Prevalence and factors related to repeat pregnancy among adolescent mothers
Keywords:Adolescent mothers, Repeat pregnancy
Repeated pregnancy in adolescent mothers is a public health concern that affects adolescent mothers, newborns, and their families with physical and psychological outcomes, as well as childrearing difficulties. This descriptive research aimed to study the prevalence and factors related to repeated pregnancy among adolescent mothers. The study samples were 202 pregnant adolescents aged under 20 years old selected by purposive sampling according to inclusion/exclusion criteria from the antenatal care clinic, Ratchaburi hospital. Data were collected using a self-administered questionnaire and analyzed by using descriptive and inferential statistics including frequency, percentage, standard deviation, and Chi-square.
The study results showed that 28.71 percent of adolescents mothers were repeated pregnancy. Age, age at primigravida, education, husband’s age, pregnancy intention, and contraception after first pregnancy were positively associated with repeated pregnancy among adolescent mothers at a significant level p < .05, (c2 = 0.238, 0.532, 0.405, 0.322, 0.650 and 0.547, respectively). However, abortion and the number of living child were not significantly associated. Findings suggested that the factors can be used to develop interventions or activities to further reduce the adolescent pregnancy prevalence and problems of both adolescent mothers and their children.
Talungchit P, Lertbunnaphong T, Russameecharoen K. Prevalence of repeat pregnancy including pregnancy outcome of teenage women. Siriraj Med J 2017; 69(6): 363-9. (in Thai)
UNICEF. Situation analysis of adolescent pregnancy in Thailand: Synthesis report 2015. Bangkok: UNICEF Thailand; 2015.
Bureau of Reproductive Health. Statistics on Adolescent Births, Thailand 2018. Bangkok, Thailand: Ministry of Public Health; 2018.
Sa-ngiamsak P. The Life Experiences of Unmarried Teenage Mothers in Thailand [Dissertation]. The University of Queenslands; 2016.
Pungbangkadee R, Ratinthorn A. Factors and consequences of repeat pregnancy among teenagers: A case study in Bangkok metropolis. Nurs Sci J Thai 2014; 32(2): 23-31. (in Thai)
Burke HM, Santo LD, Bernholc A, Akol A, Chen M. Correlates of Rapid Repeat Pregnancy Among Adolescents and Young Women in Uganda. Int Perspect Sex Reprod Health 2018; 44(1): 11-8.
Wisarutkasempong A, Muangpin S. Factors related to the intention to repeat pregnancy among pregnant adolescents. Srinagarind Med J 2015; 30(3): 262-9. (in Thai)
Huangthong M, Deoisres W, Suppaseemanont W. The Factors Related to Rapid Repeat Pregnancy among Teenage Pregnant Women. JPNC 2019; 30(1): 161-72. (in Thai)
Cha S, Chapman DA, Wan W, Burton CW, Masho SW. Discordant pregnancy intentions in couples and rapid repeat pregnancy. Am J Obstet Gynecol 2016; 214(4): 494. 1-12.
Srivilai K. Repeated Pregnancy among Adolescents: A Case study in a Community Hospital, Southern, Thailand. SCNJ 2016; 3(3): 142-52. (in Thai)
Pancharern S, Kontha J, Jongkae P. Factors related to the intention to repeat pregnancy among pregnant adolescents. JSBA 2020; 5(10): 231-47. (in Thai)
Bucknall A, Bick D. Repeat pregnancies in teenage mothers: An exploratory study. J Adv Nurs 2019; 75(11): 2923-33.
Wilkie GL, Leung K, Kumaraswami T, Barlow E, Moore Simas TA. Effects of Obstetric Complications on Adolescent Postpartum Contraception and Rapid Repeat Pregnancy. J Pediatr Adolesc Gynecol 2016; 29(6): 612-6.
Crittenden CP, Boris NW, Rice JC, Taylor CA, Olds DL. The role of mental health factors, behavioral factors, and past experiences in the prediction of rapid repeat pregnancy in adolescence. J Adolesc Health 2009; 44(1): 25-32.
Mott FL. The pace of repeated childbearing among young American mothers. Fam Plann Perspect 1986; 18(1): 5-12.
Bureau of Reproductive Health. Annual report 2019. . In: Health Do, editor. Nonthaburi: Ministry of Public Health; 2019.
Subsomboon K, Phahuwatanakorn W, Chalermpichai T, Boriboonhirunsarn D. Factors Related to Repeat Pregnancy Prevention Behaviors of Postpartum Adolescent Mothers. JRTAN 2021; 22(3): 322-30. (in Thai)
Amongin D, Nakimuli A, Hanson C, Nakafeero M, Kaharuza F, Atuyambe L, et al. Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys. PloS one 2020; 15(4): e0231557.
Vieira CL, Flores PV, Rochel de Camargo K, Pinheiro RS, Cabral CS, Aguiar FP, et al. Rapid Repeat Pregnancy in Brazilian Adolescents: Interaction between Maternal Schooling and Age. J Pediatr Adolesc Gynecol 2016; 29(4): 382-5.
Maravilla JC, Betts KS, Alati R. Exploring the Risks of Repeated Pregnancy among Adolescents and Young Women in the Philippines. Matern Child Health J 2019; 23(7): 934-42.
Arayajaru P, Klayhiran W, Anucha C. The Lived Experiences of Adolescent Mothers: Intended or Unintended Repeat Pregnancy. J innov res health sci biotechnol 2019; 2(1): 177-85. (in Thai)
Mumford SL, Sapra KJ, King RB, Louis JF, Buck Louis GM. Pregnancy intentions-a complex construct and call for new measures. Fertil Steril 2016; 106(6): 1453-62.
Reddy J, Mistry J, Jacobs F. Rapid Repeat Birth: Intersections Between Meaning-Making and Situational Support Among Multiparous Adolescent Mothers. J Adolesc Res 2017; 32(6): 696-718.
Polgaya O, Pattawan C. The Effect of the Maternal Roles Promoting Program by Family Support on Attitude and Maternal Roles. IJHRI 2019; 2(1): 131-42. (in Thai)
How to Cite
Copyright (c) 2022 Thai Public Health Nurses Association
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)