{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T23:35:17Z","timestamp":1773358517591,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T00:00:00Z","timestamp":1655424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Adolescent girls account for 11% of all births that occur globally every year. Among developing countries, the United States continues to have one of the highest adolescent birth rates, despite a decreasing trend between 1990 and 2010. Pregnant adolescents are a vulnerable population who are at increased risk for maternal morbidity and mortality. Additional risks are noted within the early adolescent population, usually defined as age 10 to 14.<\/jats:p><\/jats:sec><jats:sec><jats:title>Process<\/jats:title><jats:p>At Parkland hospital, a large tertiary care facility in Dallas, Texas, a multidisciplinary team was created in 2017 to care for this vulnerable population. The team consisted of a certified nurse\u2010midwife (CNM), a Certified Child Life Specialist, a maternal fetal medicine physician, a social worker, and a Spanish interpreter, with additional services consulted as needed. Between 2017 and 2020, this team grew to include 8 CNMs and provided care to 76\u00a0young adolescents ages 14 and younger.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Of the young adolescents who attended\u00a0prenatal\u00a0visits with the\u00a0Adolescent Prenatal Care Team at Parkland, 87%\u00a0presented to\u00a0Parkland for birth.\u00a0Eighteen percent had pregnancy\u2010induced hypertension or eclampsia. Only\u00a07% of adolescents in the program gave birth\u00a0prior to 37 weeks. Seventy\u2010four percent had vaginal births. Sixty percent\u00a0of the adolescents attended\u00a0known postpartum visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>In contrast to most studies, this Adolescent Care Team did not find a high rate of premature birth in early adolescents. Further work by this team is needed to compare the data obtained during this period with data on similar adolescents who have given birth at Parkland in prior years. In addition, comparing outcomes of early adolescents with those aged 15 to 19, who were not included in the Adolescent Care Team, will help to understand the impact that such a team or similar intervention might have on this vulnerable population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jmwh.13378","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T12:11:00Z","timestamp":1655467860000},"page":"504-509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prenatal Considerations and Outcomes for Girls Aged 14 and Under: Development of a Multidisciplinary Team in a Large Tertiary Care Facility"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2839-1106","authenticated-orcid":false,"given":"Esther","family":"Fairchild","sequence":"first","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Kyle","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shirley","family":"Marion","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allyson","family":"Cheatham","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tashein","family":"Lecky","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shalawn","family":"Harris","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0146-2197","authenticated-orcid":false,"given":"Sarah","family":"Jensen","sequence":"additional","affiliation":[{"name":"Women &amp; Infants Specialty Health Parkland Health and Hospital Systems, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,17]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Adding It Up: Costs and Benefits of Meeting the Contraceptive Needs of Adolescents","author":"Darroch JE","year":"2016"},{"key":"e_1_2_7_3_1","volume-title":"WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience","author":"World Health Organization","year":"2016"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.02.006"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010020\u201000913\u2010y"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017\u20102273"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.09.007"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.08.024"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102393\u201014\u201077"},{"key":"e_1_2_7_10_1","volume-title":"Zambia Adolescent Health Strategic Plan 2011\u20102015","author":"Republic of Zambia Ministry of Health.","year":"2012"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.12630"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2019.1581736"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2019.02.011"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010014\u20101624\u20107"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.5603\/GP.a2017.0120"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010019\u201038999\u20105"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.12311"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010016258"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100031\u20101276739"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010018\u20101604\u20100"},{"key":"e_1_2_7_21_1","unstructured":"Table 11 births to mothers 17 years of age and younger by county of residence. 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