Parental Care for Unplanned Pregnant Adolescent Daughters: A Qualitative Descriptive Study

Nonglak Khamsawarde; Sopen Chunuan; Wandee Suttharangsee

Authors

Nonglak Khamsawarde RN, (PhD Candidate), Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Sopen Chunuan RN, PhD, Associate Professor, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Wandee Suttharangsee RN, PhD, Associate Professor, Prince of Songkla University, Songkhla, Thailand.

Keywords:

Adolescents, Northeastern Thailand, Parental care, Qualitative descriptive, Unplanned pregnancy

Abstract

Adolescent pregnancy is a critical and global problem having a significant impact on the adolescent mother, father, and the child of adolescent parents and grandparents. Pregnancy during puberty has significant health consequences for teenage mothers and their babies, so they need special support from their parents. This study aimed to describe parental care for unplanned pregnant adolescents. A qualitative descriptive study was conducted in six districts in a northeastern province of Thailand with 12 families made up of 57 informants. This included 12 parents of the pregnant daughter, who were the key informants, and a general informant group of 12 pregnant adolescents, ten of their boyfriends, four grandfathers, four grandmothers, one parent’s older sister, one older sister, and one female cousin. Data were collected through in-depth interviews, participant observation, field notes, and photographs. Content analysis was used to analyze the data.
Parental care indicated six themes: (1) dealing with the unplanned pregnancy with two subthemes; (2) giving love without conditions with two subthemes; (3) promoting the health of the pregnant daughter and her fetus with four subthemes; (4) providing emotional, spiritual, and financial support; (5) planning for the care of a grandchild; and (6) directing and helping the daughter for future achievements. The findings inform nursing and midwifery practice and other involved health professions and form a foundation for further research relating to the study area. In addition, the findings could be used for the evidence-based development of programs of care for parents with pregnant adolescents.

References

World Health Organization. Adolescent pregnancy: fact sheet [Internet]. 2020 (cited 2020 Aug 2); Available from: http://www.who.int/en/news-room/fact-sheets/detail/adolescent-pregnancy

Pensirinapa N. Teenage pregnancy problems and comprehensive sexuality education. AJCPH. 2021;7(3):1-16 (in Thai).

UNICEF for Children in Thailand. Situation analysis of adolescent pregnancy in Thailand: synthesis report 2015 [Internet]. 2018 (cited 2021 Jun 3); Available from: https://www.unicef.org/ Thailand/160614_SAAP_in_Thailand_report_EN.pdf

Department of Health, 7th District Health Center. Performance of adolescent health promotion department [Internet]. 2021 (cited 2021 Jul 18); Available from: 203.157.71.148/data/kvp/data/2021/adolescent.pdf

Tumchuea S, Pumprayool P. Teenage pregnancy: concept of solving problems with the district health system. J Res Health Sci. 2018;12(2):29-38 (in Thai).

Suwanwanich M. Teenage pregnancy and adverse birth outcomes at Ratchaburi Hospital. Region4-5 Med J. 2016;35(3)150-7 (in Thai).

Yodthong S, Usaha R, Poopatayakorn A. Stress and coping of adolescent mothers in first childbirth. MJSBH. 2020;35(2):381-91 (in Thai).

Jantacumma N, Powwattna A, Lagampan S, Chasatiporn N. Predictive model of quality of life among Thai pregnant teenagers. Pacific Rim Int J Nurs Res. 2018;22(1):30-42.

Charm N, Toying S. Effects of childbirth on knowledge and preparation program in 3rd trimester first pregnant women, attending antenatal care in Chonburi hospital. TUH Journal online. 2019;4(3):11-26. Available from:https:// he02.tci-thaijo.org/index.php/TUHJ/article/view/240371

Pattaya M, Suwanpakdee W, Lahukarn, B. Fear management of childbirth in adolescent pregnant women. MJSBH. 2021;36(3):563-74 (in Thai).

Tumchuea S, Pumprayool P. Teenage pregnancy: concept of solving problems with district health system. JSR. 2018;12(2):29-38 (in Thai).

Thapa WW, Sota C. Teenage pregnancy and social dilemma in province of northeastern Thailand. J Public Health Dev. 2017;15(2):43-54 (in Thai).

