The Process of Enhancing the Harmony Life of Teenage Pregnant Women: Having a Complete Life and Being Self-Reliance
Article Sidebar
Main Article Content
Abstract
Objective: The aim in this grounded theory inquiry was to describe the process of enhancing the harmony in life of teenage pregnant women. Methods: Data collection using in-depth interviews and non-participant observations were undertaken, for 12 months. Participants were recruited into the study by purposive sampling from 13 teenage pregnancies receiving antenatal clinics from two hospitals in Songkhla province. The data analysis was guided by Strauss and Corbin’s grounded theory. Results: The results revealed that the process of enhancing the harmony in life of teenage pregnant women is based on the core category of “Having a complete life and being self-reliance”. It consists of three key elements: 1) conditional factors; wanting to have complete family, wanting to have a good future, and having a responsible partner 2) methods/strategies used in dealing with situations; intending to earn money, attending of having higher education, saving money for the baby, and planning for the next pregnancy and 3) consequences; being selfreliance, feeling secure, and having complete family. Discussion: The findings provided a guide for health
professionals to develop nursing program to enhance harmony in life of teenage pregnancy including planning for the quality of further pregnancy.
Article Details
References
World Bank, United Nations Population Division. Adolescent fertility rate (births per 1,000 women ages 15-19)
[Internet]. 2018 [cited 2021 Jan 12]. Available from: https://data.worldbank.org/indicator/SP.ADO.TFRT?end=2018&start=1960
Bureau of Reproductive Health, Department of Health, Ministry of Public Health. Reproductive health situation in adolescents and youth in 2019 [Internet]. 2019 [cited 2021 Jan 12]. Available from: http://rhold. anamai.moph.go.th/download/all_file/index/สถานการณ์RH_2562_Website.pdf
Butchon R, Liabsuetrakul T, Teerawattananon Y. Adolescent pregnancy in Thailand: The link between evidence and policy. Journal of Health Science. 2018; 27(6): 1012-22. Thai.
Bonkuea P. A study of unwanted teenage pregnancies in Pathiu district Chumphon province. Community Health Developmnet Quarterly Khon Kaen University. 2017; 5(2): 195-216. Thai.
Kaewjanta N. Depression in teenage pregnancy: Factors, affect and prevention. Journal of Nursing Science and
Health. 2012; 35(1): 83-90. Thai.
Nakamadee B, Sudnongbua S. The experiences of pregnancy among early teenagers in urban areas of a province in Northern Thailand. Boromarajonani College of Nursing, Uttaradit Journal. 2019; 11(1): 111-25. Thai.
Pancharern S, Kontha J, Jongkae P. Factors related to the intention to repeat pregnancy among pregnant adolescents. Journal of Social Science and Buddhistic Anthropology. 2020; 5(10): 231-47. Thai.
Nithitantiwat P, Pataipakaipet K. Unwanted pregnancy and abortion: Preventive guidelines for adolescents. Journal of Boromarajonani College of Nursing. 2016; 32(2): 133-41. Thai.
Silbert-Flagg J, Pillitteri A. Maternal & child health nursing: Care of the childbearing & childrearing family.
th ed. Philadelphia: Wolters Kluwer; 2018.
Balthip Q. Achieving harmony of mind: A grounded theory study of people living with HIV/AIDS in the Thai context [dissertation]. [Palmerston North]: Massey University; 2010. 328 p.
Kuhnle C, Hofer M, Kilian B. The relationship of value orientations, self-control, frequency of goal conflicts in
school and leisure, and life-balance in adolescence. Learn Individ Differ. 2010; 20(3): 251-55.
Thitimapong B, Petpichetchian W, Wiroonpanich W. Achieving balance: Role adaptation process of adolescent
mothers returning to school. Pacific Rim Int J Nurs Res. 2015; 19(3): 257-69.
Strauss A, Corbin J. Basics of qualitative research: Grounded theory procedures and techniques. California: SAGE; 1990.
Strauss A, Corbin J. Basics of qualitative research: Techniques and procedures for developing grounded theory. 2 nd ed. California: SAGE; 1998.
Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: Sage Publications; 1985.
Suwanruangsri S, Chunuan S, Chatchawet W. The relationships among self-control, stress and life balance of teenage pregnant women. Princess of Naradhiwas University Journal. 2015; 7(3): 1-14. Thai.
Khoonphet C. Lifestyles of first-time adolescent mothers [master's thesis]. [Songkhla]: Prince of Songkla University; 2014. 118 p.
Balthip Q, Purnell M. Pursuing meaning and purpose in life among Thai adolescents living with HIV: A grounded theory study. Journal of the Association of Nurses in AIDS Care. 2014; 25(4): e27-38.
Natrujirote W. Alternative family and the existing of family institution. Veridian E-Journal Silpakorn University
(Humanities, Social Sciences and arts). 2017; 10(2): 1817-27. Thai.
Angkarnchai P. Life plan of unwanted-pregnant adolescents [master's thesis]. [Bangkok]: Thammasat University; 2016. 147 p
Cherry CO, Chumbler N, Bute J, et al. Building a “Better Life”: The transformative effects of adolescent pregnancy and parenting. SAGE Open. 2015; 1-9. doi: 10.1177/2158244015571638.
Phoodaangau B, Deoisres W, Chunlestskul K. Maternity experience: A new role of unexpectedly pregnant students. Thai Journal of Nursing Council. 2013; 28(2): 58-74. Thai.
Punsuwun S, Sungwan P, Monsang I, et al. Experiences after pregnancy among unmarried adolescents in upper north. Songklanagarind J Nurs. 2013; 33(3): 17-35. Thai.
Arundee S, Natrujirote W, Kayee P, et al. The needs of adolescent mothers for healing and preventing unintended adolescent pregnancy. Journal of Social Science Srinakarinwirot University. 2016; 19(19): 276-89. Thai.
Arayajaru P, Klayhiran W, Anucha C. The lived experiences of adolescent mothers: Intended or unintended repeat pregnancy. Journal of Health Research and Innovation. 2019; 2(1): 177-85. Thai.
Cha S, Chapman DA, Wan W, et al. Discordant pregnancy intentions in couples and rapid repeat pregnancy.
Am J obstet Gynecol. 2016; 214(4): 494.e1-494.e12. doi: https://doi.org/10.1016/j.ajog.2015.10.149.