Int J Womens Health. 2013 Nov 12;5:773-80. doi: 10.2147/IJWH.S51528. eCollection 2013.

Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study.

International journal of women's health

Nana Yaa Konadu Gyesaw, Augustine Ankomah

PMID: 24250233 PMCID: PMC3829679 DOI: 10.2147/IJWH.S51528

Abstract

BACKGROUND: The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns.

METHODS: This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling.

RESULTS: Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion.

CONCLUSION: Special programs should be initiated by the government and the various responsible departments to address ignorance on sexual matters, and the challenges and risks associated with pregnancy and parenting by adolescents. Parenting techniques should be taught in sex education programs.

Keywords: Ghana; adolescents; focus group discussions; teenage motherhood; teenage pregnancy; unmarried teenagers

References

1. MCN Am J Matern Child Nurs. 2003 Mar-Apr;28(2):93-9 - PubMed
2. J Adv Nurs. 2001 May;34(4):456-64 - PubMed
3. Afr J Reprod Health. 2007 Dec;11(3):133-49 - PubMed
4. J Perinat Educ. 2010 Spring;19(2):25-34 - PubMed
5. Cult Health Sex. 2007 Jul-Aug;9(4):333-46 - PubMed
6. Stud Fam Plann. 1998 Jun;29(2):117-36 - PubMed
7. J Adv Nurs. 2004 May;46(3):319-30 - PubMed
8. Patient Educ Couns. 2010 Dec;81(3):448-53 - PubMed
9. J Pediatr Nurs. 2009 Dec;24(6):458-67 - PubMed
10. J Nutr Educ Behav. 2002 Jul-Aug;34(4):224-30 - PubMed
11. Reprod Health. 2008 Dec 30;5:13 - PubMed
12. J Biosoc Sci. 2000 Oct;32(4):495-512 - PubMed
13. Nurse Educ Today. 2004 Feb;24(2):105-12 - PubMed
14. Nurse Educ Today. 1991 Dec;11(6):461-6 - PubMed

Publication Types

• Journal Article