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怀孕青少年面临的生育抉择:终止妊娠、为人父母还是收养?

Pregnancy resolutions among pregnant teens: termination, parenting or adoption?

作者信息

Loke Alice Yuen, Lam Pui-Ling

机构信息

Professor, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.

Registered Nurse, Maternal & Child Health Centre, Department of Health, Hong Kong, China.

出版信息

BMC Pregnancy Childbirth. 2014 Dec 19;14:421. doi: 10.1186/s12884-014-0421-z.

DOI:10.1186/s12884-014-0421-z
PMID:25524615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4276101/
Abstract

BACKGROUND

Teenagers are unprepared to face or to deal with an unexpected pregnancy. Adolescents do not necessarily possess the cognitive ability needed to clearly evaluate such a situation or to determine how to resolve their pregnancy. This study seeks to shed light on what pregnant adolescents consider when coming to a decision about what to do about their pregnancy.

METHODS

In-depth interviews were conducted among a purposive sample of Hong Kong Chinese women recruited from a Maternal and Child Health Centre, who had a history of being pregnant in their teens and out of wedlock. Interviews were conducted to explore the considerations surrounding their decision on how to resolve their pregnancy.

RESULTS

A total of nine women were interviewed. An analysis of the interview transcripts revealed that to arrive at a decision on what to do about their pregnancy, pregnant teens took into consideration their relationship with their boyfriend, their family's advice or support, practical considerations, their personal values in life, and views on adoption.

CONCLUSIONS

The results of this study results highlighted that during this life-altering event for adolescents, an open discussion should take place among all of the parties concerned. A better understanding of each party's perspective would allow for better decision making on the resolution of the pregnancy. Health professionals or social workers are there to help pregnant adolescents, romantic partners, and family members make informed choices on how to resolve the pregnancy.

摘要

背景

青少年没有做好面对或处理意外怀孕的准备。青少年不一定具备清晰评估这种情况或确定如何解决怀孕问题所需的认知能力。本研究旨在阐明怀孕青少年在决定如何处理自己的怀孕问题时会考虑哪些因素。

方法

对从母婴健康中心招募的有青少年时期非婚怀孕史的香港华裔女性进行了有目的抽样的深入访谈。进行访谈以探讨她们在决定如何解决怀孕问题时的相关考虑因素。

结果

共采访了9名女性。对访谈记录的分析表明,怀孕青少年在决定如何处理自己的怀孕问题时,会考虑她们与男友的关系、家人的建议或支持、实际考虑因素、她们的个人生活价值观以及对收养的看法。

结论

本研究结果强调,在青少年这一改变人生的事件中,所有相关方都应进行公开讨论。更好地理解各方观点将有助于就解决怀孕问题做出更好的决策。健康专业人员或社会工作者应帮助怀孕青少年、恋爱伴侣和家庭成员就如何解决怀孕问题做出明智选择。

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A history of induced abortion in relation to substance use during subsequent pregnancies carried to term.既往人工流产史与后续足月妊娠期间物质使用情况的关系。
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