Perceptions of pregnant teenagers with regard to the antenatal care clinic environment

Pregnancy in teenagers seems to be a challenge that might contribute to a struggle to fulfil the objectives of the Millennium Development Goals directly related to women’s reproductive health and neonatal care. The challenge becomes worse as midwives and nurses find it difficult to fully supervise a...

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Main Authors: Sindiwe James, Nadine Rall, Juanita Strümpher
Format: Article
Language:English
Published: AOSIS 2012-10-01
Series:Curationis
Subjects:
Online Access:https://curationis.org.za/index.php/curationis/article/view/43
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author Sindiwe James
Nadine Rall
Juanita Strümpher
author_facet Sindiwe James
Nadine Rall
Juanita Strümpher
author_sort Sindiwe James
collection DOAJ
description Pregnancy in teenagers seems to be a challenge that might contribute to a struggle to fulfil the objectives of the Millennium Development Goals directly related to women’s reproductive health and neonatal care. The challenge becomes worse as midwives and nurses find it difficult to fully supervise all these pregnancies, because teenagers stay away or default from clinic attendance. The purpose of the study was to explore and describe the perceptions of pregnant teenagers of the antenatal care (ANC) clinic environment and to recommend guidelines to midwifery operational managers for strategies to create teenager-friendly ANC clinic environments. The study applied a qualitative research design with explorative, descriptive and contextual research approaches. The ethical principles that guided this study were respect for the person, beneficence and justice. Semi-structured interviews utilising a predetermined interview schedule with a central open-ended question to address the study objectives were used. Data were collected from pregnant teenagers attending ANC clinics in Nelson Mandela Metropolitan Municipality. Participants were unanimous in that they perceived the clinic environment as causing discomfort to them. Different reasons attributed to this experience were related to their young age. The age difference between themselves and other women attending the clinic made participants perceive themselves as inferior and as being treated as such at the clinic. They found this embarrassing and recommended having their own waiting area and additional midwives at the clinic so that they would not be subjected to humiliating scrutiny and disapproval from older pregnant women. Pregnant teenagers’ recall of their experiences of the ANC clinic environment suggests that they perceive themselves as not being adequately cared for, as judged, and as forced to be in an environment that is insensitive to their needs. As a result some of their peers stayed away from the clinic and at times they contemplated the same action. A well-managed ANC clinic environment which has midwives who are empowered with the necessary skills in terms of dealing with the needs of youth has been requested by the pregnant teenagers.
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spelling doaj.art-f217bd51f9df4979ab536c61df5998622022-12-21T20:30:45ZengAOSISCurationis0379-85772223-62792012-10-01351e1e810.4102/curationis.v35i1.431010Perceptions of pregnant teenagers with regard to the antenatal care clinic environmentSindiwe James0Nadine Rall1Juanita Strümpher2Department of Nursing Science, Nelson Mandela Metropolitan UniversityDepartment of Nursing Science, Nelson Mandela Metropolitan UniversityDepartment of Nursing Science, Nelson Mandela Metropolitan UniversityPregnancy in teenagers seems to be a challenge that might contribute to a struggle to fulfil the objectives of the Millennium Development Goals directly related to women’s reproductive health and neonatal care. The challenge becomes worse as midwives and nurses find it difficult to fully supervise all these pregnancies, because teenagers stay away or default from clinic attendance. The purpose of the study was to explore and describe the perceptions of pregnant teenagers of the antenatal care (ANC) clinic environment and to recommend guidelines to midwifery operational managers for strategies to create teenager-friendly ANC clinic environments. The study applied a qualitative research design with explorative, descriptive and contextual research approaches. The ethical principles that guided this study were respect for the person, beneficence and justice. Semi-structured interviews utilising a predetermined interview schedule with a central open-ended question to address the study objectives were used. Data were collected from pregnant teenagers attending ANC clinics in Nelson Mandela Metropolitan Municipality. Participants were unanimous in that they perceived the clinic environment as causing discomfort to them. Different reasons attributed to this experience were related to their young age. The age difference between themselves and other women attending the clinic made participants perceive themselves as inferior and as being treated as such at the clinic. They found this embarrassing and recommended having their own waiting area and additional midwives at the clinic so that they would not be subjected to humiliating scrutiny and disapproval from older pregnant women. Pregnant teenagers’ recall of their experiences of the ANC clinic environment suggests that they perceive themselves as not being adequately cared for, as judged, and as forced to be in an environment that is insensitive to their needs. As a result some of their peers stayed away from the clinic and at times they contemplated the same action. A well-managed ANC clinic environment which has midwives who are empowered with the necessary skills in terms of dealing with the needs of youth has been requested by the pregnant teenagers.https://curationis.org.za/index.php/curationis/article/view/43antenatal care clinicenvironmentperceptionspregnantteenager
spellingShingle Sindiwe James
Nadine Rall
Juanita Strümpher
Perceptions of pregnant teenagers with regard to the antenatal care clinic environment
Curationis
antenatal care clinic
environment
perceptions
pregnant
teenager
title Perceptions of pregnant teenagers with regard to the antenatal care clinic environment
title_full Perceptions of pregnant teenagers with regard to the antenatal care clinic environment
title_fullStr Perceptions of pregnant teenagers with regard to the antenatal care clinic environment
title_full_unstemmed Perceptions of pregnant teenagers with regard to the antenatal care clinic environment
title_short Perceptions of pregnant teenagers with regard to the antenatal care clinic environment
title_sort perceptions of pregnant teenagers with regard to the antenatal care clinic environment
topic antenatal care clinic
environment
perceptions
pregnant
teenager
url https://curationis.org.za/index.php/curationis/article/view/43
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AT juanitastrumpher perceptionsofpregnantteenagerswithregardtotheantenatalcareclinicenvironment