judgmental to the youth who got married at a very young age and they tend to ostracize those people who do not fallow their way of life.Teen SexWhile adults and teenagers respond differently about early pregnancy, observers believed that there is already an increase in the acceptance of the issue. There is also openness in the discussion of sex and schools including sex education in their curriculum to them. The teenagers seemed much aware of this issue, as compared to their parents during their time. They alluded to the fact that society in general had become more informed regarding teen sex, teen dating and teen pregnancy. However this climate of increase permissiveness and acceptance of teen sex can create cultural pressure that are challenging to the youth.Teens today are better educated about sex and sexuality from generation before them.
yet this increased openness also brings with it some confusing messages. They get the message that teen sex is “ok”. For some their conclusion seemed to be “Why not do it? ” One of the more surprising idea about teen sex emerged from the assessment that once girl lost their virginity, sex became an obligation. That these girl have to offer sex to the boys they are dating because they will complain all the time and their “boys” will no longer be interested on them.According to some research and interviews done by a number of girls expressed regrets that they had initiated intercourse as early as they did, and a sense of hopeless about their ability to retain the “specialness” of sex that had existed prior to loss of virginity. Boys too expressed their own brand of response to this permissiveness around teen sex. They felt let down by society.
They felt that no was telling about the consequences of sexual activity plus the responsibilities of a sexual relationship.The Role of Sex Education: School, Church and FamilySex education before was taboo to many. They felt it’s too embarrassing for discussion, that it is only a subject inside the bedroom. Today, sex education is seen as an important factor to prevent early pregnancy although it is also controversial. Some experts describe sex education in different weep, but the majority of them expressed a belief the value of educating children and youth about sexuality. They differed in their views of what education to provide, what was the best venue for this type of education and who where the most appropriate people to provide it.They suggested that the school, the church, and the other religious institutions and the family are the best venues where sex education is to be provided. * A.
The School In some schools in the US, sex education is not labeled as such, but as “Human growth and development curriculum. They introduced the subject to most public schools beginning grade 4 and continuous each year through grade 12. The curriculum includes discussion of abstinence, refuse skills, anatomy and philosophy and a comprehensive, state-mandated AIDS curriculum.
The school authorities interviewed adults and teens about the inclusion of sex education in their curriculum and they received an overhauling response. For adults, they appreciated the value of sex education its effects on students and the importance of decision-making skills. Teens also felt that decision-making was important and in addition, they spoke to the importance of individual teachers as resources for sex education, information and guide lance.
In the Philippines, sex education is integrated in public and private schools as early grade five. However it is not discussed in details in the elementary grades.The subject is only included in EPP or “Edukasyong Pantahanan at Pangkabuhayan” or Health and Science.
The lessons include anatomy and Physiology and the changes during puberty. More complex lessons are discussed in college. * B. The Church Key leaders in the community nowadays felt that the youth whether affiliated with a church or not should be well informed about sex education through adults who are actively involved in the church.
These adults can be good guidance counselors when it comes to decision-making. Various church programs such as outing retreat and peer sessions would have positive effects on the youth.These activities or group gathering is a big draw for some teens, where they can learn and discuss religious values as well churches are good places for kids making life decision to be encouraged, praised a good avenue for researching a lot of kids.
More parents reflected that church-based sexuality education takes into account more than just the physical aspect of sex, but the emotional and spiritual aspects as well as majority of the church adult’s leaders spoke of how sexuality is a “Gift from Gog” and therefore must be utilized with respect and care. It is a gift that comes within responsibility.Sexuality is more than just a physical act.
The belief that sexuality is a gift may differentiate the church-based sex education from public sex education. It also scenes to influence how sex discussed within religious groups and with the youth social group in general. The values may vary according to the norms of religion or the interpellation of the bible. But never the less, the sexuality taught by these church leaders has more weight than any other social institutions.
There is a need to educate the youth to what is right and what is wrong according to our interpretation of the scripture.C. Parents and the Home as Sexuality Education Social changes now, brought about the importance of parents talking to their children about sexuality. Parents as an essential component of sexual education and a strong support for guiding youth in their long journey to adolescence.
The “conservative” parent should learn to adjust and flexible to this day and age where sex is everywhere. ” Experts suggest that parents should talk to their kids. It may be too late for them when they reach their teens. Kids almost get every message from other sources than parents.The family values that parents instill in their kids play an extremely critical piece as they grow up.
Recent surveys suggest that when young people are exposed to so many sexual references, through media, TV, radio, movies and their peers-parents need to take an active note in sifting peers through those references with their children. They should provide their kids with adequate values and beliefs upon which to base a healthy response. The home should serve as a catalyst to the kids around issues of sexuality.Although some parents are unsure of what information to give their children and how to give them, they’re more presence at home would help their kids to become wary of uncomfortable situations regarding sex. Remember that there’s no substitute for parents to kids who are confused.
The fact that many parents are not available in the home because of their work, or who are absent completely are the main reasons why these kids become diligent. It is also common knowledge that parents nowadays are expecting the school and the church to teach their kids about values.They never really admit that it is themselves who should be sensible to instill values in their kids. When parents are unable to step in, due to the discomfort, lack of information or other family issues, teens are often left to sort out information on their own. They confide in about issues pertaining to relationship, dating, alcohol, and sexuality.
