PREGNANCY IN ADOLESCENCE Adolescence Adolescence • Delimitation hard to do: - Start with puberty - culminates when the teenager b ecomes independent

from parents Adolescence • Puberty begins when the individual reaches reproductive capacity (appearance o f primary sexual characteristics) • pubescence before puberty Adolescence • During the pubescence is given the gradual appearance of secondary sexual char acteristics Adolescence Adolescence • Changes that occur in girls - breast development - Appearance of hairiness - E nlargement of the basin and rounding of the hips - Increase in height and weight Adolescence - Oily Skin - Acne - Increased sweating - a growth of sexual organs Adolescence Adolescence • Changes that occur in boys: - Increase in height - Development of muscles and bones - Chest and shoulder widening - Appearance of hairiness Adolescence - Change of voice becomes more serious - The skin is oily - Acne - Increased swe ating - Growth pronounced testicles and penis Adolescence Time of great change at different levels: • • Physiological Psychology • Social • Intellectual • Affective Adolescence • It is said that the teenager becomes an adult when: - Builds its autonomy - acquires identity - achieves the ability to withstand st ress and setbacks - can develop life projects - falls socially Adolescence • You can not talk in adolescence but in adolescence, as each teen is different from all others. Sexuality in adolescence Sexuality in adolescence • Can be defined as preferences and predispositions or sexual experiences, exper imentation and discovery of identity and sexual activity over a period of one Sexuality in adolescence • It is during adolescence that arouse the curiosity about sex - Operation of ho rmones - Conversations with peers - Viewing of pornographic films Sexuality in adolescence • Masturbation:

Sexuality in adolescence - Masturbation is the act of autoestimulação genitals, either manually or using objects in order to obtain sexual pleasure, whether they can achieve orgasm Sexuality in adolescence • On the approach to the opposite sex, there is a growing curiosity about the ot her. - When to start sexual activity? Sexuality in adolescence Sex? Yes? ... Do not ...? Sex? Yes? ... Do not ...? Sexuality in adolescence • many doubts arise To be tar aq ue gos he / she will be who is going to notice me? ? r s is tive us es? From my parents go and grass is qu The pre Sque And ai r? ? dist the m Ve fi nd them selves amig?? of? Does he / she thinks I'm cute (a)? Sexuality in adolescence • There is no right age to start sexual activity • It depends on each individual because everyone is different - Biological maturation - Maturity (psychological ) Sexuality in adolescence Sexuality in adolescence Sexuality in adolescence Contraception Contraception • CONTRACEPTION: - is the set of one or more actions, devices or drugs to preven t or reduce the likelihood of a woman becoming pregnant. Contraception Temperature method Contraception • Method: - measuring the temperature of the woman to agree, putting the thermom eter in the mouth, rectum or vagina; - the temperature in the days between ovula tion and menstruation following rises about 2-5 tenths of a degree - three days after this rise in temperature the risk of pregnancy is lower. Contraception • Efficiency - 80/85% • Advantages - There are no changes in the body. Contraception • Disadvantages - there are normal variations of body temperature - Exp fever time to wake up every day does not match - need to know your own body - does not protect against STDs Contraception Calendar method Contraception • Method: - Notes on the calendar the first day of menstruation for 12 consecuti

ve cycles - during the menstrual cycle a woman is only fertile for three days an d after 5 days before ovulation (14 days before the next period. Contraception - Shorter cycle (12 consecutive cycles) - 18 = 1st day of fertile period - longe r cycle (of 12 consecutive cycles) - 11 = last day of fertile period Contraception • 1st day of fertile period - 26-18 = 8 • Last day of fertile period - 30-11 = 1 9 • more fertile days - between the 8th and 19th day of the menstrual cycle Contraception • Efficiency - 64% • Advantages - no changes in the body. Contraception • Disadvantages - menstrual cycles have to be very regular - survival time of sp erm varies; - does not protect against STDs. Contraception Method of mucus Contraception • Efficiency - 60/85% • Advantages - there are no changes in the body. Contraception • Disadvantages - requires a thorough knowledge of one's body - does not protect against STDs Contraceptives • There are different contraceptive methods available in the market: Contraceptives Condom Contraceptives • Performance - the sperm are trapped in a bag preventing the semen from the vag ina. • Efficiency - 97% Contraceptives • Advantages - easy to purchase - only method that protects against STD'S. • Dis advantages - can break - can not be used more than once. Contraceptives Pill Contraceptives • Performance - inhibits the release of the egg - modifies the walls of the uter us - modifies the vaginal mucus. • Efficiency - 98/99% Contraceptives • Advantages - controls the menstrual cycle, - decreases the risk of uterine can cer and ovarian cancer, - decreases the pain of menstrual flow and period; Contraceptives • Disadvantages - hormonal changes - oblivion - sore breasts - bigger risk when combined with tobacco - does not protect against STDs - less effective when you

