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1.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1148-1154, out.-dez. 2019. ilus
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1021968

RESUMO

Objetivo: Conhecer como a mulher adolescente vivencia o período gravídico-puerperal. Método: Estudo qualitativo descritivo. As participantes foram 11 puérperas adolescentes. Para coleta de dados utilizou-se a entrevista semiestruturada e o mapa falante. Os dados foram submetidos à análise de conteúdo temática da proposta operativa. Resultados: Revelaram que no início da gestação sentiram insegurança, medo e rejeição; passaram por alguns abandonos e afastamentos; tiveram que reorganizar os planos de vida; os estudos foram adiados; mas, ao final, prevaleceu o sentimento de felicidade ao ter o filho nos braços. Conclusão: conhecer a vivência do período gravídico-puerperal das adolescentes permitiu compreender a importância do profissional de saúde atuar neste contexto e poder contribuir para evolução de uma gestação saudável a partir da compreensão das singularidades das adolescentes


Objective: The study's purpose has been to know how the adolescent woman experience the pregnancypuerperal period. Methods: It is a descriptive study with a qualitative approach. The participants were 11 adolescents who have recently given birth. Data collection took place through a semi-structured interview and the taking map. The data were submitted to thematic content analysis according to the operative proposal. Results: Data have revealed that women felt insecurity, fear and rejection during the initial stages of pregnancy; they faced abandonment; they also had to rearrange their life plans; their studies were put aside and delayed; but, after all, the feeling of happiness by having their children together has prevailed. Conclusion: Experiencing the pregnancy-puerperal period allowed the adolescent women to understand the importance of health professionals participating of this context and being able to contribute to a healthy pregnancy by appreciating the adolescents' specificities


Objetivo: Conocer cómo el adolescente mujer viviendo el periodo grávido puerperal. Método: estudio descriptivo cualitativo. Los participantes eran 11 adolescentes que han dado a luz recientemente. Para datos colección utilizó la entrevista semiestructurada y el mapa. Los datos fueron sometidos a análisis de contenido temático de la propuesta operativa. Resultados: reveló que temprano en el embarazo se sentía inseguridad, temor y rechazo; fue a través de algunas salidas y llegadas; tuvo que reorganizar los planes de vida; los estudios fueron retrasados; pero, al final, prevaleció el sentimiento de felicidad para que el niño en sus brazos. Conclusión: llegar a conocer que la experiencia de los adolescentes el período grávidos permitido entender la importancia puerperal de profesional de la salud actuar en este contexto y ser capaces de contribuir a un embarazo saludable de la comprensión de las singularidades de los adolescentes


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Gravidez na Adolescência/psicologia , Saúde do Adolescente , Período Pós-Parto , Brasil
2.
J Fam Psychol ; 33(6): 682-689, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31318269

RESUMO

A growing number of studies have demonstrated a strong association between reproductive coercion and unintended pregnancy among adolescent and young adult females. However, few studies have examined how a pregnancy resulting from an experience of reproductive coercion affects parenting and the child's development. To address this gap in the current literature, the present study sought to examine the effect of reproductive coercion on parenting competence, caregiving involvement, and child development at 6- and 12-months postpartum using a dyadic perspective. The data were collected from a prospective cohort study of 296 pregnant adolescent females and their male partners (N = 592 participants), who were followed from pregnancy to 12-months postpartum. The Actor Partner Interdependence Model (APIM) was used to examine the effects of an individual's (actor) and their partner's (partner) experience of reproductive coercion on parenting competence, caregiving involvement, and child development. Generalized Estimating Equations were performed to test associations between reproductive coercion and parenting outcomes. An actor's experience of reproductive coercion was significantly associated with lower parenting sense of competence 12-months postpartum. Our findings suggest that reproductive coercion may interfere with adolescents' transition into parenthood. Programs should consider reproductive coercion as a possible form of trauma and adopt activities that aim to mitigate its effects on children of adolescent and young adult parents. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Desenvolvimento Infantil , Coerção , Anticoncepção/psicologia , Poder Familiar/psicologia , Gravidez na Adolescência/psicologia , Adolescente , Adulto , Fatores Etários , Estudos de Coortes , Feminino , Humanos , Lactente , Masculino , Gravidez , Gravidez na Adolescência/estatística & dados numéricos , Estudos Prospectivos , Estados Unidos , Adulto Jovem
3.
Infant Ment Health J ; 40(5): 690-709, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31318459