In the absence of their parents they would go to other who they feel would understand them and whom they could trust. What if they go to the wrong person? What can be done?On the whole majority of our experts, that there are things needed to prevent Early Pregnancy among teens. * A. Education The youth, especially the male should be educated regarding the responsibilities of fatherhood, the consequences both before and after pregnancy. These young boys need to be educated so that they would understand, know and feel how to be a responsible father. They should know what is commitment and that sex is does not start and end in one date.
Relationship should be involved with a partner whether it didn’t last or it just started.Some young boys are surprised if you tell them to support the child after sexual partnership with a girl. They seemed to be unaware that fathering the child is their responsibility. They had the idea that the girl is the one responsible to the child, to mature them, to support them and to educate them! The young girls likewise, should also be educated about motherhood.
Like their boy partners, the girls should be aware that sex in not just an ordinary thing that sex can’t be done with anyone they aftermath of teen sex should be given importance and responsibility to accept the blame should be emphasized.These young girls should be taught in how to deal with their dates to prevent early pregnancy. They should be encouraged to practice the refusal and skills so that there’s no regret afterwards. * B. Support from parents Parents could do much to educate their sons and daughter regarding responsibility and relationship. Father is best to teach their sons and mother is the best to teach daughters. Usually irresponsible children are the results of absentee parents or irresponsible fathers and mothers.
With no one to guide these young people at home, they would not also learn how to be responsible to their actions.These youth who were not raised skillfully with strong values at home and who do not have adults in their lives to guide them and teach them the right values will never be responsible parents in the future. C. Support from Community The community plays an important role in preventing teen on early pregnancy. Government agencies should work hard in hand with the school, the support their young citizens. We have said that the youth will be the future leaders of our society. All efforts should be the exhausted therefore, to develop these youth to become not only good but also productive members of the nation.The leaders of society should implement programs to address the early pregnancy issue.
It is one social problem that will not solved just discussion, but by full participants not just listeners. They are the ones involved so all members of the community should give them full support. Information should be disseminated in full force.
Laws should be passed involving parents and their teen children, the media should be involved so that there will be an increase in the awareness of the issue. The leaders of the society should also acknowledge that early pregnancy is one of the major causes of the decline in moral values.If there is openness, solution of the problem is not distant. Pregnancy Loss When couples learn they are pregnant, this can be the most wonderful news of their lives. When a pregnancy test gives a positive result, there are many expectations that form immediately. Couples have often invested tremendous time and resources to achieve that positive pregnancy test.
A topic that is not discussed adequately is that of pregnancy loss. A positive pregnancy test means that fertilization and cell division has occurred. To does not mean the embryo has had normal implantation or development.The hormone tested for in a pregnancy test is human chorionic gonadotropin (hCG). The earliest time from fertilization to a reliable pregnancy test is approximately 7 days (rough equal to cycle day 2 1for unmonitored cycles).
Because women in treatment cycles take supplement hCG up to 6days after insemination or transfer, the test must be delayed to avoid a false positive value. Our clinic generally tests at 14 to 18days after transfer or insemination. Currently we are not testing COH patients that have had a menses unless specially requested.Delaying the testing also allows for the hCG level to rise prior to testing. There is not a specific number that can reliably predict pregnancy outcome, though there are rangers of numbers that can raise concern.
QHCG levels are expected to roughly double over a 48-hours period. During time the pregnancy is too small to be seen on ultrasound so an appropriately rising QHCG correlates well with an ongoing pregnancy. There is not a way to predict normal outcomes or to determine if the pregnancy is an entopic pregnancy at this point in testing. A.
UltrasoundThe next step to have an ultrasound scheduled. The ultrasound appointment is scheduled around 5 weeks after transfer or insemination, which is equivalent to 7 weeks gestation. This additional 2weeks is added to correspond to the obstetric practice of dating pregnancies from the last menstrual period. The ultrasound normally shows a fetus with heart activity, tiny limb buds, and a yolk sac. After confirmation of fetal cardiac activity, the risk of an undesired event drops off appreciably.
From here, you care will be transferred to your obstetrics provider.Using a combination of the dating pregnancy testing and ultrasound, th physician will make recommendations in the tests are abnormal. Your specific situation and results will be discussed. B. Risk In women who are not aware they are pregnant, the pregnancy loss rate cn be a high 30-50%. Once a woman discovers she is pregnant, this risk drops appreciably, some estimates are as high as 20-30% though the true incidence is likely more around 15%.
There is another significant millstone based on older data. Women reaching 12 weeks are at an estimated 5% risk of pregnancy loss.The take away point is that there are a significant number of miscarriages that occur, while this is not “normal” it is not unexpected. Our best advice with early pregnancy testing is cautious optimism.
C. Presentation Pregnancy loss can be discovered in several ways. As mentioned above, abnormal labs may be an indicator of an interruption of a normal pregnancy. Some patients come in for their 7week ultrasound to discover there is a problem. One of the most common presentations for miscarriage is vaginal bleeding and uterine cramping.
