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วารีรัตน์ จิตติถาวร
พีรนันท์ วิศาลสกุลวงษ์


               Pregnancy in adolescent women and maternal and neonatal outcomes are a concern in maternity care in low- and middle-income countries, including Thailand because they often have a higher incidence of adverse perinatal outcomes. An effective maternity care can reduce adverse perinatal outcomes and also help pregnant adolescent women having a positive pregnancy experience using midwifery continuity of care as World Health Organization (WHO) recommendation. Pregnancy is a crucial time to support adolescent women having a positive pregnancy experience. Continuity of care is provided to pregnant women by a known nurse-midwife. Pregnant adolescent women receive care from a known nurse-midwife through pregnancy, birth and postpartum period. This continuity of care assists pregnant adolescent women building trust to nurse-midwife and also having confidence to do selfcare. In Thai context, utilization of continuity of care should start with a good relationship between nurse-midwives and pregnant adolescent women, so nurse-midwives need to engage and respect women as a mother at the first visit, including physical and psychosocial assessment, and pregnancy examination. It is important to provide an advice during pregnancy to pregnant women respecting their needs. This continuity of care may help pregnant adolescent women trust nurse-midwives and also are being coordinated in selfcare during pregnancy because of having confidence and feeling a partnership in the care. If pregnant adolescent women have any complications, nurse-midwives are able to consult and collaborate the care with obstetricians. Nurse-midwives continue to look after those women until postpartum period and answer any question to women’s family.


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