RESUMO

Reproductive justice advocates emphasize the rights of women to choose to have children, to decide the conditions under which they give birth, and to parent their children with support, safety, and dignity. This article examines what a reproductive justice perspective contributes to infant mental health work with teenage mothers and their families. It explores the historical framing of teenage pregnancy in which young mothers are the cause of a variety of social problems and in which the primary policy and practice approach is pregnancy prevention. The article offers alternative framings of teenage childbearing, based on reproductive justice principles, which focus on social conditions surrounding teenage parenthood and the meaning of motherhood in the lives of young women. These alternative frames shift the practice agenda to eradicating unjust social conditions and providing supports for young women in their roles as parents. The article then describes ways in which two infant mental health programs have incorporated reproductive justice principles into their work with young families: Chicago's community doula model and Florida's Young Parents Project for court-involved teenage parents. Finally, the article extracts a set of principles deriving from a reproductive justice perspective that are relevant to infant mental health work with young families.


Assuntos
Saúde do Lactente/normas , Saúde Mental , Gravidez na Adolescência/psicologia , Sistemas de Apoio Psicossocial , Adolescente , Feminino , Humanos , Lactente , Mães/psicologia , Gravidez , Desenvolvimento de Programas , Saúde Reprodutiva , Justiça Social , Apoio Social
5.
Compr Child Adolesc Nurs ; 42(sup1): 208-216, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192715

RESUMO

To identify a correlation between childbirth self efficacy and childbirth expectation of adolescent mothers in Indonesia, this cross-sectional study applied consecutive sampling. The sample was 135 adolescent mothers. Instruments utilized were structured questionnaire, including a demographic questionnaire, Child Birth Self-Efficacy Inventory (CBSEI), Childbirth Expectation Questionnaire (CEQ), Marital Adjustment Test (MAT), and London Measure of Unplanned Pregnancy (LMUP). All questionnaires were in Indonesian versions. The correlation of childbirth self-efficacy and childbirth expectation was analyzed using chi-square. Most adolescent mothers had low childbirth self-effication (63.7%). The results showed a significant correlation between childbirth self-efficacy and childbirth expectation of adolescent mothers (p = 0.003, OR 2.8, 95% CI 1.126 to 8.544). These results show that special assistance for adolescent mothers in facing childbirth is necessary to improve self-efficacy.


Assuntos
Parto/psicologia , Gravidez na Adolescência/psicologia , Autoeficácia , Adaptação Psicológica , Adolescente , Estudos Transversais , Feminino , Humanos , Indonésia , Londres , Mães/psicologia , Gravidez , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
6.
BMC Pregnancy Childbirth ; 19(1): 152, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31053108

RESUMO

BACKGROUND: Child marriage is associated with adverse reproductive health outcomes, and the practice is still alarmingly common. Together with efforts to end child marriage, it is essential to provide adequate health care to already married adolescents. However, to date there has been very limited research on health care-seeking practices among married adolescents in Nepal. METHOD: The study was conducted in a rural part of Dang District situated in the Mid-western region of Nepal. We combined thirteen individual interviews and four focus group discussions with 17-20 years old women who had married before the age of 18 years and individual interviews with 10 key informants. RESULTS: Pressure to give birth early, limited autonomy, and little knowledge about reproductive health issues make married adolescents vulnerable to risky pregnancies. Early-married women face a range of barriers to use existing health services including work overload, transport and distance to health care facilities, qualities of services, verbal abuse by health care providers, and shyness and embarrassment. CONCLUSION: Women who marry and become pregnant during adolescence face a number of barriers that limit their access to health care services and they need more attention from the health services and policy makers. More youth friendly health services and education about sexual and reproductive health should be key elements in strategies to address the health issues of early-married women and adolescent girls.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Casamento/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Gravidez na Adolescência/psicologia , Serviços de Saúde Reprodutiva , Adolescente , Feminino , Grupos Focais , Humanos , Nepal , Gravidez , Pesquisa Qualitativa , População Rural , Adulto Jovem
7.
Afr J Prim Health Care Fam Med ; 11(1): e1-e11, 2019 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-31038339