Not all patients with cramping and bleeding will have a bad outcome.First trimester bleeding is a common occurrence that can be due to many factors. Bleeding before the QHCG values are drawn will be followed by QHCG testing. If the bleeding occurs between the QHCG values and the 7 weeks ultrasound there are several factors to consider. The risk of ectopic pregnancy needs to be contemplated. A single repeat QCHG value is not use because it does not indicate if the hormone is going up or down (it will have continued to rise after the last test and will be significantly higher even if the pregnancy is not continuing as desired).An early ultrasound may reveal an intrauterine sac but again will not help in determining the outcome of the pregnancy. QCHG and ultrasound can be combined to help look for entopic pregnancies.
Unfortunately there are no immediate therapeutic options for treating early pregnancy loss this stage. Significant pain should be considered an emergency and the clinic or physician covering emergency calls, should be contracted immediately. When vaginal bleeding or cramping occurs it is not necessary to be restricted to bed and sitting with your feet up in the air will not prevent a bad outcome.
Your activities are independent of the outcome though our advice it to do only those activities with which you are comfortable. Again self-blame can be a significant burden and you should avoid doing activities which increase these feelings in the event of a bad outcome. D. Causes Causes for miscarriages are numerous. One of the most frustrating aspects may not know the exact cause of the pregnancy loss. Due to the high occurrence of pregnancy loss there have developed many “wives tales” and opinionated explanations. One of the most common causes for early pregnancy loss is a chromosomal abnormality within the fetus.This is rarely an inherited problem and occurs spontaneously.
Testing for these spontaneous abnormalities offers no useful information about future pregnancies and is most often not performed. Uterine septum and leiomyoma can also contribute to pregnancy loss. Significant defects are most often detected on HSG or ultrasound. A large portion of miscarriages falls into the “unknown” category. Explanations for this “unknown” group may exist but the testing and treatments are often extensive and not useful. Testing is often offered to patients with recurrent pregnancy losses, but again, finding treatable results is uncommon.
E. Options If an early pregnancy does have a bad outcome there are several options. If the tissue has already left the uterus, often no further therapy is needed, though follow up testing may be performed to document to decline of the QBHCG.
When the tissue remains in the uterus this is termed a missed abortion. Patients not experiencing much discomfort may wish to allow nature to take its course. The tissue will often pass within several weeks but exact predictions are not possible. Women choosing this option may experience continued bleeding and increased cramping when the time comes.A D&C can be scheduled as another option. The dilation and curettage procedure involves using instruments to remove the pregnancy tissue.
Risks include damage t the uterus and infection mostly but other risks do exist. F. The next cycle Emotional recovery is important aspects of pregnancy loss couples are encouraged until they have the proper recovery time before continuing. Elevated QHCG levels will prevent normal menstruation. Several months may elapse before a woman is physically ready to attempt pregnancy again. To prevent the risk of starting a treatment cycle too soon, atleast 2 menses are suggested.
The clinic staff and physicians will help ypu with the details while taking your best interests into account. G. Recurrent Losses Due to the significant risk of an undesired pregnancy outcome some women may experience more than one miscarriage after another.
The risk of miscarriage after a previous one is considered about 1% more likely than someone not having a previous miscarriage. 3 consecutive pregnancy losses are considered recurrent spontaneous pregnancy losses. Testing may be offered but correctable findings are uncommon. Many therapies have been attempted to reduce this risk.
Among them are progesterone, heparin, immunoglobulins, and foliate. While many of these therapies are not harmful they have not been conclusively proven useful. Progesterone supplementation is used generally to about 10 weeks gestation. At that time the placenta takes over progesterone production and the pregnancy is no longer dependent on the corpus lustrum. Heparin is used with several blood disorders that may predispose to pregnancy loss. Heparin itself carries small risks of its own. Another therapy involves be use of immunoglobulins.
This therapy is controversial and is currently considered experimental. See the ASRM web site for more details. Just because someone with a history of recurrent pregnancy loss becomes pregnant, this pregnancy cannot be automatically attributed to the therapy. If you are having problems with your physician who can provide you with the current information and recommendations. Conclusion: While there are some sectors of society who have sought to find answers to early pregnancy it is also clear that all of us should be involve addressing this issue.The problem of teen pregnancy whether we like it or not is very prevalent in our society. Both teen and adults should work together because this issue continuous to affect our lives and shape our future.
Like the other social problems in our community. Filipino youth should be given a chance to be involved in all programs of the public and private agencies because this program involves them. Experiencing the problem is a good opener to these youth. They would be good teachers to their peers in addressing the early pregnancy problem.The breadth and scope of this problem represents the men thus potential to various groups of people who want to help.
And it is only a question of willingness and the desire to resolve the issue. We should start now. Let not be naive a pretend that this problem exists only in a particular way of our community. Few people would admit the experience to our culture it is something to be ashamed of. The traditional sectors of society would never accept this child that under go early pregnancies. Unless we our open to community in general, is a big help.
When are we going to start? Now is the time.