An exploration of pregnant teenagers' views of the future and their decisions to continue or terminate their pregnancy: implications for nursing care

Bell, Emily R.; Glover, Lesley; Alexander, Tim

doi:10.1111/jocn.12431

Cited by 13 publications

(44 citation statements)

References 15 publications

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“…Less attention has been paid to what happens during the time in between the discovery that one is pregnant and the decision to carry that pregnancy to term and become a parent. The literature that examines teenagers' unintended pregnancy resolution process rarely uses individual, in-depth interview data and most is not US-focused (Bell, Glover, and Alexander 2014;Gomez-Scott and Cooney 2014;Greene 2006;Hoggart 2012;Lee et al 2006;Mantovani and Thomas 2014;Tatum et al 2012). Of the studies that focus on teenage pregnancy resolution in the USA in the past 20 years, most take a comparative, quantitative approach, examining selected demographic and personal characteristics of pregnant teenagers who choose a variety of alternatives, such as abortion, adoption or parenthood (Adamczyk and Felson 2008;Coleman 2006;Gomez-Scott and Cooney 2014;Madkour, Xie, and Harville 2013;Moore and Davidson 2002;Murry 1995).…”

Section: Adolescent Pregnancy Resolutionmentioning

confidence: 97%

“…Some of this research explores pregnant teenagers' views of the future and related perceptions regarding the opportunity costs of having a child in adolescence, finding that those with parents with higher levels of education and cogent, long-term plans that include academic aspirations for themselves are more likely to terminate an unintended pregnancy (Bell, Glover, and Alexander 2014;Gomez-Scott and Cooney 2014). Scholars who examine the influence of religious beliefs observe that pregnant young women who identify with a conservative Protestant denomination are far less likely to terminate a pregnancy than other pregnant teenagers (Adamczyk and Felson 2008).…”

Section: Adolescent Pregnancy Resolutionmentioning

confidence: 98%

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Beyond the discourse of reproductive choice: narratives of pregnancy resolution among Latina/o teenage parents

Mann

Cardona

Gómez

2015

Culture, Health & Sexuality

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Despite the fact that the US teenage birth rate has declined dramatically in recent years, teen births among Latinas are higher than any other racial/ethnic group. Most studies focus on the causes and consequences of early motherhood among Latina teenagers, neglecting other important dimensions of the issue. This study examines how Latina/o teenage parents living in California narrate their experiences with unintended pregnancy resolution. Qualitative analysis reveals three central themes. First, participants expressed shock upon learning they or their partner was pregnant, followed by acceptance about their impending parenthood. Second, participants' views of abortion and adoption largely foreclosed these options as pathways by which to resolve their unintended pregnancies. Third, participants recounted numerous stories of the messages they received from parents, other family members and male partners that were frequently directive regarding how to resolve their pregnancies. These findings have implications for young people's reproductive health and rights, and for reproductive justice more broadly.

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Section: Adolescent Pregnancy Resolutionmentioning

confidence: 97%

Section: Adolescent Pregnancy Resolutionmentioning

confidence: 98%

Beyond the discourse of reproductive choice: narratives of pregnancy resolution among Latina/o teenage parents

Mann

Cardona

Gómez

2015

Culture, Health & Sexuality

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“…Although in this study we have interviewed only the adolescents who have chosen to keep the pregnancy, we note that only four of them reported having thought about the possibility of an abortion. Bell et al 2 have observed that, in a country where abortion is legal, young persons with more plans for the future, especially focusing on work and career, tend to choose abortion more.…”

Section: Discussionmentioning

confidence: 99%

Adolescent pregnancy and transition to adulthood in young users of the SUS

et al. 2017

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OBJECTIVE The objective of this study is to contextualize adolescent pregnancy from milestones associated with the process of transition from youth to adulthood.METHODS This is a cross-sectional study conducted with 200 adolescents, users of the Brazilian Unified Health System. The sample size for the estimation of proportions has been calculated assuming a population ratio of 0.50 and 95% confidence level. The dependent variables – planned pregnancy, living with a partner, and having left the parents’ house – have been considered as markers of transition from dependence to independence, from youth to adulthood. In the analysis of the associated factors, we have used the Poisson model with robust variance.RESULTS Average age was 17.3 years, and most adolescents lived with a partner; approximately half of the adolescents got pregnant from their first partner and the average age of first sexual intercourse was 14.6 years. Only 19% of the adolescents were studying and most dropped out of school before the beginning of the pregnancy. In the bivariate and multiple analysis, we could see that the relationship with a partner for more than two years was associated with the three dependent variables.CONCLUSIONS The path of transition to adulthood has been the establishment of a link with a partner and consequent pregnancy, suggesting a clear pattern of male guardianship. The changing role of women in society observed in recent decades, which means choosing a professional career, defining the number of children, and choosing their partner(s), has not reached these young persons.

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“…Adolescent pregnancy is often presented as a significant problem with negative consequences for young mothers and their children (Duncan 2005;Yardley 2008;Harden et al 2009;Macvarish 2010;Bell et al 2014;Ellis-Sloan 2014). Poverty, maternal mental health, unemployment, and child health deficits have been associated with teenage pregnancy over the last two decades (Social Exclusion Unit: SEU 1999;Department for Education and Skills 2006;Mental Health Foundation 2013;Public Health England 2016).…”

Section: Introductionmentioning

confidence: 99%

‘Other Girls’: A Qualitative Exploration of Teenage Mothers’ Views on Teen Pregnancy in Contemporaries

Jones

Whitfield

Seymour

et al. 2019

Sexuality & Culture

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Perspectives that consider teenage mothers as a 'social problem' are well described in the literature. However, the attitudes towards teenage mothers held by other teenage mothers are not well understood. Given the growing use of peer support in the reproductive health of teenagers, the attitudes of teenage mothers towards their contemporaries is worthy of exploration. We aimed to examine the discourse around teenage pregnancy in teenage mothers who have recently experienced teenage pregnancy and motherhood for themselves. Fourty mothers aged 16-19, who had recently given birth and used a homebased sexual health service took part in semi-structured interviews to explore their views on pregnancy in other teenagers. The analytical framework of 'othering' and resistance are used to examine their discourse around teenage pregnancy in teenage mothers. Findings indicate that teenage pregnancy and parenting in teenage mother contemporaries is not always viewed positively. Some teenage mothers in this study used strategies to distance themselves from perceived negativity. Two overarching themes emerged from the data: Constructions of moral judgement and Maintenance of positive self-representations. The negative portrayal of teenage pregnancy within wider society impacts the ongoing stigma attached to teenage pregnancy within the teenage population. Approaches such as peer education and peer support used in reproductive health should not be considered neutral, taken for granted processes, but may be complex and more nuanced. Health and social care professionals supporting young parents should be aware of the potential for stigma, discrimination, isolation and exclusion within teenage peer groups. Policy makers need to ensure young mothers have access to a broad range of support opportunities and this should include formal, professional support.

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An exploration of pregnant teenagers' views of the future and their decisions to continue or terminate their pregnancy: implications for nursing care

Cited by 13 publications

References 15 publications

Beyond the discourse of reproductive choice: narratives of pregnancy resolution among Latina/o teenage parents

Beyond the discourse of reproductive choice: narratives of pregnancy resolution among Latina/o teenage parents

Adolescent pregnancy and transition to adulthood in young users of the SUS

‘Other Girls’: A Qualitative Exploration of Teenage Mothers’ Views on Teen Pregnancy in Contemporaries

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