RESUMO

BACKGROUND: Adolescent childbearing has numerous consequences on maternal health, child health and the well-being of society. Because of the high-risk nature of adolescent pregnancy, a multidisciplinary team (MDT) approach is recommended to achieve satisfactory pregnancy outcomes. AIM: The aim of this study was to explore nurses' perceptions of the MDT approach in the continuum of care for adolescent mothers and their children. SETTING: The study was conducted in a local district hospital in Ugu, KwaZulu-Natal. METHODS: An explorative and descriptive qualitative study design was used. The first author and hospital staff (clinical midwives and the clinical manager of obstetrics and gynaecology) collaborated on the development of the focus group discussion (FGD) guide to explore nurses' perception of the MDT approach of care for adolescent mothers and their children. A total of three FGDs were conducted. Data were analysed using thematic analysis. RESULTS: Six overarching themes emerged from the data analysis which included professional benefits of adopting the MDT approach of care for adolescent mothers and their children, barriers to the multidisciplinary collaboration, clinical benefits of adopting the MDT approach of care for parenting adolescent mothers, problems and needs of adolescent mothers, and nurses' reasons regarding their willingness to participate in a multidisciplinary collaboration in the care of parenting adolescent mothers. CONCLUSION: In the opinion of nurses, the MDT approach of care for adolescent mothers and their children is an important strategy to improve maternal and child health outcomes. This study has important implications for the design of an intervention.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Materno-Infantil , Enfermeiras Obstétricas/psicologia , Equipe de Assistência ao Paciente , Gravidez na Adolescência/psicologia , Adolescente , Adulto , Feminino , Grupos Focais , Humanos , Gravidez , Pesquisa Qualitativa , África do Sul
8.
Rev Med Inst Mex Seguro Soc ; 57(1): 4-5, 2019 Apr 01.
Artigo em Espanhol | MEDLINE | ID: mdl-31071246

RESUMO

For the integral formation of college students requires strategies and programs that prepare them completely and committed to motherhood and fatherhood. Education as a preventive mechanism leads to improved family and social communication, and therefore prevents an unwanted pregnancy that could result in school dropouts.


Assuntos
Gravidez na Adolescência , Gravidez não Desejada , Educação Sexual , Estudantes , Adolescente , Feminino , Humanos , Masculino , México , Poder Familiar , Gravidez , Gravidez na Adolescência/prevenção & controle , Gravidez na Adolescência/psicologia , Gravidez não Desejada/psicologia , Evasão Escolar/psicologia , Estudantes/psicologia , Universidades , Adulto Jovem
9.
PLoS One ; 14(5): e0216649, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31075136

RESUMO

Adolescent pregnancy is a major health problem significantly associated with adverse effects on the health of both adolescents and their newborns. However, there is a lack of clarity over adolescent pregnancy from adolescents' perspective, particularly in the low- and middle income countries including Iran. This study aimed to explore the experiences of Iranian married female adolescent in confronting pregnancy. This qualitative research was conducted using conventional content analysis approach. Unstructured interviews with 24 female adolescents (aged 14-18 years) were used for data collection, and data analysis was done simultaneously. In this study, the participants were recruited from urban and rural primary healthcare centers (PHCs). The PHCs were selected randomly from several towns and villages of Guilan Province, Iran. The participants were recruited through a purposive sampling method. After data analysis, four categories were extracted from 24 interviews, including "actively accepting pregnancy", "passively accepting pregnancy", "hope and satisfaction" and "frustration and regret". These categories formed the main theme of "paradox of acceptance" in confronting pregnancy. The concepts that have emerged based on the results of the study can potentially help develop comprehensive and age-tailored health promotion programs to confront pregnancy more successfully for female pregnant adolescents. Further research, particularly on the long-term effects of teenage motherhood is suggested.


