MEDICAL AND PSYCHOLOGICAL ASPECTS OF GYNECOLOGICAL CARE PROVISION TO ADOLESCENT GIRLS |
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Thursday, 24 September 2015 | ||||||
Bubnovskaya A.A. Contacts: Angelika Bubnovskaya, e-mail: à This e-mail address is being protected from spam bots, you need JavaScript enabled to view it Abstract. Background. Primary responsibility in supervising proper development of girls’ reproductive system, timely detection of disorders and provision of necessary medical care including health education falls on the gynecological service and its out-patient sector. Study purpose. To evaluate medical and psychological peculiarities of gynecological care provision to adolescent girls. Results. Adolescent girls mainly seek care at women’s clinics in case of pregnancy or gynecological disorders. About one third of doctors (31.8%) doesn’t know what means of contraception are suitable for adolescent girls. Sexual education at schools begins too late and is aimed at correcting the already developed reproductive behavior of adolescent girls. Moreover, teachers don’t consider sexual education as part of their scope of work. Conclusions. Obstetric and gynecological care to adolescent girls doesn’t consider psycho-social peculiarities of adolescence and fails to ensure anonymity and confidentiality, pays little attention to sexual education. Lack of comprehensive programs on medical, social and legal assistance to the adolescent discourages development of enabling conditions for protecting reproductive health through correction of reproductive behavior and development of informed perspective family planning. Scope of application. Study results can be used in work practice of gynecologists and pediatricians to ensure continuity of care aimed at protecting reproductive health of the adolescent. Keywords: adolescent girl; obstetrician-gynecologist; health; gynecological care. References
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