青少年母亲在Mbale地区转诊医院的生活经验:现象学研究。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Obstetrics and Gynecology International Pub Date : 2020-11-20 eCollection Date: 2020-01-01 DOI:10.1155/2020/8897709
Violet Chemutai, Julius Nteziyaremye, Gabriel Julius Wandabwa
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引用次数: 6

摘要

背景:青春期是一个人从童年向成年过渡的时期,是一个人发展的关键阶段。它的特点是巨大的机遇和风险。到2016年,青少年占世界人口的16%,其中82%居住在发展中国家。大约有1200万新生儿在15-19岁之间。撒哈拉以南非洲,特别是东非,青少年怀孕率很高,乌干达东部高达35.8%。15-19岁的产妇死亡率很高,乌干达每10万例活产336例产妇死亡率中有17.1%发生在这一年龄组。虽然研究充斥着导致这种怀孕的因素,但对早期母亲的生活经历知之甚少。本研究报告青少年母亲在Mbale医院的生活经验。材料与方法:采用现象学研究设计,从登记簿中确定到幼儿诊所就诊的青春期母亲,采用简单随机抽样的方法选择参与者。我们通过电话号码给这些母亲打电话,请她们来参加焦点小组讨论,每组限制为9名母亲,持续约45分钟至1小时。寻求伦理批准,并获得参与者的书面同意。在每次焦点小组讨论中,大部分以当地语文收集的资料都被抄录并逐字翻译成英文。结果:研究发现,青春期母亲经历了艰难的时期,特别是在分娩期间和产后期间,由于怀孕的变化和对未知的恐惧,在很大程度上受到家庭和其他社区成员的负面对待,并且在育儿过程中经历了极大的困难。然而,这些早期母亲的压力被看到自己孩子的快乐所缓解。结论:未成年母亲是高危人群,应加强对其产前护理的支持,建立专门的青少年产前护理诊所,并与家庭一起进行持续的咨询,以优化其孕期和产后的预后。应探讨让这些母亲参加技术课程,使她们掌握能够促进自营职业的技能,并向她们提供支助,使她们能够继续接受教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Live Experiences of Adolescent Mothers Attending Mbale Regional Referral Hospital: A Phenomenological Study.

Live Experiences of Adolescent Mothers Attending Mbale Regional Referral Hospital: A Phenomenological Study.

Background: Adolescence is a period of transition from childhood to adulthood, and is a critical stage in ones' development. It is characterized by immense opportunities and risks. By 2016, 16% of the world's population was of adolescents, with 82% residing in developing countries. About 12 million births were in 15-19 year olds. Sub-Saharan Africa, particularly East Africa, has high adolescent pregnancy rates, as high as 35.8% in eastern Uganda. Maternal mortality ratio (MMR) attributable to 15-19 years olds is significant with 17.1% of Uganda's MMR 336/100.000 live births being in this age group. Whereas research is awash with contributing factors to such pregnancies, little is known about lived experiences during early motherhood. This study reports the lived experiences of adolescent mothers attending Mbale Hospital.

Materials and methods: A phenomenological study design was used in which adolescent mothers that were attending Young Child Clinic were identified from the register and simple random sampling was used to select participants. We called these mothers by way of phone numbers and asked them to come for focus group discussions that were limited to 9 mothers per group and lasting about 45 minutes-1 hour. Ethical approval was sought and informed written consent obtained from participants. At every focus group discussion, the data which had largely been taken in local languages was transcribed and translated verbatim into English.

Results: The research revealed that adolescent mothers go through hard times especially with the changes of pregnancy and fear of unknown during intrapartum and immediate postpartum period and are largely treated negatively by family and other community members in addition to experiencing extreme hardships during parenting. However, these early mothers' stress is alleviated by the joy of seeing their own babies.

Conclusion: Adolescent motherhood presents a high risk group and efforts to support them during antenatal care with special adolescent ANC clinics and continuous counseling together with their household should be emphasized to optimize outcome not only during pregnancy but also thereafter. Involving these mothers in technical courses to equip them with skills that can foster self-employment and providing support to enable them pursue further education should be explored.

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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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