James Sindiwe, Rall Nadine, Strümpher Juanita
Department of Nursing Science, Nelson Mandela Metropolitan University, South Africa.
Curationis. 2012 Oct 12;35(1):43. doi: 10.4102/curationis.v35i1.43.
Pregnancy in teenagers seems to be a challenge that might contribute to a struggle to fulfil the objectives of the Millennium Development Goals directly related to women's reproductive health and neonatal care. The challenge becomes worse as midwives and nurses find it difficult to fully supervise all these pregnancies, because teenagers stay away or default from clinic attendance. The purpose of the study was to explore and describe the perceptions of pregnant teenagers of the antenatal care (ANC) clinic environment and to recommend guidelines to midwifery operational managers for strategies to create teenager-friendly ANC clinic environments. The study applied a qualitative research design with explorative, descriptive and contextual research approaches. The ethical principles that guided this study were respect for the person, beneficence and justice. Semi-structured interviews utilising a predetermined interview schedule with a central open-ended question to address the study objectives were used. Data were collected from pregnant teenagers attending ANC clinics in Nelson Mandela Metropolitan Municipality. Participants were unanimous in that they perceived the clinic environment as causing discomfort to them. Different reasons attributed to this experience were related to their young age. The age difference between themselves and other women attending the clinic made participants perceive themselves as inferior and as being treated as such at the clinic. They found this embarrassing and recommended having their own waiting area and additional midwives at the clinic so that they would not be subjected to humiliating scrutiny and disapproval from older pregnant women. Pregnant teenagers' recall of their experiences of the ANC clinic environment suggests that they perceive themselves as not being adequately cared for, as judged, and as forced to be in an environment that is insensitive to their needs. As a result some of their peers stayed away from the clinic and at times they contemplated the same action. A well-managed ANC clinic environment which has midwives who are empowered with the necessary skills in terms of dealing with the needs of youth has been requested by the pregnant teenagers.
青少年怀孕似乎是一项挑战，这可能会导致在实现与妇女生殖健康和新生儿护理直接相关的千年发展目标方面遭遇困难。随着助产士和护士发现难以对所有这些怀孕情况进行全面监督，挑战变得更加严峻，因为青少年会不来诊所或不来就诊。本研究的目的是探索并描述怀孕青少年对产前护理（ANC）诊所环境的看法，并向助产业务经理推荐指导方针，以制定打造对青少年友好的ANC诊所环境的策略。该研究采用了定性研究设计，运用探索性、描述性和情境性研究方法。指导本研究的伦理原则是尊重个人、行善和公正。使用了半结构化访谈，采用预先确定的访谈提纲，其中有一个核心开放式问题以实现研究目标。数据收集自纳尔逊·曼德拉都市市政辖区内参加ANC诊所的怀孕青少年。参与者一致认为他们觉得诊所环境让他们感到不适。造成这种体验的不同原因与他们年龄小有关。他们自己与诊所里其他就诊女性的年龄差异让参与者觉得自己低人一等，在诊所里也被这样对待。他们觉得这很尴尬，并建议诊所设置自己的等候区并增加助产士数量，这样他们就不会受到年长孕妇的羞辱性审视和非议。怀孕青少年对其ANC诊所环境体验的回忆表明，他们觉得自己没有得到充分照顾，受到了评判，并且被迫处于一个对他们的需求漠不关心的环境中。结果，他们的一些同龄人不再去诊所，有时他们自己也考虑这么做。怀孕青少年要求打造一个管理良好的ANC诊所环境，配备有具备应对青少年需求所需技能的助产士。
