Experiences of Adolescent Mothers Who Refused Contraceptive Implant Insertion
Keywords:
adolescent mothers, contraceptive implants, refusal, reproductive healthAbstract
Adolescent mothers are at high risk of repeated pregnancy. Although contraceptive implants are recognized as an effective method, refusal of this option remains common among this population. This qualitative study aimed to explore the lived experiences of adolescent mothers who refused contraceptive implants. A phenomenological approach was employed, involving 12 adolescent mothers aged 15–19 years who were purposively selected. Data were collected through in-depth individual interviews. Analysis followed Colaizzi’s method, which involved extracting codes and significant themes to construct the phenomenon and verifying the findings with participants for accuracy. The results revealed six major themes within the adolescent mothers’ experiences in refusing contraceptive implants: (1) family beliefs, (2) family constraints, (3) concerns about negative perceptions, (4) feelings of social judgment, (5) adverse past experiences with contraceptive implants, and (6) decision-making based on life readiness. These findings highlight the interplay of social, cultural, and personal factors influencing adolescents’ decision-making. They underscore the need for comprehensive reproductive health services, particularly at the primary care and community levels, that are responsive to adolescents’ real needs and sensitive to their contextual circumstances.
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