Assuntos
Gravidez na Adolescência/psicologia , Cônjuges/psicologia , Adolescente , Feminino , Frustração , Esperança , Humanos , Irã (Geográfico) , Gravidez
10.
BMC Pregnancy Childbirth ; 19(1): 184, 2019 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-31122199

RESUMO

BACKGROUND: Adolescents are especially vulnerable due to increased biological, social and economic risks associated with early pregnancy and childbirth, yet most pregnancy and childbirth-related complications are preventable through a combination of proven, cost-effective clinical interventions including timely antenatal care (ANC). The voices and specific needs of adolescents are currently underrepresented in the literature on antenatal and maternity care. Objectives were to a) increase our understanding of adolescents' experiences with, and perceptions of, ANC and b) explore how these perspectives might be applied towards future initiatives to enhance adolescent care-seeking behaviour. METHODS: This cross-sectional qualitative study employed 14 focus group discussions with 112 adolescents aged 15-20 years in Singida Region in Tanzania and Volta and Eastern Regions in Ghana who had accessed ANC during their most recent pregnancy. We were particularly interested in what these young women valued and understood about their ANC experience, as this would provide insights into what factors motivated them to seek care. Transcripts were analyzed using conventional content analysis. Based on emergent themes and drawing on the Health Belief Model (HBM) as an analytical tool, a conceptual framework was developed to illustrate the myriad factors influencing adolescents' decision to attend ANC. RESULTS: Interpreting results through an adapted HBM demonstrates that adolescent health-seeking behaviour can vary widely among individuals and within communities, is shaped by the opinions of family members and peers, and is intrinsically influenced by broader health systems-level factors. CONCLUSIONS: The results led to our development of an adapted theory-based framework to illustrate the complexity of adolescent care-seeking during pregnancy in resource-poor settings. We demonstrate that while an adolescent mother is capable of exercising her own agency, she is also developmentally vulnerable to external influences and must be supported in her ability to make autonomous decisions. While the model presented here focuses specifically on ANC utilization, it may have applications for understanding how adolescents engage with health services more broadly.


Assuntos
Mães/psicologia , Participação do Paciente/psicologia , Gravidez na Adolescência/psicologia , Cuidado Pré-Natal/psicologia , Adolescente , Estudos Transversais , Feminino , Grupos Focais , Gana , Humanos , Gravidez , Pesquisa Qualitativa , Tanzânia , Adulto Jovem
11.
Artigo em Inglês | MEDLINE | ID: mdl-30959770

RESUMO

It has been proposed that, in the Mexican culture, family support can be a factor that contributes to protect the maternal and child health of pregnant adolescents. There may be complex associations between family support and the circumstances of a pregnancy during adolescence. The aim of the study was to analyze the association between the family support network (FSN) characteristic and the maternal and neonatal outcomes in Mexican adolescents. A cross-sectional study was conducted, and 352 pregnant adolescents participated; their FSN during pregnancy was assessed. The gestational weight gain and birth weight/length of newborns were registered. The size of the FSN was described and divided into quartiles; the main members for each quartile were identified. Then, sociodemographic and clinical variables were compared by FSN quartiles. Logistic regression models were performed to assess the association of FSN size and pregnancy and neonatal outcomes. Our results indicate that the mean age was 15 ± 1 year old. The primary support member in the FSN was the mother of the adolescent in each quartile, except for quartile 3, where the primary support was the mother-in-law. In quartile 3 there was a significantly lower gestational weight gain compared to quartile 4 (11.8 ± 5 vs. 13 ± 5 kg, p = 0.054). According to the regression model, a higher risk of small for gestational age (OR 2.99, CI 95% 1.25⁻7.15) newborns was found in quartile 3. We conclude that the maternal and neonatal outcomes did not differ between quartiles of FSN size, except for quartile 3. Small for gestational age newborns were observed when a non-blood relative was present in the FSN. The quality rather than the network size might be more important for improving pregnancy outcomes.


