Factors Related to The Perceived Maternal Self-efficacy among Unwanted Adolescent Pregnancy

  • Boonmee Phoodaangau Faculty of Nursing, Mahasarakham University
  • Aranya Thongkorn Faculty of Nursing, Mahasarakham University
Keywords: perceived self–efficacy in motherhood; unready adolescent pregnancy


This correlational descriptive study aimed to study factors related to the perceived maternal
self-efficacy among unwanted pregnant adolescent including stress, self-esteem, social support and marital
relationship. The samples were 131 unwanted pregnant adolescents who meet the inclusion criteria and used service at Antenatal Care Clinic (ANC) in the hospitals, Mahasarakham Province. Data were collected from August 2016 to July 2017 by using questionnaires. Data were analyzed by using Pearson’s correlation coefficient. The results showed that the relationship between self-esteem and maternal perceived self-efficacy had statistically significant low degree of positive correlation (r = 0.178, p < .05). The relationship between social support, marital relationship and maternal perceived self-efficacy had statistically significant moderate and high degree of positive correlation (r = 0.435, r = 0.602, p < .01 respectively). Moreover, the relationship between stress and marital relationship had statistically significant low degree of negative correlation (r=-0.210, p < .05). The finding from this study can be suggested that the nurse should encourage unwanted pregnant adolescents to enter the process of adjustment themselves to become mothers faster at the beginning of pregnancy by assessing the stress, marital relationship, readiness for motherhood and promote family support, marital relationship, reduce stress and encourage self-esteem for unwanted pregnant adolescents.


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Author Biography

Boonmee Phoodaangau, Faculty of Nursing, Mahasarakham University

Thailand Citation Index Centre


1. World Health Organization [WHO]. Adolescent pregnancy. Geneva: Switzerland [Database on the Internet]. 2014. [cited 2020 Jan 31]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy .
2. Department of Health Ministry of Public Health. Statistics on Adolescent Births, Thailand 2015. [Database on the Internet]. 2017. [cited 2020 Oct 4]. Available from: http://rh.anamai.moph.go.th/download/all_file/brochure/statistics_adolescent15.pdf
3. Department of Health Ministry of Public Health. Adolescent pregnancy situation. [Database on the Internet]. 2019. [cited 2020 Oct 4]. Available from: http://rh.anamai.moph.go.th/download/all_file/index/situation/FactSheet@62.pdf
4. Puttapitukpol S. Live experiences of unplanned teenage mother: A phenomenological study. Sukhothai Thammathirat Journal of Nursing 2004; 1(1): 53-63.
5. Kaewjanta N. Depression in teenage pregnancy: Factors, affect and prevention. Journal of Nursing Science & Health 2012; 35(1): 83-90.
6. Ratchatanawin R. Policies for preventing and resolving pregnancy problems in adolescents. [Database on the Internet]. 2015. [cited 2015 May 25]. Available from: http://rh.anamai.moph.go.th/all_file/index/teenage_preg1.pdf
7. Phoodaangau B, Deoisres W, Chunlestskul K. Maternity experience: A new role of unexpectedly pregnant students. Thai Journal of Nursing council 2013; 28(2): 58-74.
8. Kanhadilok S. The relationship between perceived self-efficacy and health behaviors in pregnancy of adolescent mothers [Thesis]. Khon Kaen: Khon Kaen University; 1999.
9. Serisathien Y. Factors influencing maternal role adaptation during pregnancy of adolescents. [Dissertation]. Bangkok: Mahidol University; 2000.
10. Sumleerat A. Factors related to self-perceptions among first-time adolescents mothers in Samutpraka province [Thesis]. Chonburi: Burapha University; 2011.
11. Stevenson W, Maton K I, Teti D M. Social support, relationship quality, and well-being among pregnant adolescent. Journal of Adolescence 1999; 22, 109-121.
12. Goto et al. Associations of psychosocial factors with maternal confidence among Japanese and Vietnamese mothers. Journal of Child and Family Studies 2010; 19: 118-127.
13. Paripoonyo J. The anxiety of pregnancy women for adaptation to maternal role [Thesis]. Mahasarakham: Mahasarakham University; 1998.
14. Thongchompoo P. Self- care practices among unwanted pregnant adolescents: A qualitative research [Thesis]. Bangkok: Mahidol University; 1999.
15. Srisatidnarakul B. The methodology in nursing research. 5th ed. Bangkok: U&I Inter Media; 2010.
16. Kuntachai N. Green, Samuel B. (1991) “How many subjects dose it take to do a regression analysis?” Multivariate Behavioral Research, 26(3), 499 – 510. Kasem Bundit Journal 2014; 15(1): 140 – 144.
17 Department of Mental Health. Development of Thai Computerized self – analysis stress test. Nonthaburi: Ministry of Public Health; 1998.
18. Srisaeng P. Self-esteem, stressful life events, social support and postpartum depression in adolescent mother in Thailand [Dissertation]. Ohio: Case Western Reserve University; 2003.
19. Immak N. The relationships between self – esteem, marital relationship, social support, and psychological well-being in first- time pregnant adolescents [Thesis]. Khon Kaen: Khon Kaen University; 2009.
20. Choosang S. The effect of using the perceived motherhood self efficacy promoting program on maternal role adaptation of first-time pregnant adolescents. [Thesis]. Bangkok: Chulalongkorn University; 2003.
21. Pakdeewong P. Maternal role attainment: Indicating theory to practice. Thai Journal of Nursing Council 2006; 21(3): 12-21.
22. Boonchu K. Factors effecting resilience of unwanted pregnancy teenage girls in Nakhonpathom province [Thesis]. Bangkok: Silpakorn University; 2012.
23. Pumprayool P, Kantaruksa K, Supavitipatana B. Effect of primiparous women preparation on maternal role attainment. Nursing Journal 2016, 43(4): 33-43.
24. Poolperm K. Self-esteem and maternal role adaptation during pregnancy in primigravidas [Thesis]. Bangkok: Mahidol University; 2001.
25. Phromchaisa P, Kantaruksa K, Chareonsanti J. Effect of social support enhancement on maternal role among adolescent pregnant women. Nursing Journal 2014, 41(2): 97-106.
26. Naphapunsakul M, Prateepchaikul L, Taboonpong S, Punthmatharith B. Factors influencing maternal role performance in transition to being the first-time mother. Songklanagarind Medical Journal 2007; 25(1): 1-8.
27. Gao L, Sun K, Chan S W. Social support and parenting self-efficacy among Chinese women in the perinatal period. Midwifery 2014; 30: 532-538.
28. Sumlek S. A causal model maternal role mastery among first time mothers. Journal of Faculty of Nursing KKU 2000; 1-16.
29. Tongphuak P. The effects of using the perceived self-efficacy promotion program emphasizing husband support on maternal role adaptation of teenage primigravidas [Thesis]. Bangkok: Chulalongkorn University; 2004.
30. Pornsawat D. Spouse support, family support and selected personal factors influencing maternal role attainment in adolescent mothers [Thesis]. Chonburi: Burapha University; 2010.
31. Immak N, Sriseang P, Ungpansattawong S. The relationships between self – esteem, marital relationship, social support, and psychological well – being in first – time pregnant adolescents. Journal of Nursing Science & Health 2009; 32(4): 55-63.