Broken Past, Fragile Future: Personal Stories of High‐Risk Adolescent Mothers

Williams, Christine M.; Vines, Susan

doi:10.1111/j.1744-6155.1999.tb00076.x

Cited by 41 publications

(48 citation statements)

References 12 publications

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“…It may be that the participants in Clifford and Brykczynski's study had different perceptions because they had already delivered their babies and were parenting, whereas the participants in the study reported here were still pregnant at the time of the interview. Williams and Vines (1999) conducted a phenomenological study to identify what adolescent mothers view as their childhood struggles, transition to the role of mother, past history of abuse and neglect, and important relationships after they became pregnant. Participants identified five themes: an impoverished past, disintegration of relationships, emotional distance, problem-fixing, and reconnecting.…”

Section: Discussionmentioning

confidence: 99%

“…Seven adolescent mothers between the ages of 13 and 20 years identified five themes: an impoverished past, disintegration of relationships, emotional distance, problem fixing, and reconnecting. Participants reported using the pregnancy as a way to grow individually (Williams & Vines, 1999). Their pregnancy experience was viewed as a ''second chance'' for a new life.…”

mentioning

confidence: 99%

“…Several interviews were conducted over a few months and revealed the following themes: ''sand castles: the unreliability of support systems; tough boys, soft hearts: feeling less powerless with a strong male; erosion of trust: the deterioration of trusted kin networks; and staying the course: the intergenerational nature of adolescent pregnancy'' (Clifford & Brykczynski, 1999, p. 4). Williams and Vines (1999) conducted a phenomenological study to identify what adolescent mothers view as their childhood struggles, transition to the role of mother, past history of abuse and neglect, and important relationships after they became pregnant. Seven adolescent mothers between the ages of 13 and 20 years identified five themes: an impoverished past, disintegration of relationships, emotional distance, problem fixing, and reconnecting.…”

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confidence: 99%

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Planned Adolescent Pregnancy: Themes Related to the Pregnancy

Montgomery

2004

jpe

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Health-care providers need to recognize that not all adolescent pregnancies occur as a result of error. A small subset of adolescents intentionally plan their pregnancy. The purpose of this phenomenological study was to describe the experiences of 14-to 17-year-old pregnant females who had planned their pregnancies. Participants were recruited from one prenatal clinic at a large tertiary medical center in the eastern region of the United States. Three themes emerged from participant interviews that were related to the adolescents' pregnancies. Themes included living environment issues, adjustment to the pregnancy, and an increased motivation to do well in school and work to provide a good life for their infants. Understanding the phenomena of planned adolescent pregnancy can provide a basis for health-care providers to provide support to adolescent females in this life transition. Understanding the common experience of these adolescents can assist health-care providers to develop individualized interventions to best meet these young women's needs and to improve birth outcomes among this population.Journal of Perinatal Education, 13(4), 27e35; adolescent pregnancy, planned pregnancy.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Planned Adolescent Pregnancy: Themes Related to the Pregnancy

Montgomery

2004

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“…For example, it has been suggested that pregnancy among troubled youth, including those on the streets, may be welcomed as a time for positive change. 31,32 In our assessment, we found that four of ten females and three of ten males reported that their most recent LPI was intended. This finding might reflect inclusion of older age (20-24 years) street youth in our sample or the desire of youth to use pregnancy as a way to improve one's life trajectory, as at least two qualitative studies have reported that pregnancy motivated homeless youth to secure housing.…”