Assuntos
Saúde da Criança , Saúde Materna , Resultado da Gravidez , Gravidez na Adolescência/psicologia , Gestantes/psicologia , Rede Social , Apoio Social , Adolescente , Peso ao Nascer , Criança , Estudos Transversais , Feminino , Ganho de Peso na Gestação , Humanos , Recém-Nascido , Recém-Nascido Pequeno para a Idade Gestacional , Modelos Logísticos , México , Gravidez
12.
MCN Am J Matern Child Nurs ; 44(3): 150-156, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31034454

RESUMO

PURPOSE: The purpose of the study was to explore the associations among mastery, self-esteem, and HIV risk reduction behaviors in a culturally diverse group of adolescent girls. It is important to identify and assess psychological determinants of HIV risk reduction behaviors such as mastery and self-esteem so that healthcare interventions may be tailored to maximize an adolescent's preventive efforts. STUDY DESIGN AND METHODS: Black, Latina, and White adolescent girls were recruited from an urban primary care setting in a tertiary care center. A descriptive, correlational design was used. Measures included the Pearlin Mastery Scale, Rosenberg Self-Esteem Scale, and the Adolescent Problem Severity Index. Data were collected through written surveys completed anonymously. Data were analyzed using multiple regression analysis. RESULTS: There were 224 participants. Mastery and self-esteem, variables that commonly explain health-enhancing behaviors, were not associated with HIV risk reduction behaviors either in the entire sample or cultural subgroups. There was an inverse relationship between age and HIV risk reduction behaviors in all cultural groups. There were no significant differences in HIV risk reduction behaviors among the three cultural groups. CLINICAL NURSING IMPLICATIONS: Findings suggest HIV prevention efforts by nurses should be universal regardless of an adolescent girl's presumed level of mastery and self-esteem, and that these efforts need to intensify as they age.


Assuntos
Infecções por HIV/diagnóstico , Gravidez na Adolescência/psicologia , Comportamento de Redução do Risco , Adolescente , Comportamento do Adolescente/psicologia , Grupos de Populações Continentais/psicologia , Grupos de Populações Continentais/estatística & dados numéricos , Estudos Transversais , Feminino , Infecções por HIV/epidemiologia , Humanos , Gravidez , Psicometria/instrumentação , Psicometria/métodos , Assunção de Riscos , Autoeficácia , Inquéritos e Questionários , Adulto Jovem
13.
JMIR Mhealth Uhealth ; 7(3): e11163, 2019 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-30869649

