Experiences of teenage pregnancy among Xhosa families

Experiences of teenage pregnancy among Xhosa families
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DOI:
10.1016/j.midw.2011.04.003
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发表时间:
2012-04-01
期刊:
影响因子:
2.7
通讯作者:
Struempher, Juanita
Struempher, Juanita
中科院分区:
医学3区
文献类型:
--
作者:
James, Sindiwe;Van Rooyen, Dalena;Struempher, Juanita

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目的:探索和描述科萨家庭青少年怀孕的经历,并根据研究结果,推荐一种帮助助产士改善怀孕结果的策略。设计:定性、探索性、描述性、现象学和背景研究设计。本研究采用面对面访谈的方式收集资料,研究对象为来自同一家庭的10名怀孕少女、8名母亲、2名父亲、7名祖母和3名祖父。怀孕的青少年在努力科普怀孕的过程中经历了情绪上的动荡,由于期望没有得到满足和角色混乱导致危机,他们与重要他人的关系发生了变化。父母经历了压倒性的情绪,由于他们的孩子意外怀孕,并失去控制,因为怀孕无法逆转。怀孕青少年的祖父母经历了怀孕作为一个家庭的干扰,并承认愈合应该发生在family.Key结论:少女怀孕的经历不同的不同代在同一个家庭,但所有的经验最终在愤怒,阻碍了必要的父母支持怀孕的青少年。怀孕期间缺乏支持很容易影响未出生婴儿的健康,因为青少年没有人监督,并经历严重的情绪压力。助产士的干预可以帮助减轻青少年的压力并优化妊娠结果。(C)2011爱思唯尔有限公司保留所有权利。
Objectives: to explore and describe the experiences of teenage pregnancy among Xhosa families, and, depending on the results of the study, to recommend a strategy to assist midwives to enhance pregnancy outcomes.Design: a qualitative, explorative, descriptive, phenomenological and contextual research design. In-depth face-to-face interviews were performed to collect data.Participants: 10 pregnant teenagers, eight mothers, two fathers, seven grandmothers and three grandfathers from the same families were interviewed independently and privately.Findings: pregnant teenagers experienced emotional turmoil as they strived to cope with their pregnancy, and experienced a change in their relationships with significant others due to expectations that were not met and role confusion which led to crisis. Parents experienced overwhelming emotions due to the unexpected pregnancy of their child, and loss of control as the pregnancy could not be reversed. Grandparents of pregnant teenagers experienced the pregnancy as a family disturbance, and acknowledged that healing should take place in the family.Key conclusions: teenage pregnancy was experienced differently by different generations within the same family, but all the experiences culminated in anger that hampered the necessary parental support for the pregnant teenager. Lack of support during pregnancy can easily affected the well-being of the unborn child, as teenagers are not supervised and experience acute emotional stress. Intervention by a midwife could help to relieve the teenager's stress and optimise the pregnancy outcome. (C) 2011 Elsevier Ltd. All rights reserved.