[Pregnancy management among teenagers under 15 years old: a multidisciplinary challenge]. / Prise en charge de la grossesse chez la mineure de moins de 15 ans: un challenge multidisciplinaire.

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. MATERIALS AND 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. CONCLUSION: 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.