RESUMO

BACKGROUND: Health care providers are a trusted and accurate source of sexual health information for most adolescents, and clinical guidelines recommend that all youth receive comprehensive, confidential sexual health information and services. However, these guidelines are followed inconsistently. Providers often lack the time, comfort, and skills to provide patient-centered comprehensive contraceptive counseling and services. There are significant disparities in the provision of sexual health services for Latino adolescents, which contribute to disproportionately higher rates of teenage pregnancy. To address this, we developed Health-E You or Salud iTu in Spanish, an evidence-informed mobile health (mHealth) app, to provide interactive, individually tailored sexual health information and contraception decision support for English and Spanish speakers. It is designed to be used in conjunction with a clinical encounter to increase access to patient-centered contraceptive information and services for adolescents at risk of pregnancy. Based on user input, the app provides tailored contraceptive recommendations and asks the youth to indicate what methods they are most interested in. This information is shared with the provider before the in-person visit. The app is designed to prepare youth for the visit and acts as a clinician extender to support the delivery of health education and enhance the quality of patient-centered sexual health care. Despite the promise of this app, there is limited research on the integration of such interventions into clinical practice. OBJECTIVE: This study described efforts used to support the successful adoption and implementation of the Health-E You app in clinical settings and described facilitators and barriers encountered to inform future efforts aimed at integrating mHealth interventions into clinical settings. METHODS: This study was part of a larger, cluster randomized control trial to evaluate the effectiveness of Health-E You on its ability to reduce health disparities in contraceptive knowledge, access to contraceptive services, and unintended pregnancies among sexually active Latina adolescents at 18 school-based health centers (SBHCs) across Los Angeles County, California. App development and implementation were informed by the theory of diffusion of innovation, the Patient-Centered Outcomes Research Institute's principles of engagement, and iterative pilot testing with adolescents and clinicians. Implementation facilitators and barriers were identified through monthly conference calls, site visits, and quarterly in-person collaborative meetings. RESULTS: Implementation approaches enhanced the development, adoption, and integration of Health-E You into SBHCs. Implementation challenges were also identified to improve the integration of mHealth interventions into clinical settings. CONCLUSIONS: This study provides important insights that can inform and improve the implementation efforts for future mHealth interventions. In particular, an implementation approach founded in a strong theoretical framework and active engagement with patient and community partners can enhance the development, adoption, and integration of mHealth technologies into clinical practice. TRIAL REGISTRATION: ClinicalTrials.gov NCT02847858; https://clinicaltrials.gov/ct2/show/NCT02847858 (Archived by WebCite at http://www.webcitation.org/761yVIRTp).


Assuntos
Comportamento Contraceptivo/psicologia , Hispano-Americanos/psicologia , Aplicativos Móveis/normas , Adolescente , Análise por Conglomerados , Comportamento Contraceptivo/estatística & dados numéricos , Feminino , Hispano-Americanos/estatística & dados numéricos , Humanos , Los Angeles , Aplicativos Móveis/estatística & dados numéricos , Gravidez , Gravidez na Adolescência/prevenção & controle , Gravidez na Adolescência/psicologia , Avaliação de Programas e Projetos de Saúde/métodos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Serviços de Saúde Escolar/normas , Serviços de Saúde Escolar/estatística & dados numéricos , Instituições Acadêmicas/organização & administração , Instituições Acadêmicas/estatística & dados numéricos
14.
Midwifery ; 72: 74-79, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30825792

RESUMO

BACKGROUND: Uganda has one of the highest teenage pregnancy rates in Sub-Saharan Africa and the world. About a quarter of teenagers become pregnant annually. This is much higher than the global rate of 11%. When a teenager becomes pregnant, caring responsibilities are usually shared between the teenage mother and the baby's grandmother. Previous research has largely focused on the experiences of teenagers, leaving out the parents and caregivers. This paper describes parents and caretakers' perceptions and concerns about accessibility of antenatal services by pregnant teenagers in three divisions of Mbarara Municipality in southwestern Uganda. METHODS: This was a qualitative cross-sectional descriptive study. Thirty in-depth interviews with parents and caregivers were conducted. The study was conducted in the Nyamitanga, Kakoba and Kamukuzi divisions in Mbarara Municipality, southwestern Uganda. Data analysis was done manually by identifying emergent themes which were then coded and organized into concepts which were later developed into explanations. RESULTS: According to parents and other caregivers, teenage pregnancy is considered a significant challenge both for themselves and for the teenagers. Often, pregnant teenagers lack information on the available antenatal care services. They struggle with stigma and also lack social and financial support from parents. In addition, the teenagers lack support from reproductive health workers. The parents and caregivers also struggle with the stigma of their children's pregnancy and are often unaware of any available teenager friendly ANC services. CONCLUSIONS: Parents and caregivers find it difficult to cope with their children's pregnancy. They are not aware of any existing teenager-friendly antenatal services, yet antenatal services specifically targeting teenagers are necessary. In planning programs for antenatal services, parents and caregivers also need to be equipped with knowledge and skills required for them to guide and support the pregnant teenagers.