Section: Discussionmentioning

confidence: 70%

Multi-City Assessment of Lifetime Pregnancy Involvement among Street Youth, Ukraine

et al. 2011

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Although street youth are at increased risk of lifetime pregnancy involvement (LPI), or ever becoming or getting someone pregnant, no reports to date describe the epidemiology of LPI among systematically sampled street youth from multiple cities outside of North America. The purpose of our assessment was to describe the prevalence of and risk factors associated with LPI among street youth from three Ukrainian cities. We used modified time-location sampling to conduct a cross-sectional assessment in Odesa, Kyiv, and Donetsk that included citywide mapping of 91 public venue locations frequented by street youth, random selection of 74 sites, and interviewing all eligible and consenting street youth aged 15-24 years found at sampled sites (n=929). Characteristics of youth and prevalence of LPI overall and by demographic, social, sexual, and substance use risk factors, were estimated separately for males and females. Adjusted odds ratios (AORs) were calculated with multivariable logistic regression and effect modification by gender was examined. Most (96.6%) eligible youth consented to participate. LPI was reported for 41.7% of females (93/223) and 23.5% of males (166/706). For females, LPI was significantly elevated and highest (970%) among those initiating sexual activity at ≤12 years and for those reporting lifetime anal sex and exchanging sex for goods. For males, LPI was significantly elevated and highest (940%) among those who reported lifetime anal sex and history of a sexually transmitted infection. Overall, risk factors associated with LPI were similar for females and males. Among the total sample (females and males combined), significant independent risk factors with AORs ≥2.5 included female gender, being aged 20-24 years, having five to six total adverse childhood experiences, initiating sex at age ≤12 or 13-14 years, lifetime anal sex, most recent sex act unprotected, and lifetime exchange of sex for goods. Among street youth with LPI (n=259), the most recent LPI event was reported to be unintended by 63.3% and to have ended in abortion by 43.2%. In conclusion, our assessment documented high rates of LPI among Ukrainian street youth who, given the potential for negative outcomes and the challenges of raising a child on the streets, are in need of community-based pregnancy prevention programs and services. Promising preventive strategies are discussed, which are likely applicable to other urban populations of street-based youth as well.

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“…Adolescents who become pregnant require unique consideration, understanding, care, and support during their first pregnancy (American Academy of Child and Adolescent Psychiatry, 1997; Bushy, 2000). First-time teenage mothers undergo physiological, psychological, and emotional changes during their transition to motherhood (Carter & Spear, 2002;SmithBattle, 1997;SmithBattle & Leonard, 1998;Trad, 1995;Williams & Vines, 1999). As a result, researchers have asserted that health care professionals must utilize an alternative view of teenage childbearing in planning their care (Geronimus, 1997;SmithBattle & Leonard, 1998).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Selected African American First-Time Teenage Mothers' Perceptions of Nurse Caring Behaviors During The Postpartum Period

Potter

2012

IJANS

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The purpose of this study was to explore and describe African American teen mothers' perceptions of nurse caring behaviors during the postpartum period in a rural southern state. African Americans have unique cultural needs; thus, it is critical for the science of nursing to explore and describe African American teenage mothers' perceptions of nurse caring behaviors during the postpartum period. By exploring and describing African American first-time teenage mothers' perceptions of nurse caring behaviors, the researcher will help nursing science gain insight into how to facilitate and enhance postpartum care for young families. An exploratory descriptive design was used and descriptive analyses were conducted on demographic characteristics and CBA subscales to answer the research question: How do African American first-time teenage mothers describe nursing behaviors and identify the most important nursing behaviors that they received during the postpartum period? Findings indicated that there was statistical significance for the independent variable, decision 2 Potter et al.making for your health, and the Caring Behaviors Assessment (CBA) subscales of humanism/faith-hope/sensitivity (p = 0.050), human needs assistance (p = 0.052), and the demographic characteristics. The analysis revealed attentive to needs was a common theme.

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Broken Past, Fragile Future: Personal Stories of High‐Risk Adolescent Mothers

Cited by 41 publications

References 12 publications

Planned Adolescent Pregnancy: Themes Related to the Pregnancy

Planned Adolescent Pregnancy: Themes Related to the Pregnancy

Multi-City Assessment of Lifetime Pregnancy Involvement among Street Youth, Ukraine

Selected African American First-Time Teenage Mothers' Perceptions of Nurse Caring Behaviors During The Postpartum Period

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