title: [Pregnancy management among teenagers under 15 years old: a multidisciplinary challenge].
abstract: OBJECTIVE
  Pregnancy before 15 years old remains a troublesome issue for medical teams which are not used to working with adolescents. The aim of this work is to study the outcome of the pregnancies among very young adolescents, the psycho-social context, the medical management, the professionals involved in it and the follow-up after pregnancy.
  
  
  METHODS
  Retrospective analysis from four cases, in the university hospital of Rennes, during the year 2011.
  
  
  RESULTS
  All the pregnancies were terminated, half of them on a psychological indication. Three adolescents showed evidence of major psychological distress and two of them had a history of sexual abuse. The medical care was heterogeneous, from the first meet until the follow-up after pregnancy, including the medical abortion. A multidisciplinary teamwork was found in three of the four cases.
  
  
  CONCLUSIONS
  Pregnancy before the age of 15 years old is a rare event and often ends with a medical abortion. The medical management of those vulnerable adolescents is complex and requires a multidisciplinary team approach all along the follow-up. A national evaluation of clinical practice in this area seems to be needed.
authors.affiliation: Service de gynécologie-obstétrique, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France. Electronic address: mc.voltzenlogel@chu-rennes.fr.
authors.forename: M-C
authors.initials: MC
authors.lastname: Voltzenlogel
authors.affiliation: Cellule d'accueil spécialisée de l'enfance en danger, service de pédiatrie, CHU de Rennes, BP 90347, 35203 Rennes cedex 2, France.
authors.forename: M
authors.initials: M
authors.lastname: Balençon
authors.affiliation: Cellule d'accueil spécialisée de l'enfance en danger, service de pédiatrie, CHU de Rennes, BP 90347, 35203 Rennes cedex 2, France; Service de pédo-psychiatrie, centre hospitalier Guillaume-Régnier, 108, avenue du Générale-Leclerc, BP 60321, 35703 Rennes cedex 7, France.
authors.forename: A
authors.initials: A
authors.lastname: Drenou
authors.affiliation: Service de gynécologie-obstétrique, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France.
authors.forename: E
authors.initials: E
authors.lastname: Bauville
authors.affiliation: Service de gynécologie-obstétrique, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France.
authors.forename: P
authors.initials: P
authors.lastname: Poulain
authors.affiliation: Service de gynécologie-obstétrique, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France.
authors.forename: J
authors.initials: J
authors.lastname: Levèque
authors.affiliation: Service de gynécologie-obstétrique, CHU Anne-de-Bretagne, 16, boulevard de Bulgarie, BP 90347, 35203 Rennes cedex 2, France.
authors.forename: V
authors.initials: V
authors.lastname: Lavoué
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000367:Age Factors; D002648:Child; D005260:Female; D006801:Humans; D010348:Patient Care Team; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology; D012189:Retrospective Studies
keywords: Abus sexuel; Adolescent; Adolescente; Collaboration multidisciplinaire; Grossesse; Multidisciplinary team work; Pregnancy; Sexual abuse