Assuntos
Acesso aos Serviços de Saúde/normas , Pais/psicologia , Percepção , Gravidez na Adolescência/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Gravidez , Cuidado Pré-Natal/métodos , Cuidado Pré-Natal/normas , Pesquisa Qualitativa , Uganda
16.
Anon.
Enferm. clín. (Ed. impr.) ; 29(supl.1): 16-18, mar. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184760

RESUMO

Objective: The purpose of this study is to clarify the concept of maternal role in pregnant adolescent. Method: The Walker and Avant's concept analysis (2005) was used in this study. Results: The attributes are accepting pregnancy at young age, bonding and getting attached with their unborn baby, taking care of unborn baby, recognizing risk related to their pregnancy, dealing with emotions, and preparing for labor. The antecedents included: personal factor, environmental factors, and psychological factors. The consequences are improving adolescent health during pregnancy, increasing confidence, reducing the high risk of pregnancy at a young age, and giving birth safely. Empirical references to maternal roles of pregnant adolescent include their responsibility of the pregnancy, protecting unborn baby from harm, knowledge about pregnancy, changing behavior, and emotional well-being. Conclusions: This concept analysis will help the author for developing instrument about the ability of pregnant adolescent to perform the maternal role during pregnancy


No disponible


Assuntos
Humanos , Feminino , Adolescente , Gravidez na Adolescência/psicologia , Papel (figurativo) , Formação de Conceito
17.
PLoS One ; 14(2): e0211284, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30726256

RESUMO

BACKGROUND: Children born to adolescent mothers generally perform more poorly on school readiness assessments than their peers born to adult mothers. It is unknown, however, whether this relationship extends to the grandchildren of these adolescent mothers. This paper examines the multi-generational outcomes associated with adolescent motherhood by testing whether the grandchildren of adolescent mothers also have lower school readiness scores than their peers; we further assessed if this relationship was moderated by whether the child's mother was an adolescent mother. METHODS: We used population-based data to conduct the retrospective cohort study of children born in Manitoba, Canada, 2000-2009, whose mothers were born 1979-1997 (n = 11,326). Overall school readiness and readiness on five domains of development were analyzed using logistic regression models. RESULTS: Compared with children whose mothers and grandmothers were both ≥ 20 at the birth of their first child, those born to grandmothers who were < 20 and mothers who were ≥ 20 years old at the birth of their first child had 39% greater odds of being not ready for school (95% CI: 1.22-1.60). Children whose grandmothers were ≥ 20 and mothers were < 20 at the birth of their first child had 25% greater odds of being not ready for school (95% CI: 1.11-1.41), and children born to grandmothers and mothers who were both <20 at the birth of their first child had 35% greater odds of being not ready for school (95% CI: 1.18-1.54). CONCLUSIONS: These findings suggest a multigenerational effect of adolescent motherhood on school readiness.


Assuntos
Desenvolvimento Infantil , Gravidez na Adolescência/estatística & dados numéricos , Estudantes/psicologia , Adolescente , Adulto , Criança , Estudos de Coortes , Feminino , Humanos , Modelos Logísticos , Masculino , Manitoba , Idade Materna , Mães , Gravidez , Gravidez na Adolescência/psicologia , Estudos Retrospectivos , Adulto Jovem
18.
Pediatrics ; 143(3)2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30755464

