ปัจจัยที่มีอิทธิพลต่อการเปลี่ยนผ่านการเป็นมารดาในสตรีตั้งครรภ์วัยรุ่น

Nattanat Mekawan; Wanna Phahuwatanakorn; Ameporn Ratinthorn

Authors

Nattanat Mekawan Faculty of Nursing, Mahidol University, Bangkok, 10700, Thailand
Wanna Phahuwatanakorn Faculty of Nursing, Mahidol University, Bangkok, 10700, Thailand
Ameporn Ratinthorn Faculty of Nursing, Mahidol University, Bangkok, 10700, Thailand

Keywords:

self-esteem, attitude towards pregnancy, social support, transition to motherhood, pregnant teenagers

Abstract

This predictive research aimed to identify factors influencing the transition to motherhood among first-time pregnant teenagers. The participants consisted of 99 pregnant teenagers aged 10 - 19 who visited the antenatal clinic at Police General Hospital. Data were collected through demographic, social support, self-esteem, attitude towards pregnancy, and maternal identity exploration questionnaires. These questionnaires were evaluated for content validity by three experts, and each version had a content validity index of 1.00. The reliability values were .97, .85, .89, and .94, respectively. Data analysis included frequency, percentage, mean, standard deviation, and multiple linear regression analysis.

The results showed that self - esteem, pregnancy planning, attitude towards pregnancy, good quality antenatal care, and social support were able to be utilized to co-predict the transition to motherhood among the participants who are pregnant teenagers by 47.7% (R = .691, R²= .477, R²_Adjusted= .449, F(5,93) = 16.981, p = .000). The variables predicted with statistical significance at the .05 level were attitudes towards pregnancy and self-esteem.

The results revealed that self-esteem, pregnancy planning, attitude towards pregnancy, good-quality antenatal care, and social support collectively predicted the transition to motherhood among the pregnant teenagers by 47.7 (R = .691, R²= .477, R²_Adjusted= .449, F(5,93) = 16.981,
p = .000). The variables that significantly predicted the transition at the .05 level were attitudes towards pregnancy and self-esteem.

It is recommended that nurses focus on promoting positive attitudes towards pregnancy and enhancing self-esteem to facilitate an appropriate transition to motherhood for pregnant teenagers.

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References

Barimani, M., Vikström, A., Rosander, M., Forslund Frykedal, K., & Berlin, A. (2017). Facilitating and inhibiting factors in transition to parenthood - ways in which health professionals can support parents. Scandinavian Journal of Caring Sciences, 31(3), 537-546.

Boonuan, N. (2018). Factors Influencing adaptation in the role of adolescent pregnant women. Mahasarakham Hospital Journal, 15(2), 78-84.

Boonyamalik, P. (2005). Epidemiology of adolescent suicidal ideation: Role of life stress, depressive symptom and substance use (Doctor of Philosophy). Johns Hopkins University, Maryland, US.

Brown, S. G., Hudson, D. B., Campbell-Grossman, C., Kupzyk, K. A., Yates, B. C., & Hanna, K. M. (2018). Social support, parenting competence, and parenting satisfaction among adolescent, African American, mothers. Western Journal of Nursing Research, 40(4), 502-519.

Bureau of Reproductive health Department of Health, Ministry of Public health . (2022). Reproductive situation among teenagers and youth in 2022. Retrieved from https://rh.anamai.moph.go.th/th/cmsof1/download/?did=214353&id=109136&reload=

Cheng, T. S., Loy, S. L., Cheung, Y. B., Godfrey, K. M., Gluckman, P. D., Kwek, K., . . . Lek, N. (2016). Demographic characteristics, health behaviors before and during pregnancy, and pregnancy and birth outcomes in mothers with different pregnancy planning status. Prevention Science, 17(8), 960-969.

Crooks, R., Bedwell, C., & Lavender, T. (2022). Adolescent experiences of pregnancy in low-and middle-income countries: A meta-synthesis of qualitative studies. BMC Pregnancy and Childbirth, 22, 1-18.

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Spong, C. Y. (2018). Chapter 9 Prenatal care. In F. G. Cunningham (Eds), William’s obstetrics (pp. 243- 273) (25th ed.). New York, NY: McGraw-Hill.

Department of Health, Ministry of Public Health. (2022). Antenatal care manual for health personnel. Retrieved from https://hp.anamai.moph.go.th/th/news-anamai/210292.

Figueiredo, B., Tendais, I., & Dias, C. C. (2014). Maternal adjustment and maternal attitudes in adolescent and adult pregnant women. Journal of Pediatric and Adolescent Gynecology, 27(4), 194-201.

Gbogbo, S. (2020). Early motherhood: voices from female adolescents in the Hohoe Municipality, Ghana - a qualitative study utilizing Schlossberg’s Transition Theory. International Journal of Qualitative Studies on Health and Well-being, 15(1), 1716620.

Gross-Spector, M., & Cinamon, R. G. (2016). Assessing adults’ career exploration: development and validation of the vocational and maternal Identity exploration scales. Journal of Career Development, 45(1), 19-33.

Hong, K., Hwang, H., Han, H., Chae, J., Choi, J., Jeong, Y., . . . Lee, K. J. (2021). Perspectives on antenatal education associated with pregnancy outcomes: Systematic review and meta-analysis. Women and Birth, 34(3), 219-230.

Kirdkriangkrai, P. (1984). The relationship between selected factors and sexuality problem in pregnant women (Master of nursing science program, Midwifery). Faculty of Nursing, Mahidol University, Bangkok, Bangkok Noi.

