School of Health Professions, Murdoch University, Mandurah, Western Australia, Australia; Education Centre, The University of Western Australia, Faculty of Medicine, Dentistry & Health Science, Crawley, Western Australia, Australia.
School of Health Professions, Murdoch University, Mandurah, Western Australia, Australia.
Women Birth. 2014 Sep;27(3):174-8. doi: 10.1016/j.wombi.2014.05.004. Epub 2014 Jun 3.
The cultural phenomenon of "teenage pregnancy and motherhood" has been socially constructed and (mis)represented in social and health care discourses for several decades. Despite a growing body of qualitative research that presents an alternative and positive view of young motherhood, there remains a significant gap between pregnant and young women's experience of young motherhood and current global health and social policy that directs service delivery and practice.
This paper aims to heighten awareness of how a negative social construction of young motherhood influences global health and social policy that directs current community health models of practice and care for young mothers in the community.
There is clear evidence on the vital role social support plays in young women's experience of pregnancy and motherhood, particularly in forming a positive motherhood identity. This discussion paper calls us to start open and honest dialogue on how we may begin to re-vision the 'deficit view' of young motherhood in order to address this contradiction between research evidence, policy discourse and current practice and service provision. Qualitative research that privileges young women's voices by considering the multidimensional experiences of young motherhood is an important step towards moving away from universally prescribed interventions to a non-standard approach that fosters relational and responsive relationships with young mothers that includes addressing the immediate needs of young mothers at the particular time.
“少女怀孕和当母亲”这一文化现象在社会和医疗保健话语中已经被构建和(错误)描述了几十年。尽管越来越多的定性研究对年轻母亲的生活提出了另一种积极的观点,但在少女怀孕和年轻母亲的实际经历与当前全球卫生和社会政策之间仍然存在着巨大的差距,这些政策指导着服务的提供和实践。
本文旨在提高人们对少女怀孕的负面社会建构如何影响全球卫生和社会政策的认识,这些政策指导着当前社区卫生模式对年轻母亲的实践和护理。
有明确的证据表明,社会支持在年轻女性怀孕和做母亲的经历中起着至关重要的作用,特别是在形成积极的母亲身份方面。本文呼吁我们开始就如何开始重新审视少女母亲的“缺陷观”展开开诚布公的对话,以解决研究证据、政策话语和当前实践与服务提供之间的这一矛盾。通过考虑年轻母亲多维度的经历,赋予年轻女性声音的定性研究,是朝着远离普遍规定的干预措施、采取非标准方法的重要一步,这种方法促进了与年轻母亲的关系,并对她们的需求做出反应,包括在特定时期满足年轻母亲的即时需求。