Teen Pregnancy Service (TPS), a comprehensive, full-time interdisciplinary health care facility featuring certified nurse-midwives (CNMs) is described. Based on 3 years (1982–1985) of retrospective data, 77% of the 662 teens enrolled in TPS were delivered by CNMs who saw each teen for an average of over ten prenatal sessions. Maternal outcomes including low rates of anemia (2.4%), pregnancy-induced hypertension (1.7%), and cesarean sections (11.6%), as well as other data, are reported. Infant outcomes indicated an average gestational age of 39 weeks and a mean birth weight of 7 lb; other outcome data for the babies are reported. The unique training of CNMs combined with the health-oriented, educational philosophy of TPS represents a favorable service match for the pregnant teen.
Available at: http://works.bepress.com/robert_fox/112/