have nausea, diarrhea and antibiotics. Contraception Morning after pill Contraception • Pill the next day - used as emergency contraception - is not a contraceptive m ethod • Performance - to block or delay ovulation - preventing fertilization of the egg - preventing the implantation of the egg in the uterus Contraception • Effectiveness - Day 1: 95% - Day 2: 85% - Day 3: 58% Family planning Family planning • FAMILY PLANNING: - is one way of ensuring that people have access to informati on, effective contraception and safe, adequate health services that permit the e xperience of sexuality safe and healthy as well as pregnancy and birth in the mo st appropriate. Family planning • Objectives: - to promote healthy behaviors towards sexuality - information and advice on sexual and reproductive health - reducing incidence of sexually trans mitted infections and their consequences, including infertility, - reduce mortal ity and maternal morbidity and perinatal Infant; Family planning - Allow the couple to decide how many children they want, if you want and when y ou want, ie: planning your family - to prepare and promote responsible parenthoo d; - improving the health and well being of the family and that particular perso n . Family planning • IN A CONSULTATION: - clarify any doubts about how the body develops and the wa y it works in relation to sexuality and reproduction, taking into account the wo man's age - shall provide information on pregnancy; Family planning - Inform yourself about the anatomy and physiology of human sexuality and their reproductive function - to give complete information, free and with scientific b asis about all contraceptive methods - clinical monitoring is carried out; Family planning - Provides a free method that best suits each - elucidates about the consequence s of an unwanted pregnancy - helps to prevent, diagnose or treat sexually transm itted infections, including those transmitted by viruses: HIV, hepatitis B and C , syphilis and genital herpes; Family planning - Help to better understand the sexuality - is conducting screenings for breast cancer and cervical cancer - is attached to pregnancy and pregnant women prepare for childbirth. Pregnancy occurs when a Pregnancy Fertilization

Fertilization • FERTILIZATION: - is the union of two gametes (a sperm and egg) Save ten PREGNANCY PREGNANCY • PREGNANCY: - is the state resulting from the fertilization of an egg by sperm. - This lasts for forty weeks, in which the fetus develops in the womb - this cu lminates in the expulsion to the outside or at delivery or birth. Pregnancy Symptoms Pregnancy Symptoms • No appearance of menstruation • nausea and vomiting (or retching) • Dizziness and headache • sore breasts, especially around the nipples • Strong and frequent urination Pregnancy Symptoms Pregnancy vs. Voluntary Interruption of Pregnancy VS Abortion • In Portugal, abortion was decriminalized up to 12 weeks • Being able to why a woman decide whether or not a child Abortion Abortion • ABORTION: - is the expulsion of an embryo or a fetus before the end of their d evelopment and viability in extra-uterine. - Abortion may be spontaneous or indu ced Abortion • INDUCED ABORTION: - is a procedure used to terminate a pregnancy - is legal wh en the pregnancy termination is performed in accordance with the legislation in force. Abortion - Can happen when result of a crime ncy endangers the mply by choice of Teenage pregnancy Teenage pregnancy • Unexpected Event - unplanned • Usually premarital • Considered a serious socia l problem • Comes stop and create difficulties in preparing for adulthood Teenage pregnancy • Seen differently based on factors: - Ethnic - moral - religious - political Teenage pregnancy Causes Teenage pregnancy Causes there are congenital malformations, when the pregnancy is the against freedom and sexual self-determination, when the pregna life and physical health and / or mental health of women or si the woman

Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes -Beliefs and attitudes related to sexuality-Age of onset of sexual life, number of sexual partners Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Teenage pregnancy Causes Antagonism of tasks of pregnancy and adolescence Antagonism of tasks of pregnancy and adolescence Antagonism of tasks of pregnancy and adolescence Antagonism of tasks of pregnancy and adolescence Pregnancy month by month First month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother Missed • • • Her breasts are swollen nipples are more sensitive and with a darke r shade Pregnancy month by month: Mother • arise nausea and vomiting, possibly a sign of the presence of this hormone in pregnancy - chorionic gonadotropin • Gives an increased blood flow • There is an increase in heart rate Pregnancy month by month: Mother • Blood pressure • low production of progesterone is enhanced • Increases fatigu

e verifying an almost uncontrollable sleep • The heartburn becomes frequent • Pa ssing feel the urge to urinate quite often Pregnancy month by month: Mother • Caution: - to relieve the sick, the pregnant woman can suck on ice, lemon juic e or mint - should quit smoking - not to consume alcohol Pregnancy month by month: Mother - Should not take any medicine or x-rays without the guidance of doctor. Pregnancy month by month: Mother - It is advisable to consume more foods rich in folic acid, such as beans, chick -peas, lentils, spinach, broccoli, cauliflower, raw cabbage, carrots, liver, yea st, wheat bread, orange and banana. These foods help prevent cardiac anomalies, congenital malformations and changes. Pregnancy month by month: The embryo Pregnancy month by month: The embryo • The fertilized egg is divided into several cells, while advancing the fallopia n tube. • Upon reaching the cavity of the uterus (about the fourth day after fer tilization) is already a small ball (not yet visible to the naked eye), consisti ng of about 100 cells. Pregnancy month by month: The embryo • During this period, the egg will be developed to reach close to 0.3 cm long. Second month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • You may suffer from constipation • Increase the milk producing cells and chann els to transport you to the nipples Pregnancy month by month: Mother • The breasts grow, and become much more sensitive to temperature, due to increa sed blood flow throughout the region, the body itself begins to prepare the brea sts for breastfeeding. • The body becomes rounded Pregnancy month by month: Mother • The pregnant may have gained weight about two pounds, the mean ideal is 800g t o 1kg per month Pregnancy month by month: Mother • Caution: - if you suffer from constipation should eat more foods like wheat ge rm, plum, and oat fiber in the richest overall Pregnancy month by month: Mother - The pregnant should take a balanced diet scheme,€ensuring the necessary nutrie nts for a healthy pregnancy Pregnancy month by month: Mother - Should drink at least two liters of fluid per day between juices, vitamins and water because it helps prevent swelling in the fingers and ankles, caused by th e malfunction of the kidneys Pregnancy month by month: Mother - Beauty care: Moisturize the skin of the belly, breasts, thighs and face to pre vent formation of stretch marks - in the summer, not saiar home without using a

sunscreen is in pregnancy, the skin is more susceptible to the emergence of frec kles and dark spots Pregnancy month by month: The embryo Pregnancy month by month: The embryo • The embryo floats in the bag of fluid and will have almost an inch. • The head began to take shape and its four concavities appear later, the ears and eyes. • Four members form small stumps. Pregnancy month by month: The embryo • It develops the belly and chest • Begins to constitute the heart and circulato ry system Third month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • Dizziness, palpitations and tachycardia • blood flow towards the brain is redu ced and low blood pressure • You may feel cramps, especially at night Pregnancy month by month: Mother • Salivation increases, it becomes more acidic and the gums bleed easily • Can e merge varicose veins and hemorrhoids Pregnancy month by month: Mother • Caution: - Pregnant women should increase consumption of liver, kidney, eggs, wheat, plum s, grapes and green vegetables during pregnancy because the body has an increase d need for iron-rich foods Pregnancy month by month: Mother - To prevent cramping legs should extend and flex your ankles and toes upward to ward the knee - to help raise the tension and relieve the dizziness, you should put a little salt under the tongue Pregnancy month by month: Mother - Must start preparing the breasts for breastfeeding - when dry, after bathing, rub your nipples with a towel: Strengthens the skin and prevents cracks in the n ipples. Direct sunlight, wherever possible, also helps Pregnancy month by month: The fetus Pregnancy month by month: The fetus • The fetus continues to grow until about three cm • The face is clearer • The l anguage is already formed • The internal parts of the ears are taking shape Pregnancy month by month: The fetus • The legs and arms are now longer and have fingers in final training • Have you distinguish the shoulders, hips, elbows and knees • The internal organs are alm ost all developed • Baby stir enough, although the mother does not feel Fourth month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • The sickness passed • Increased risk of miscarriage • Emotional stability of t he pregnant woman is changed: you feel more insecure, anxious, and anxious; goes from crying to laughing for no apparent reason