Kumsuk, W. (2002). A study of attitude toward pregnancy and lifestyle in adolescent pregnancy (Master of nursing science program, Maternal and Child nursing). Faculty of Nursing, Mahidol University, Bangkok, Bangkok Noi.

Lang, A. Y., Harrison, C. L., Barrett, G., Hall, J. A., Moran, L. J., & Boyle, J. A. (2021). Opportunities for enhancing pregnancy planning and preconception health behaviours of Australian women. Women and Birth, 34(2), e153-e161.

La-Orpipat, T., & Suwanrath, C. (2019). Pregnancy outcomes of adolescent primigravida and risk of pregnancy-induced hypertension: A hospital-based study in Southern Thailand. Journal of Obstetrics and Gynaecology, 39(7), 934-940.

Javadifar, N., Majlesi, F., Nikbakht, A., Nedjat, S., & Montazeri, A. (2016). Journey to motherhood in the first year after child birth. Journal of Family & Reproductive Health, 10(3), 146-153.

Mangeli, M., Rayyani, M., Cheraghi, M. A., & Tirgari, B. (2017). Exploring the challenges of adolescent mothers from their life experiences in the transition to motherhood: A qualitative study. Journal of Family & Reproductive Health, 11(3), 165-173.

Meleis, A. I., Sawyer, L. M., Im, E.-O., Hilfinger Messias, D. K., & Schumacher, K. (2000). Experiencing transitions: An emerging middle - range theory. Advances in Nursing Science, 23(1), 12-28.

Meleis, A. I. (2015). Transitions theory. In M., Smith, M. Parker, (Eds.), Nursing theories and nursing practice (pp. 361- 380) (4th ed). Philadelphia, PA: FA Davis Co.

Nam, J. Y., Oh, S. S., & Park, E. C. (2022). The association between adequate prenatal care and severe maternal morbidity among teenage pregnancies: A population-based cohort study. Frontier in Public Health, 10, 782143.

Nimi, T., Fraga, S., Costa, D., Campos, P., & Barros, H. (2016). Prenatal care and pregnancy outcomes: A cross-sectional study in Luanda, Angola. International Journal Gynecology Obstetrics, 135(Suppl1), S72-S78.

Panton, E. J., & Garzon, D. L. (2019). Developmental management of adolescents and young adults. In D. L. Garzon, N. B. Starr, M. A. Brady, N. M. Gaylord, M. Driessnack, & K. Duderstadt (Eds.), Burns' pediatric primary care e-book (pp.143-160). Elsevier Health Sciences.

Phoodaangau, B., Deoisres, W., & Chunlestskul, K. (2014). Taking role: Preparing for childbearing in unintended pregnant schoolgirls. Thai Journal of Nursing, 63(3), 46–55.

Police General Hospital. (2020). Statistics of adolescent pregnant women in B.E. 2563. Medical records unit, Police General Hospital.

Polit, D. F., & Beck, C. T. (2004). Nursing research: Principles and methods (7th ed). Philadelphia, PA: Lippincott Williams & Wilkins.

Rosenberg, M. (1965). Society and the adolescent self-image. Retrieved from https://www.docdroid.net/Vt9xpBg/society-and-the-adolescent-self-image-morris-rosenberg-1965-pdf

Rosenberg, M., Schooler, C., & Schoenbach, C. (1989). Self-esteem and adolescent problems: Modeling reciprocal effects. American Sociological Review, 54(6), 1004-1018.

Sangjinda, K., Siriarunrat, S., & Techasaksri, T. (2017). Factors related to maternal tasks of unplanned adolescent pregnant women. Journal of Nursing, Siam University, 18(34), 6–20.

Soomlek, S. (1995). A causal model of maternal role mastery among first time mother (Doctor of nursing science). Faculty of Nursing, Mahidol University, Bangkok, Bangkok Noi.

Smith, J. L., Skinner, S. R., & Fenwick, J. (2012). Perceptions of teen motherhood in Australian adolescent females: Life-line or lifederailment. Women and Birth, 25(4), 181-186.

Suphawadee, P., Wirin, K., Kanittha, C., & Pimsurang, T. (2019). Antecedent factors of maternal identity among primiparous Thai teenage mothers. Journal of Health Research, 33(4), 336-348.

Tangsiri, S. (2007). Self-esteem, spouse support, mother-daughter relationships and maternal role adaptation during pregnancy of adolescents (Master of nursing science program, Maternal and Child nursing). Faculty of Nursing, Mahidol University, Bangkok, Bangkok Noi.

Updegraff, K. A., Umaña-Taylor, A. J., Zeiders, K. H., Bravo, D. Y., & Jahromi, L. B. (2018). Familism values across the transition to adolescent motherhood: Links to family functioning and Mexican-origin adolescent mothers’ adjustment. Development and Psychopathology, 30(5), 1589-1609.

van Scheppingen, M. A., Denissen, J. J. A., Chung, J. M., Tambs, K., & Bleidorn, W. (2018). Self-esteem and relationship satisfaction during the transition to motherhood. Journal of Personality and Social Psychology, 114(6), 973-991.

Xavier, C. G., Brown, H. K., & Benoit, A. C. (2018). Teenage pregnancy and long-term mental health outcomes among Indigenous women in Canada. Archives of Women's Mental Health, 21(3), 333-340.

World Health Organization (WHO). (2023). Adolescents pregnancy. Retrieved from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41.