This paper is a narrative review examining the high prevalence of care leaver early parenting in the context of (i) key transitions from care studies taken from the last few decades, (ii) a structured review using Scopus of studies from 2015–2020 focussed specifically on young people transitioning from care and early parenting and (iii) Boss’s (2010) Ambiguous Loss theory. Young care leavers’ challenges, in general, put them at higher risk of protective interventions with their children and may contribute to the growing numbers of children being placed in increasingly over-stretched out-of-home care systems. Questions of surveillance bias for service-connected young people are examined in light of recent large-scale studies using administrative data sets. Serious oversights in responding to young people’s experiences of trauma and exploitation are identified. The relevance of sexual health programs for young people actively seeking pregnancies is discussed with emerging evidence that disengagement from schooling may have more of a role in explaining early pregnancy and parenting than previously thought. The authors test the relevance of Ambiguous Loss theory in understanding how removal from families of origin and placement experiences may affect young people and lead to ‘wanted’ pregnancies.

中文翻译：

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离开护理人员、模棱两可的丧失和早期育儿：解释从户外护理过渡的年轻人的高怀孕率和育儿率

本文是一篇叙述性综述，探讨了在以下背景下护理离职者早期育儿的高流行率：(i) 过去几十年护理研究的关键转变，(ii) 使用 Scopus 的 2015-2020 年研究的结构化综述，特别关注关于年轻人从照顾和早期育儿过渡和（iii）Boss（2010）模糊损失理论。总的来说，年轻护理人员面临的挑战使他们面临对孩子进行保护性干预的更高风险，并可能导致越来越多的儿童被安置在日益不堪重负的户外护理系统中。根据最近使用行政数据集的大规模研究，研究了与服务相关的年轻人的监督偏见问题。确定了在应对年轻人的创伤和剥削经历方面存在严重疏忽。讨论了性健康计划与积极寻求怀孕的年轻人的相关性，新出现的证据表明，脱离学校教育在解释早孕和养育子女方面的作用可能比以前想象的要大。作者测试了模糊损失理论在理解离开原籍家庭和安置经历如何影响年轻人并导致“通缉'怀孕。