Evaluation of the opinions of midwifery students on adolescent pregnancy: A phenomenological qualitative study in eastern Turkey

Abstract Background Adolescent pregnancy and motherhood has been a controversial and much disputed subject within the field of public health. Early childbearing is not only characterized as a physical body experience but also embodies the experiences and perceptions of the social norms, discourses, conflict and moral judgement. There is an increasing concern that the psychosocial challenges facing adolescent mothers remains in the background since research in this field has mainly focused on the medical and physical complications of early childbearing. The aim of this qualitative study was to explore adolescent pregnancy and motherhood in order to understand this phenomenon from the perspective of adolescent mothers and to gain insight into their future aspirations. Methods This descriptive qualitative study was based on data from four focus group discussions with adolescent mothers utilising healthcare services at a district hospital in Ugu district, KwaZulu Natal, South Africa. The data were audio-recorded and transcribed verbatim, then analysed using thematic analysis. Results Some adolescent mothers’ partners were in denial and rejected them and the child while others’ partners were happy and supported them during their pregnancy. Families’ reactions to the pregnancies ranged between anger and disappointment to abandonment, the silent treatment, and acceptance and forgiveness. The psychological issues experienced by some of the adolescent mothers included suicidal ideation, guilt, loneliness, anxiety, and stress. They also experienced financial constraints, difficulty in returning to school, and stigmatisation in society. The participants envisioned completing their education, focusing on their dream careers, and contributing positively to society. Conclusion Experiences of adolescent pregnancy and parenting are multifaceted and the healthcare needs of pregnant and parenting adolescents extend beyond information and knowledge. A multidisciplinary approach is required in the care of adolescent mothers. A key policy priority should encompass the collaboration of different professionals from various healthcare sectors to assist adolescent mothers in achieving better health and psychosocial and socio-economic outcomes as steps to securing a better future for them.

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Trends, characteristics, and outcomes of adolescent pregnancy in eastern Turkey

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2010.03.012 ◽

2010 ◽

Vol 110 (2) ◽

pp. 105-108 ◽

Cited By ~ 13

Author(s):

Tamer Edirne ◽

Muhammet Can ◽

Ali Kolusari ◽

Recep Yildizhan ◽

Ertan Adali ◽

...

Keyword(s):

Adolescent Pregnancy ◽

Eastern Turkey

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Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders’ and adolescents’ perspectives from a vignette-based qualitative study

Reproductive Health ◽

10.1186/s12978-020-00992-x ◽

2020 ◽

Vol 17 (1) ◽

Author(s):

Luchuo Engelbert Bain ◽

Seda Muftugil-Yalcin ◽

Mary Amoakoh-Coleman ◽

Marjolein B. M. Zweekhorst ◽

Renaud Becquet ◽

...

Keyword(s):

Decision Making ◽

Qualitative Study ◽

Adolescent Pregnancy ◽

Pregnancy Outcome ◽

Decision Maker ◽

Early Adolescent ◽

Final Decision ◽

Community Partner ◽

Financial Autonomy ◽

The Past

Abstract Background Worldwide, over half of the adolescent pregnancies recorded are unintended. The decision to continue the pregnancy to term or to opt for an abortion is a constant dilemma that is directly or indirectly influenced by stakeholders and also by the wider social environment. This study aimed at understanding the perceived decision-making preferences and determinants of early adolescent pregnancy in the Jamestown area of Accra in Ghana. Methods A vignette-based qualitative study design was used. Eight focus group discussions were carried among various purposively selected groups of participants: parents, teachers, adolescent students who had not been pregnant before, and adolescents who had had at least one pregnancy in the past. The vignette was a hypothetical case of a 15-year-old high school student who had not experienced her menses for the past 6 weeks. The data were analyzed using a thematic analysis approach. Results Lack of parent-daughter communication, the taboo on discussing sex-related issues in households and weak financial autonomy were considered to be the main contributing factors to the high early adolescent pregnancy rates in the community. Partner readiness to assume responsibility for the girl and the baby was a key consideration in either continuing the pregnancy to term or opting for an abortion. The father was overwhelmingly considered to be the one to take the final decision regarding the pregnancy outcome. Irrespective of the fact that the respondents were very religious, opting for an abortion was considered acceptable under special circumstances, especially if the pregnant adolescent was doing well in school. Conclusion Inadequate and inappropriate communication practices around sexuality issues, as well as weak financial autonomy are the major predictors of early adolescent pregnancy in this community. The father is perceived to be the main decision maker regarding a young adolescent’s pregnancy outcome. Policy-makers should carefully evaluate the implications of this overwhelming perceived desire for the father to be the final decision-maker regarding adolescent pregnancy outcomes in this community.

