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Contribution title 3351 - Child Abuse and Adolescent Pregnancy
Contribution code PS01-42 (P)
Authors
  1. aysegul yolga tahiroglu University of Cukurova Medical Faculty Presenter
  2. Belgin Yoruldu
  3. Ayse Avci
  4. Gonca Gül Celik
  5. Necmi Cekin
  6. Nurdan Evliyoglu
Form of presentation Poster
Topic
  • Adolescent
  • Trauma
Abstract Aim: Child abuse and neglect is a serious problem which have complex causes, tragic outcomes and medical, legal, psychosocial, developmental components. One of the major negative consequences of sexual abuse is unwanted pregnancies. The purpose of this study is to investigate the clinical and demographic characteristics of abused children, who had given birth, are pregnant or whose pregnancy is terminated for any reason, who were referred to Cukurova University Medical Faculty Forensic-Medical Committee for Child Abuse Cases.

Methods: In this study, 207 pregnant adolescents who referred by courts to medical-psychiatric evaluation and/or establishing legal report on suitability for marriage mentally and physically were studied retrospectively.

Results: The mean age of the cases was 15.5±1.6 years, the mean education period was 6.0±3.1 years. For statistical analysis, abusers were subdivided into 4 groups as follows; father or brother (5.4%), an other member of the family (6,8%), a relative of the family outside or a foreign one (30.7%), and common-law spouse (71.7%). 97.1% of the cases had a history of penetration, % 88,4 had a history of neglect, 17,4 % had a history of physical abuse. Supportive Parental attitudes were reported by % 81,6 of cases, whereas 18, 4% of parents were convictive-constrictive against their daughter.

Conclusion: Follow-up and treatment of adolescent pregnants should be a multidisciplinary approach. Adolescents who choose to continue the pregnancy is directed to prenatal care. When making a decision about adolescent pregnancy, it is important to provide the assistance and support to pregnant woman. If the decision of termination of pregnancy, counseling should be made for birth control after the procedure.