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      Experiences of pregnancy among Iranian adolescents: A qualitative study

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          Abstract

          Background:

          Pregnancy rate among Iranian adolescents below 20 years of age is increasing. Pregnancy during adolescence is considered a social issue associated with medical, emotional, and social outcomes for the mother, child, and family. The current research examines the experience of pregnancy among Iranian adolescents.

          Materials and Methods:

          The qualitative content analysis method was used. A purposive sample of 14 pregnant adolescents was enrolled in the study. Deep interviews were carried out with them.

          Results:

          Three themes were came up after analyzing the interviews: 1. Psychological reactions including three subthemes of feelings, concerns, and fears; 2. physical reactions including the subthemes of symptoms and feelings; and 3. spiritual reactions including religious beliefs and faith.

          Conclusions:

          The present study showed that for the purpose of assessing pregnancy in adolescents, one should consider the context and culture in which the adolescent lives. This is because factors such as preplanned or unwanted pregnancy and imposed or consensual marriage within or outside the family may draw different reactions from adolescents. Hence, all those factors need to be considered in order to plan health education during pregnancy for this age group.

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          Most cited references28

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          Outcome of teenage pregnancy.

          The objective of the study was to evaluate the obstetric, fetal and neonatal outcomes of teenage pregnancy in a tertiary care teaching hospital.
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            Qualitative research on adolescent pregnancy: a descriptive review and analysis.

            This study examined qualitative research on adolescent pregnancy to determine designs and methods used and to discover emergent themes across studies. Most of the 22 studies reviewed were described as qualitative or phenomenological by design and included samples comprising either African-American and Caucasian participants or African-Americans exclusively. Based on analysis of the collective primary findings of the sample articles, four themes were identified: (a) factors influencing pregnancy; (a) pregnancy resolution; (c) meaning of pregnancy and life transitions; and (d) parenting and motherhood. Overall, the studies revealed that most adolescent females perceive pregnancy as a rite of passage and a challenging yet positive life event. More qualitative studies are needed involving participants from various ethnic backgrounds, on males' perceptions relative to adolescent pregnancy and fatherhood, and about decision-making relevant to pregnancy resolution, intimacy, and peer relationships.
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              Pregnancy in adolescents.

              Adolescent pregnancy remains a public health issue with significant medical, emotional, and societal consequences for the adolescent mother, her child, and her family. Teenage pregnancies are at higher risk of many adverse outcomes, including preterm delivery, low birth weight, and neonatal and infant mortality. Teen pregnancy and motherhood may have detrimental effects on the teen mother and her child; antenatal and postpartum care need to be adapted to meet the special needs of pregnant adolescents because standard obstetrical environments may not do so. This comprehensive review of adolescent pregnancy will highlight global statistics, factors contributing to adolescent pregnancy, social implications of adolescent pregnancy, obstetrical and neonatal outcomes, and the importance of multidisciplinary antenatal and postnatal care.
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                Author and article information

                Journal
                Iran J Nurs Midwifery Res
                Iran J Nurs Midwifery Res
                IJNMR
                Iranian Journal of Nursing and Midwifery Research
                Medknow Publications & Media Pvt Ltd (India )
                1735-9066
                2228-5504
                February 2014
                : 19
                : 7 Suppl1 , Special Issue on Health and Wellbeing 2014
                : S7-S12
                Affiliations
                [1 ]Department of Nursing, Tehran University of Medical Sciences, School of Nursing and Midwifery, Tehran, Iran
                [2 ]Department of Nursing, College of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Alborz, Iran
                Author notes
                Address for correspondence: Dr. Mansooreh Tajvidi, Department of Nursing, College of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Alborz, Iran. E-mail: mansooreh_tajvidi@ 123456yahoo.com
                Article
                IJNMR-19-7
                4402980
                67759eb2-24ff-415d-b71c-d03a901a439c
                Copyright: © Iranian Journal of Nursing and Midwifery Research

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 05 May 2014
                : 24 November 2014
                Categories
                Original Article

                Nursing
                adolescents,iran,pregnancy
                Nursing
                adolescents, iran, pregnancy

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