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Suicidal Behavior Risks During Adolescent Pregnancy in a Low-Resource Setting: A Qualitative Study

SSRN Electronic Journal ◽

10.2139/ssrn.3259481 ◽

2018 ◽

Author(s):

Christine W. Musyimi ◽

Victoria N. Mutiso ◽

Darius N. Nyamai ◽

David Ndetei

Keyword(s):

Qualitative Study ◽

Adolescent Pregnancy ◽

Suicidal Behavior ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting

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Adolescent pregnancy and school health nursing program for adolescent pregnancy prevention: a qualitative study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20163319 ◽

2016 ◽

pp. 4505-4515

Author(s):

Wenny Nisman ◽

Yayi Prabandari ◽

Ova Emilia ◽

Elsi Hapsari

Keyword(s):

Qualitative Study ◽

Adolescent Pregnancy ◽

School Health ◽

Pregnancy Prevention ◽

Nursing Program ◽

Adolescent Pregnancy Prevention ◽

Health Nursing

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“I have to provide for another life emotionally, physically and financially”: Understanding pregnancy, motherhood and the future aspirations of adolescent mothers in KwaZulu-Natal, South Africa

10.21203/rs.2.13380/v1 ◽

2019 ◽

Author(s):

Desiree Govender ◽

Saloshni Naidoo ◽

Myra Taylor

Keyword(s):

South Africa ◽

Qualitative Study ◽

Adolescent Pregnancy ◽

Adolescent Mothers ◽

Healthcare Services ◽

Future Aspirations ◽

Healthcare Needs ◽

Kwazulu Natal ◽

Policy Priority ◽

Returning To School

Abstract Background Adolescent pregnancy and adolescent parenting have been controversial and much disputed subjects in the field of public health. There are increasing concerns that the psychosocial challenges that adolescent mothers face may remain in the background because research in this field has mainly focused on the medical complications of early childbearing. Aim The aim of this qualitative study was to explore adolescent pregnancy and motherhood in order to understand this phenomenon from the perspective of adolescent mothers and to gain insight into their future aspirations. Methods This descriptive qualitative study utilised data that were generated from focus group discussions with adolescent mothers who utilised healthcare services at a hospital in the Ugu district in KwaZulu-Natal, South Africa. The data were analysed using thematic analysis. Results Adolescent mothers reported a range of positive and negative experiences. Some adolescent mothers’ partners were in denial and rejected them and the child, while others’ partners were happy and supported them during their pregnancy. Families’ reactions to the pregnancies ranged between anger and disappointment to abandonment, the “silent treatment”, and acceptance and forgiveness. The psychological issues experienced by some of the adolescent mothers included suicidal ideation, guilt, loneliness, anxiety, and stress. They also experienced financial constraints, difficulty in returning to school, and stigmatisation by society. The participants envisioned completing their education, focusing on their dream careers, and contributing positively to society. Conclusion Experiences of adolescent pregnancy and parenting are multifaceted and the healthcare needs of pregnant and parenting adolescents extend beyond information and knowledge. A multidisciplinary approach is required in the care of adolescent mothers. A key policy priority should encompass the collaboration of different professionals from various healthcare sectors to assist adolescent mothers in achieving better health and psychosocial and socio-economic outcomes as steps to securing a better future for themselves and their children.

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Drawing technique in understanding the meaning of adolescent pregnancy

Research Society and Development ◽

10.33448/rsd-v10i1.11745 ◽

2021 ◽

Vol 10 (1) ◽

pp. e24910111745

Author(s):

Carolina Carbonell Demori ◽

Lisie Alende Prates ◽

Carolina Heleonora Pilger ◽

Natália da Silva Gomes ◽

Luiza Cremonese ◽

...

Keyword(s):

Data Collection ◽

Qualitative Study ◽

Adolescent Pregnancy ◽

Thematic Analysis ◽

Ethics Committee ◽

Complementary Technique ◽

Narrative Interview ◽

Anthropological Approach ◽

Drawing Technique ◽

Data Collection Technique

Objective: to investigate the meanings of adolescents about pregnancy. Method: qualitative study of ethnographic aspect, performed with eight pregnant teenagers. The data collection technique was the narrative interview, which was subjected to thematic analysis, and drawing as a complementary technique. The study was initiated after approval by the Ethics Committee with CAAE number 00554512.0.0000.5346. Results: the use of the drawing produced meanings of the bodily changes, which were of reflection about their silhouette, timidity in representing themselves in a drawing and satisfaction with the corporal alterations caused by the pregnancy. In the representations, they were alone, only one included the partner. Conclusion: the drawing allows a more communicative and participatory position during the interviews. Thereby, it recognizes the relevance of using this technique in data collection work with anthropological approach.

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