Experiences of adolescent mothers in Costa Rica and the role of parental support

ABSTRACT

Adolescent pregnancy is often thought of as a social problem, one that can cause the adolescent mother hardship, including poverty, low-educational attainment, and housing instability. Although much research has been conducted about adolescent pregnancy in the developed world, less has considered adolescent pregnancy in the developing world. This qualitative study focuses on women who were impoverished in Costa Rica who had been pregnant in adolescence. The goal of the study was to gain a better understanding of the lived experiences of the mothers, as well as the kinds of support they received during and after the pregnancy. The research sample consisted of 22 female participants who were impoverished and had experienced an unintended pregnancy in adolescence. The key finding from this study was that parental support was the most important factor in mitigating adolescent experiences of stress and negative feelings about their choices related to the pregnancy. The study has implications for the understanding of the experiences of women who are vulnerable with respect to adolescent pregnancies in Latin America and for Latina migrants to the United States.     

Welfare Reform and Teenage Pregnancy,Childbirth, and School Dropout

This study estimates the effect of welfare reform on adolescent behaviors using a difference‐in‐differences approach. After defining the prereform and reform cohorts and considering the life course development of adolescent behavior by following each cohort from age 14 to age 16, we compare the welfare‐target and nontarget populations in the two cohorts. The difference‐in‐differences estimates are obtained using an event history model. Our analysis suggests that welfare reform has not reduced teenage fertility and school dropout. We find modest evidence that welfare reform is associated with higher risk of teenage births for girls in welfare families and higher risk of school dropout for girls in poor families. A combination of a difference‐in‐differences approach and a life course perspective can be a useful way to delineate the effect of societal‐level change on family phenomena.     

Developmental Outcomes for Children of Young Mothers

This study tested the association between mother’s early age at first birth and various life outcomes for her children in later adolescence and early adulthood. Data were analyzed from the Rochester Youth Development Study, an ongoing panel study of adolescents enrolled in seventh or eighth grade in Rochester Public Schools in 1988 (N =729). Boys born to mothers who began childbearing before age 19 had elevated risks of drug use, gang membership, unemployment, and early parenthood. Girls born to young mothers only had elevated risks of early parenthood. Of the mediators tested, low maternal education had the largest mediating effects. The findings suggest that the risks associated with being born to a young mother are substantial but perhaps disproportionately so for boys.     

输卵管妊娠误诊三例

输卵管妊娠为妇科急腹症,常见但易误诊。医者不要片面依赖尿妊娠试验;避免吸空宫,在诊断早孕做人流术中要注意观察吸出物;要密切观察病情,不要忽视妇科检查及血 HCG 检查。尽早明确诊断,以免延误病情。     

Teen Childbearing and Educational Attainment: A Comparison of Methods

This research examines the impact of teenage childbearing on secondary school completion, while focusing on the problem of causal ambiguity in the relationships among self-determined behaviours. Techniques for dealing with the teenage childbearing problem are discussed, and results from these methods are compared. Data from the High School and Beyond Study on young women (n = 5257) who were enrolled as sophomores in sample schools in February 1980 and who had not given birth before November 1980 are used. Results indicate that teen childbearing reduces the probability of completing high school by 8% to 10%. Some evidence suggests that programs that target reduction of teen childbearing in improving young women's education and subsequent economic and labor force outcomes.     

Who Cares What Others Think? the Indirect Effect of Others’ Attitudes on Condom Use Intentions

ABSTRACT

This qualitative exploratory research project was conducted to determine how women involve their sexual partners in decisions to obtain emergency contraception (EC) after unprotected sex or contraceptive failure. Using a grounded theory framework, I found that the most important determinant of partner inclusion in this decision was relationship status. More specifically, if the respondent was in a longer-term dating relationship at the time of the incident, she was more likely to involve her partner in the decision-making process compared with those respondents in casual relationships. The reason for being at risk for pregnancy (e.g., a broken condom vs. a missed birth control pill) also influenced partner inclusion. And finally, I found that often it was the men who initiated the conversation about obtaining EC originally. Overall, this research demonstrates that men do indeed have a part to play in EC decision making and need to be included in future research.     

The Gender of Pregnancy: Masculine Lesbians Talk about Reproduction

Heterosexism and patriarchy collude to create an expectation of pregnancy for all women. In addition, the bodily production of pregnancy has been socially gendered as feminine because of its association with female-bodied people. These two ideological codes—that all women should become mothers through pregnancy and that pregnancy is a femininely gendered endeavor—suggest conundrums for masculine lesbians. This study relies on interview data with 14 childfree masculine-identified lesbians about the ways in which they are able (or unable) to imagine themselves as pregnant people in their future lives. Participants’ navigation of the concept of pregnancy reveal the complexity of gendered bodies and gender practice.     

Perceived Economic Uncertainty and Fertility: Evidence From a Labor Market Reform

Whereas in theory individuals tend to postpone fertility decisions in times of economic uncertainty, empirical evidence on that question is scarce. Using data from the German Socio‐Economic Panel (N = 4,548), the authors estimated the effect of economic concerns on the probability of becoming pregnant in the next year. They exploited exogenous variation in economic concerns induced by the announcement of a major German unemployment benefit reform as an instrumental variable and found that strong economic concerns were significantly related to lower fertility of women between ages 26 and 44 years cohabiting with a male partner. Jointly estimating the impact of male and female concerns in a model that allows for endogeneity of perceived economic uncertainty revealed that it was strong economic concerns perceived by the women that reduced fertility. The effect was driven by male main breadwinner couples, by couples with a medium household income, and by couples who already had children.     

Correlates of the contraceptive behavior of adolescents/young adults

Pregnancy among adolescents/young adults continues at epidemic levels despite widespread concern regarding its social and psychological consequences. Cognitive psychologists point out that active decisions and behaviors such as those involved in effective contraception are facilitated or inhibited by any of a number of relevant attitudes and beliefs. The present investigation examined several such cognitive variables. Specifically, the following hypotheses were tested: Among adolescents/young adults, the use of effective contraception would be positively related to (a) the number of known cases of unwanted pregnancy of which subjects were directly aware, and (b) sexual guilt. A sample of 147 sexually active single college students aged 18–19 provided information relevant to these hypotheses. Analyses indicated that contraceptive behavior was unrelated to the number of unwanted pregnancies of which subjects were aware, but was substantially and significantly associated with sexual guilt, even when the possibility of pregnancy was precluded. The nature and implications of these findings are explored.     

Conceptual Framework for Integrating Holistic Perspectives and Approaches to Problems of Safe Motherhood

ABSTRACT

This article provides a conceptual framework for incorporating the array of variables defined in maternal health research in order to explicate their influence on problems of safe motherhood. Focusing an overview of the articles in this collection, in addition to strategies and policies needed from practitioners' perspectives and finding from case studies, research findings from a variety of countries are provided. Factors influencing positive outcomes such as age of mother, skilled attendants at delivery, and prenatal care are considered. The importance of the political and economic structure and stability of the country which plays an important role is discussed.