Herrman Judith W
School of Nursing, University of Delaware, Newark, USA.
MCN Am J Matern Child Nurs. 2007 Mar-Apr;32(2):89-94. doi: 10.1097/01.NMC.0000264288.49350.ed.
To determine the perceptions of young mothers concerning their intentions about repeat pregnancy and to determine shared meanings concerning intentionality and decision making about sexual activity and use of birth control.
Ethnographic, descriptive study with interviews of a purposive sample of young mothers with a repeat pregnancy. Iterative methods, recursive data sifting, and Ethnograph 5.0 were used in data analysis.
All of the mothers stated that their repeat pregnancies were unintended. Regarding decision making about sexual activity, some mothers discussed a conscious, rational decision-making process before sexual activity, whereas others talked about a more impulsive, spontaneous participation in unprotected sexual activity. A key finding in this study was that although mothers did not intend to get pregnant, they also did not intend to prevent pregnancy. Many discussed feeling pressured to have sex, coerced into not using birth control, unable to implement safe sex behaviors, or just "doing it."
These data suggest that much of teen sexual activity is spontaneous, unplanned, and sometimes involuntary. As such, interventions must be created that take the nature of this sexual activity into account. Consideration of young mothers' thought processes, intentions, and perspectives is integral in the design and implementation of programs and policies to prevent or delay repeat pregnancy during the adolescent years.
确定年轻母亲对于再次怀孕意图的看法，并确定关于性活动意向及避孕措施使用方面的共同意义。
采用人种学描述性研究，对有再次怀孕经历的年轻母亲进行目的抽样访谈。数据分析采用迭代法、递归数据筛选法及Ethnograph 5.0软件。
所有母亲均表示她们的再次怀孕是意外情况。在性活动决策方面，一些母亲谈到在性活动前有一个有意识、理性的决策过程，而另一些母亲则讲述了更冲动、自发地参与无保护性行为的情况。本研究的一个关键发现是，尽管母亲们并非有意怀孕，但她们也无意采取避孕措施。许多母亲谈到在发生性行为时感到有压力，被迫不采取避孕措施，无法实施安全性行为，或者只是“顺其自然”。
这些数据表明，青少年的许多性活动是自发的、无计划的，有时甚至是不由自主的。因此，必须制定考虑到这种性活动性质的干预措施。在设计和实施预防或延缓青少年期再次怀孕的项目及政策时，考虑年轻母亲的思维过程、意图和观点至关重要。