Pregnancy month • It is normal, addition to the e genital area,

by month: Mother too, that sexual desire will change to a greater or lesser • In nipples, the woman may notice a darkening of the skin also in th armpits, or on signs and scars on her face

Pregnancy month by month: Mother • Caution: - Pregnant women should practice exercise: walking, swimming, water aerobics and even yoga - is an advisable course of childbirth preparation and care of the fe tus Pregnancy month by month: Mother - Should talk to your partner about the sexual life together, find the locations and frequency recommended for this season Pregnancy month by month: the fetus Pregnancy month by month: the fetus • The fetus measures twenty-two inches and weighs three hundred and forty grams • Begins to take the first hair • Formed a substance protective skin of the baby in the womb Pregnancy month by month: The fetus • The mother's blood supplies substances that give resistance to certain disease s in the first weeks of life • The fetus now responds to outside noise and moves frequently, although some reserve for rest periods Fifth month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • The vaginal discharge increases and is more acidic, creating an environment co nducive to fungal infections and urinary Pregnancy month by month: Mother • Changes in metabolism give rise to the so-called desires, by the lack of certa in substances in the body, in some few cases may be linked to emotional factors, when a woman seeks compensation in food Pregnancy month by month: Mother • The skin and hair are different: dry or too oily Pregnancy month by month: Mother • Caution: - symptoms such as itching and burning sensation when urinating or it ching in the urogenital tract shall be transmitted to the doctor Pregnancy month by month: Mother - To combat oily skin and hair can buy specific products, preferably based on na tural compounds Pregnancy month by month: Mother - There have taste in wardrobe and grooming, as it provides a sense of well-bein g and feeling beautiful is crucial in this time of many changes Pregnancy month by month: Mother - Should be attentive to the physical form: no exaggeration in candy, condiments , pasta or salt even when the will becomes unmanageable - it is a good time to c atch colds or contracting any virus

Pregnancy month by month: Mother - Must avoid thermal shock, air currents and indoors, with many people and tobac co smoke Pregnancy month by month: The fetus Pregnancy month by month: The fetus • The fetus is now thirty-three centimeters and weighs five hundred and seventy grams • Begin to form the first sweat glands and the muscles are already under i ntense activity Pregnancy month by month: The fetus • The skin becomes thicker, but the fetus is still very slim, because there is s till fat accumulation • I hear the voice of the mother and sobressaltase with su dden noises • Makes some facial expressions • Occasionally punches, kicks and so mersaults • You may have hiccups and coughing Sixth month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • Sit back pain • A need to urinate often • The body temperature is higher, caus ing excessive sweating • Do you feel extreme fatigue Pregnancy month by month: Mother • Caution: - at this stage should increase fluid intake and seek environments no t too warm - should reserve some time after lunch or late afternoon for a nap to restore energy Pregnancy month by month: The fetus Pregnancy month by month: The fetus • The fetus is thirty-seven cm and weighs about one kilogram • Start now to buil d up some fat • The lungs are in the final stages of development Pregnancy month by month: The fetus • Has a huge taste buds, so its taste is fairly accurate • A part of the brain r esponsible for reasoning is well developed and therefore already reacts to pain as a baby born Pregnancy month by month: The fetus • The hearing is near perfect • Already open your eyes Seventh month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • You may have swollen ankles and feet • You can experience shortness of breath will return to having heartburn • • You may experience cramps, especially at nig ht Pregnancy month by month: Mother • Caring - to redouble their attention to driving: the reflexes are slower - sho uld avoid traveling by plane Pregnancy month by month: Mother - To counteract the swelling, pregnant women should reduce the amount of salt in food, and every night before bed, soak your feet in a basin of warm water with