Chatchawet W, Surakhumhaeng M. Teenage pregnancy: Perspectives of Thai parents. The 44 Biennial Convention (28 October-01 November 2017), Indianapolis, IN: https://sigma.nursingrepository.org/handle/10755/622850

UNICEF for Children in Thailand. Situation analysis of adolescent pregnancy in Thailand: synthesis report 2015. [Internet]. 2018. (cited 2021 Mar 6); Available from:https://www.unicef.org/ Thailand/160614_SAAP_in_Thailand_report_EN.pdf

Sritakaew N. The challenging of teenage pregnancy in Thailand. JBCN_Bangkok. 2018;2(3):1-18 (in Thai).

Sriyasak A, Almqvist A-L, Sridawruang C, Haggstrom- Nordin E. Parent’s experiences of their teenage children’s parenthood: an interview study. Journal of Nursing Science & Health. 2017;20:39-45 (in Thai).

Polgaya O, Choolert P. The effect of the maternal roles promoting program by family support on attitude and maternal roles among adolescent mothers. JHRI. 2019;2(1):131-42 (in Thai).

Noam S, Sripul P, Rojjanasrirat, W. The untimely pregnancy in adolescent: adolescent’s perspective. Journal of Nursing Science & Health. 2018;4(1):117-28.

Cetthakrikul N, Topothai C. Study of lactation consultant’s services in health facilities in Thailand. JSR. 2019;13(4): 368-82 (in Thai).

Muakmanee K, Limsakul M. Adjustment of adolescents mothers to maternal role: a case study of Rak Dharun clinic, Suratthani Hospital. SWTU. 2020;28(2):60-85 (in Thai).

Plodpluang U, Boonyarat A, Kanhadilok S, Luk-in P, Uthaithum N, Pomphayoon P, et al. Path analysis of factor affecting quality of life of pregnant women. NJPH. 2017;27(3):42-56 (in Thai).

Kinase W. The role of monk teachers the dhamma in schools to modify sexual risk behaviors of adolescents to prevent unwanted pregnancy. 2019;10(1):1-14 (in Thai).

Phrakhrukosolthammanusith, Phrakhrusuthapornphisuth, Phrakhruphiphatnawutikon. Buddhism and Thai society development, Thailand 4.0. Veridian E-Journal, Sil-pakorn University. 2019;12(4):1524-39 (in Thai).

Roojanavech S, Chatdokmaiprai K, Tantapong A. Spiritual need related to prevention of pre-marital sex among Thai adolescents. Journal of Public Health Nursing. 2015; 29(3):91-102 (in Thai).

Kerala S, Sriratanaprapat J. Relationships between social support and health-promoting behavior among pregnant teenagers. JFONUBUU. 2018;26(1):1-10 (in Thai).

Kritcharoen S, Kala S, Chatchawet W, Prugsasri S, Petchwatcharapaibune C. Effects of clinical practice guideline to promote, support, and protect breastfeeding on competencies and duration of breastfeeding of teenage mothers. Songklanagarind J Nurs. 2021;41(1):54-63 (in Thai).

Turale S. A brief introduction to qualitative descriptive: a research design worth using. Pacific Rim Int J Nurs Res. 2020;24(3):289-91.

Creswell JM. Qualitative inquiry and research design: choosing among five approaches. Thousand Oaks: Sage; 2007.

Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park CA: Sage; 1985.

Prohm S, Sripichyakan K, Chareonsanti J, Klunklin P. Decision-making on continuing pregnancy among Thai adolescents: a phenomenological study. Pacific Rim Int J Nurs Res. 2020;24(3):376-88.

l. Moonham S, Chatan S, Puworakit M, Tubsombut P, Chaloemsuk T. The changing role and promoting educational opportunities of the teenage mothers in the Northeast. RMUTI J Hum Soc Sci. 2016;3(2):29-44 (in Thai).

Soratana N, Ratana-Ubol A, Kimpee P. A process of life learning in Thai family culture. Kasetsart J Soc Sci. 2021; 42(2021):509-14. https://doi.org/10/34044/j.kiss.2021.42.3.09