Decision-making on Continuing Pregnancy Among Thai Adolescents: A Phenomenological Study

Main Article Content

Shuleeporn Prohm
Kasara Sripichyakan
Jantararat Chareonsanti
Pimpaporn Klunklin

Abstract

                 Unplanned pregnancy in adolescents often has serious difficulties for them to make decisions, whether to terminate or continue a pregnancy, whether to raise or place a baby for adoption. However, the decision-making to continuing a pregnancy among adolescents is not well conceptualized. This Heideggerian phenomenological study aimed to explain the experiences of adolescents regarding their decision-making to continue their pregnancy. The informants were 10 adolescents, who had already given birth and were residing in Chiang Mai, Thailand. Data were collected through in-depth interviews and analyzed using a 5-step interpretive process recommended by Cohen, Kahn, and Steeves.


            Three themes emerged: 1) challenges; 2) decision-making methods; and 3) influences on pregnancy continuation. Challenges included pregnancy unawareness and ineffective termination methods, approaching and having conflicts with supporters, focusing solely on negative aspects, and ‘should not have thought/done.’ Methods used in making decisions could be independence/firmness, compliance, discussion, supernatural powers, or indecisiveness. The decision to continue a pregnancy was influenced by unaffordability/harms of pregnancy termination, a good person, a sense of motherhood, adolescents’ conditions, and support. Nurses and midwives should incorporate these findings when providing counselling to facilitate adolescents’ decision-making.

Article Details

How to Cite
1.
Prohm S, Sripichyakan K, Chareonsanti J, Klunklin P. Decision-making on Continuing Pregnancy Among Thai Adolescents: A Phenomenological Study. PRIJNR [Internet]. 2020 Jul. 9 [cited 2022 Dec. 6];24(3):376-88. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/224247
Section
Original paper
Author Biography

Jantararat Chareonsanti

Assistant Professor, Faculty of Nursing, Chiang Mai University, Thailand.

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