Negotiating the transition from adolescence to motherhood: Coping with prenatal and parenting stress in teenage mothers in Mulago hospital, Uganda
ABSTRACT Adolescence is a transitional stage from childhood to adulthood that is characterized by physical, physiological, psychosocial and behavioral changes that are influenced to a large extent by the age, culture and socialization of the individual. To explore what adolescent mothers perceive as their struggles during the period of transition from childhood to parenthood (through motherhood) and to describe strategies employed in coping with stress of pregnancy, motherhood and parenthood.
Longitudinal qualitative study involving twenty two in-depth interviews and six focus group discussions among pregnant adolescents who were followed from pregnant to delivery, from January 2004 to August 2005. Participant were selected by theoretical sampling and data was analyzed using grounded theory.
Overall, young adolescents reported more anxiety, loss of self esteem (when they conceived), difficulty in accessing financial, moral and material support from parents or partners and stigmatization by health workers when they sought care from health facilities. Three strategies by which adolescent mothers cope with parenting and pregnancy stress that were described as utilizing opportunities (thriving), accommodating the challenges (bargaining and surviving), or failure (despairing), and varied in the extent to which they enabled adolescents to cope with the stress.
Adolescents on the transition to motherhood have variable needs and aspirations and utilize different strategies to cope with the stress of pregnancy and parenthood.
Full-textDOI: · Available from: Dan K Kaye, Jun 22, 2015
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ABSTRACT: AimsThe aim of this study was to explore the mothering experience and practice among reservation-based adult American Indian women who had been adolescent mothers. Background Adolescent American Indian women are at an elevated risk for teen pregnancy and poor maternal/child outcomes. Identifying mothering practices among this population may help guide intervention development that will improve health outcomes. DesignA collaborative orientation to community-based participatory research approach. Methods Employing interpretive phenomenology, 30 adult American Indian women who resided on a Northwestern reservation were recruited. In-depth, face-to-face and telephone interviews were conducted between 2007-2008. FindingsWomen shared their mothering experience and practice, which encompassed a lifespan perspective grounded in their American Indian cultural tradition. Four themes were identified as follows: mother hen, interrupted mothering and second chances, breaking cycles and mothering a community. Mothering originated in childhood, extended across their lifespan and moved beyond mothering their biological offspring. Conclusion These findings challenge the Western construct of mothering and charge nurses to seek culturally sensitive interventions that reinforce positive mothering practices and identify when additional mothering support is needed across a woman's lifespan.Journal of Advanced Nursing 05/2013; 70(1). DOI:10.1111/jan.12180 · 1.69 Impact Factor
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ABSTRACT: The aims of this study were to analyze the coping strategies used by women in the first trimester of low-risk pregnancies, their relationships to sociodemographic and pregnancy variables, and their ability to predict anxiety and depression in the third trimester. Participants in the first trimester were 285 Spanish pregnant women, of whom 122 were followed into the third trimester. The use of problem-focused coping was stable, whereas variations occurred in emotion-focused coping. Age, educational level, employment, planned pregnancy, previous childbirth, and previous miscarriage were associated with adaptive coping. Coping strategies predicting anxiety and depressive symptoms were overt emotional expression and social support seeking. Coping through religion predicted anxiety. Coping is a complex process influenced by sociodemographic and obstetric factors that can contribute to the onset of psychological symptoms. © 2012 Wiley Periodicals, Inc. Res Nurs Health.Research in Nursing & Health 02/2013; 36(1). DOI:10.1002/nur.21513 · 1.16 Impact Factor
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ABSTRACT: Objective: This study investigated the association between maternal depression and maternal–fetal attachment (MFA) and whether contextual variables such as social support and fathers’ presence moderated this association. Background: Adolescent pregnancy is associated with multiple risk factors that may compromise the relationship between mothers and their infants. However, this relationship starts during pregnancy, being affected by aspects such as social support and maternal depression. Method: Forty-nine adolescent mothers (Mage = 16.49 years; SD = 1.58) participated in the first wave of a longitudinal study which investigated social factors associated with parenting characteristics of Brazilian adolescent mothers; 65.3% reported they were cohabiting (married or living together) with the infant’s father. Results: Hierarchical regression analysis revealed that higher levels of social support were associated with greater MFA. Marital status was not significant. The association between maternal depression and MFA was significant for those participants who reported high levels of social support, but not for those participants who reported low levels of social support. Conclusion: Social support emerged as a key variable moderating the association between maternal depression and MFA. Contrary to expectations, maternal depression did not have a negative association with MFA, and further studies are needed to understand how social support promotes MFA, in the presence of other vulnerabilities, such as maternal depression.Journal of Reproductive and Infant Psychology 06/2014; 32(4). DOI:10.1080/02646838.2014.910865 · 0.67 Impact Factor