Lee S H, Grubbs L M
Clin Nurs Res. 1995 Feb;4(1):38-49. doi: 10.1177/105477389500400105.
The purpose of this descriptive study was to explore the reasons that pregnant teenagers do or do not seek prenatal care during the first trimester of pregnancy. Interviews were conducted with a volunteer sample of 49 pregnant adolescent girls, 13 to 18 years old, in primary care settings. The informants' self-reported reasons for seeking early prenatal care included feeling ill, being worried about themselves, wanting a pregnancy test, and the teen's mother insisting that she begin prenatal care. Reasons for delaying care included not recognizing pregnancy symptoms, denying being pregnant, fear of parents' response to the pregnancy, and lack of financial resources. The findings suggest that pregnant adolescents who sought early prenatal care had adequate family support and a stronger knowledge base about pregnancy than those who delayed care. Nurses and other health care personnel in clinical practice should provide information about the symptoms and signs of pregnancy and about the importance of initiating early prenatal care, in all encounters with preadolescent and adolescent girls and their mothers, to increase the likelihood that teens will seek early prenatal care if they become pregnant.
这项描述性研究的目的是探究怀孕少女在孕早期寻求或不寻求产前护理的原因。研究人员在初级保健机构对49名年龄在13至18岁之间的怀孕少女志愿者样本进行了访谈。受访者自述寻求早期产前护理的原因包括感觉身体不适、担心自己、想要进行妊娠试验以及少女的母亲坚持让她开始产前护理。延迟护理的原因包括未识别出怀孕症状、否认怀孕、担心父母对怀孕的反应以及缺乏经济资源。研究结果表明，与延迟护理的怀孕少女相比，寻求早期产前护理的怀孕少女有足够的家庭支持且对怀孕有更强的知识基础。临床实践中的护士和其他医护人员在与青春期前和青春期少女及其母亲的所有接触中，都应提供有关怀孕症状和体征以及开始早期产前护理重要性的信息，以增加少女怀孕后寻求早期产前护理的可能性。
