- 作者：Lydia Aziato ; PhD ; MPhil ; FWACN ; FFGCNM ; FASLP ; BA ; RN ; ONC1 ; aziatol@yahoo.com" class="auth_mail" title="E-mail the corresponding author ; Michelle J. Hindin ; MHS ; PhD2 ; Ernest Tei Maya ; FWACS ; FGCS ; MPH3 ; Abubakar Manu ; PhD ; MBA3 ; Susan Ama Amuasi ; MPH ; BSc3 ; Rachel Mahoe Lawerh ; BSc4 ; Augustine Ankomah ; PhD ; MSc ; BA3
- 关键词：Unintended pregnancy ; Focus group discussion ; Emotional reaction ; Adolescent partner reaction ; Parent reaction ; Partner reaction ; Ghana
- 刊名：Journal of Pediatric and Adolescent Gynecology
- 出版年：2016
- 出版时间：December 2016
- 年：2016
- 卷：29
- 期：6
- 页码：653-658
- 全文大小：141 K
Design
A vignette-based focus group approach was used to have adolescents reflect on scenarios that happen to others during an unwanted pregnancy.
Setting
The study was conducted in public health facilities in the 3 major urban areas of Ghana—Accra, Kumasi, and Tamale.
Participants, Interventions, and Main Outcome Measures
Adolescents, aged 10-19 years, who had a recent termination of pregnancy were recruited from public health facilities in the 3 sites. Fifteen focus groups were conducted and digitally recorded in English, Twi, Ga, and Dagbani. Transcripts were transcribed and translated, and thematic analysis was used for the analysis.
Results
Adolescents reported that the characters in the vignettes would feel sadness, depression, and regret from an unintended pregnancy and some male partners would “deny” the pregnancy or suggest an abortion. They suggested some parents would “be angry” and “sack” their children for becoming pregnant while others would “support” them. Parents might send the pregnant girl to a distant friend or grandparents until she delivers to avoid shame and gossip. Health professionals might encourage the pregnant girl or insult/gossip about the girl.
Conclusion
Adolescent unintended pregnancies in Ghana are met with a range of reactions and these reactions influence the pregnancy choices young women make for continuation or termination of pregnancy.