RESUMO

: media-1vid110.1542/5985300176001PEDS-VA_2018-2303Video Abstract BACKGROUND: Teen mothers often present with depression, social complexity, and inadequate parenting skills. Many have rapid repeat pregnancy, which increases risk for poor outcomes. We conducted a randomized controlled trial of a parenting and life skills intervention for teen mothers aimed at impacting parenting and reproductive outcomes. METHODS: Teen mothers were recruited from a teen-tot clinic with integrated medical care and social services. Participants were randomly assigned 1:1 to receive (1) teen-tot services plus 5 interactive parenting and life skills modules adapted from the Nurturing and Ansell-Casey Life Skills curricula, delivered by a nurse and social worker over the infant's first 15 months or (2) teen-tot services alone. A computerized questionnaire was self-administered at intake, 12, 24, and 36 months. Outcomes included maternal self-esteem, parenting attitudes associated with child maltreatment risk, maternal depression, life skills, and repeat pregnancy over a 36-month follow-up. We used generalized linear mixed modeling and logistic regression to examine intervention effects. RESULTS: Of 152 invited, 140 (92%) participated (intervention = 72; control = 68). At 36 months, maternal self-esteem was higher in the intervention group compared with controls (P = .011), with higher scores on preparedness for mothering role (P = .011), acceptance of infant (P = .008), and expected relationship with infant (P = .029). Repeat pregnancy by 36 months was significantly lower for intervention versus control participants. CONCLUSIONS: A brief parenting and/or life skills intervention paired with medical care for teens and their children has positive effects on maternal self-esteem and repeat pregnancy over 36 months.


Assuntos
Educação Infantil/psicologia , Mães/educação , Mães/psicologia , Poder Familiar/psicologia , Gravidez na Adolescência/psicologia , Adolescente , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Gravidez , Autoimagem , Inquéritos e Questionários
19.
Enferm Clin ; 29 Suppl 1: 16-18, 2019 03.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30718206

RESUMO

OBJECTIVE: The purpose of this study is to clarify the concept of maternal role in pregnant adolescent. METHOD: The Walker and Avant's concept analysis (2005) was used in this study. RESULTS: The attributes are accepting pregnancy at young age, bonding and getting attached with their unborn baby, taking care of unborn baby, recognizing risk related to their pregnancy, dealing with emotions, and preparing for labor. The antecedents included: personal factor, environmental factors, and psychological factors. The consequences are improving adolescent health during pregnancy, increasing confidence, reducing the high risk of pregnancy at a young age, and giving birth safely. Empirical references to maternal roles of pregnant adolescent include their responsibility of the pregnancy, protecting unborn baby from harm, knowledge about pregnancy, changing behavior, and emotional well-being. CONCLUSIONS: This concept analysis will help the author for developing instrument about the ability of pregnant adolescent to perform the maternal role during pregnancy.


Assuntos
Gravidez na Adolescência/psicologia , Papel (figurativo) , Adolescente , Formação de Conceito , Feminino , Humanos , Gravidez
20.
Nervenarzt ; 90(3): 243-250, 2019 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-30643954

RESUMO

BACKGROUND: Motherhood in adolescence is associated with risks for both the young mother and the children. OBJECTIVE: Presentation of the current state of research on the mental health of adolescent mothers and its effects on the development of their children. MATERIAL AND METHODS: Electronic database search in PubMed using various combined key terms such as "teenage pregnancy", "adolescent pregnancy", "teenage mother", "child development", "mother-child interaction". Review of the literature of the sources found and discussion of current publications and databases of public institutions. RESULTS: In addition to psychosocial risks such as fewer education years due to family formation and lower incomes, young mothers also suffer more frequently from mental disorders, both before pregnancy and due to the additional burden of motherhood in their own developmental phase of youth. These can have unfavorable effects on the mother-child interaction and on the psychosocial and cognitive development of the children, thereby leading to the transgenerational transmission of risk factors. CONCLUSION: In addition to primary prevention by avoiding teenage pregnancies, early identification of adolescent mothers and children at risk for early treatment and intervention is necessary.


Assuntos
Saúde Mental , Mães , Gravidez na Adolescência , Adolescente , Criança , Desenvolvimento Infantil , Feminino , Humanos , Relações Mãe-Filho/psicologia , Mães/psicologia , Gravidez , Gravidez na Adolescência/psicologia , Fatores Socioeconômicos
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