salt Pregnancy month by month: Mother - If there is high blood pressure and there is the formation of edema (swelling) , seek immediate medical attention - to decrease the sensation of weight caused by varicose veins, must always lie down with legs higher than your head Pregnancy month by month fetus Pregnancy month by month fetus • The fetus measures 40.5 cm and weighs 1.6 kg • It is already fully formed and its head is more proportionate to the body • At this stage, begin to fatten up a little more Pregnancy month by month fetus • It distinguishes light from darkness • It is likely to already be upside down Eighth month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • Has the apples in the face rounder • Your breasts are lumpy • You'll feel a lo t of back pain Pregnancy month by month: Mother • My legs felt heavy and have trouble sitting or lifting • When lying on his bac k, the sensation of breathlessness is Pregnancy month by month: Mother • Caution: - The pregnant woman should lie down facing the left side because it improves ci rculation and breathing - the sex life need not be interrupted, unless on medica l advice, please find the most comfortable positions Pregnancy month by month: Mother - Is also important now choose from the doctor and the obstetrician, the deliver y type best suited to decide on the hospital where he is going and be aware of t heir rights such as maternity leave, for example Pregnancy month to month fetus Pregnancy month by month: The fetus • The fetus is forty-six cm and weighs two kilograms and a half • The head is al ready in the pelvic cavity • It occupies the entire space of the uterus and kick s and punches Pregnancy month by month: The fetus • Your skin is now more pink hair and can have up to five centimeters in length • You're almost ready to be born Ninth month of pregnancy Pregnancy month by month: Mother Pregnancy month by month: Mother • The entire body weighs • Sit difficulties in locomotion and movement • Back pa in, lack of sleep position for sleep and anxiety prevent a peaceful and stable • At the end of the ninth month of the belly and down the contractions, which be

gan at about the twenty-eighth week, stepping up and arrive at increasingly smal ler intervals, when they come up every twenty minutes, it's time to go to a hosp ital, with or without rupture of the placenta Pregnancy month by month: Mother Pregnancy month by month: Mother • Caution: - In recent weeks, the doctor visits become weekly, is the time to clarify all t he doubts that still exist, and choose, definitely the type of delivery to be ma de - must insist on walking and breathing exercises and relaxation Pregnancy month by month: Mother - More than ever, must be attentive to warning d mean the displacement of the placenta prior, rus before childbirth, and that will leave the s, if it happens, should go immediately to the signs: bleeding at this time coul ie, their separation from the ute fetus without oxygen and nutrient maternity

Pregnancy month by month: Mother - The pregnant, take a warm bath, preferably in the bath - can have a tea of cha momile or linden, before bedtime, it helps you relax and sleep better Pregnancy month by month: Mother - Should take care of themselves and their appearance, to feel good and self-est eem, to receive the baby Pregnancy month by month: The fetus Pregnancy month by month: The fetus • The fetus is fifty-one cm and weighs 3.4 kg • Are you ready to be born Parturition Parturition Parturition Parturition Parturition Parturition Adoption Adoption • ADOPTION: - is the legal act in which an individual is always assumed as a chi ld by a person or a couple who are not the biological parents of adopted. - When this happens, the responsibilities and rights of biological parents over the ad opted are fully or partially transferred to the adopters. Adoption - In most countries, the adopted child has the same rights as a legitimate child . Supporting Institutions Supporting Institutions • They exist to provide support to pregnant teenagers, the teenage mothers and t heir children - children whose parents and / or boyfriend to leave

Supporting Institutions - Adolescents without economic possibilities - teenagers who feel the need to su pport or be accompanied by Supporting Institutions • There are several institutions in Portugal to host teenagers who find themselv es in situations of risk: - The Life Born in Portalegre - SOCIAL (Association of Social Solidarity of Maia) Supporting Institutions - Cradle Aid and Relief for Mom in Lisbon - Home Divine Savior in Aveiro - Santa Casa da Misericordia de Vale de Cambra - Office Support Pregnant Guard - SOS Su pport Pregnant Algarve Role of the animator Role of the animator • Given the realities teenage pregnancy the animator must: - First warning teens about the risk of pregnancy by having unprotected sex Role of the animator - Should give the audience all kind of information as possible so as to prevent more cases of teenage pregnancy - become aware of what the needs of pregnant ado lescents and to respond according to these and every one in particular Role of the animator - Forwards them to an institution - inform them on the doubts that they make