Research Article| Volume 18, ISSUE 6, P397-408, December 2003

Qualitative research on adolescent pregnancy: a descriptive review and analysis


      This study examined qualitative research on adolescent pregnancy to determine designs and methods used and to discover emergent themes across studies. Most of the 22 studies reviewed were described as qualitative or phenomenological by design and included samples comprising either African-American and Caucasian participants or African-Americans exclusively. Based on analysis of the collective primary findings of the sample articles, four themes were identified: (a) factors influencing pregnancy; (a) pregnancy resolution; (c) meaning of pregnancy and life transitions; and (d) parenting and motherhood. Overall, the studies revealed that most adolescent females perceive pregnancy as a rite of passage and a challenging yet positive life event. More qualitative studies are needed involving participants from various ethnic backgrounds, on males’ perceptions relative to adolescent pregnancy and fatherhood, and about decision-making relevant to pregnancy resolution, intimacy, and peer relationships.
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        • Alan Guttmacher Institute
        Sex and America’s teenagers. Alan Guttmacher Institute, New York1994
        • Alan Guttmacher Institute
        Teen pregnancy. 2002 (Available at: Accessed September 24, 2002)
        • Anderson N.L.
        Pregnancy resolution decisions in juvenile detention.
        Archives of Psychiatric Nursing. 1990; 4 ( ∗Qualitative articles discussed in this review.): 325-331
        • Aquilino M.L.
        • Bragadottir H.
        Adolescent pregnancy.
        MCN, The American Journal of Maternal/Child Nursing. 2000; 25 ( ∗Qualitative articles discussed in this review.): 192-197
        • Arenson J.D.
        Strengths and self-perceptions of parenting adolescent mothers.
        Journal of Pediatric Nursing. 1994; 9 ( ∗Qualitative articles discussed in this review.): 251-257
        • Barroso J.
        • Powell-Cope G.M.
        Metasynthesis of qualitative research on living with HIV infections.
        Qualitative Health Research. 2000; 10: 340-353
        • Burton L.
        Teenage childbearing as an alternative life-course strategy in multigeneration Black families.
        Human Nature. 1990; 1 ( ∗Qualitative articles discussed in this review.): 123-143
        • Centers for Disease Control and Prevention
        National and state-specific pregnancy rates among adolescents-United States, 1995–1997.
        Morbidity and Mortality Weekly Report. 2000; 49: 605-632
        • Clifford J.
        • Brykczynski K.
        Giving voice to childbearing teens.
        Journal of School Nursing. 1999; 15 ( ∗Qualitative articles discussed in this review.): 4-15
        • Custer M.
        Adoption as an option for unmarried pregnant teens.
        Adolescence. 1993; 28 ( ∗Qualitative articles discussed in this review.): 891-902
        • Danziger S.K.
        Family life and teenage pregnancy in the inner-city.
        Children & Youth Services Review. 1995; 17 ( ∗Qualitative articles discussed in this review.): 183-202
        • Desmond A.M.
        Adolescent pregnancy in the United States.
        Health Care for Women International. 1994; 15: 325-331
        • Farber N.B.
        The process of pregnancy resolution among adolescent mothers.
        Adolescence. 1991; 26 ( ∗Qualitative articles discussed in this review.): 697-716
        • Field P.A.
        • Marck T.
        Uncertain motherhood. Sage, Thousand Oaks, CA1994
        • Flanagan P.J.
        • McGrath M.M.
        • Meyer E.C.
        • Garcia Coll C.T.
        Adolescent development and transitions to motherhood.
        Pediatrics. 1995; 96 ( ∗Qualitative articles discussed in this review.): 273-277
        • Hartrick G.
        Women who are mothers.
        Health Care for Women International. 1997; 18: 263-267
        • Henshaw S.K.
        • Feivelson D.J.
        Teenage abortion and pregnancy statistics by state, 1996.
        Family Planning Perspectives. 2000; 32: 272-280
        • Hofferth S.
        • Hayes C.
        Risking the future. Vol II. National Academy Press, Washington, DC1987
        • Ivey J.B.
        “Good little girls”.
        Issues in Comprehensive Pediatric Nursing. 1999; 22 ( ∗Qualitative articles discussed in this review.): 87-100
        • Jensen L.A.
        • Allen M.N.
        A synthesis of qualitative research on wellness-illness.
        Qualitative Health Research. 1994; 4: 349-369
        • Jensen L.A.
        • Allen M.N.
        Meta-synthesis of qualitative findings.
        Qualitative Health Research. 1996; 6: 553-560
        • Kirby D.
        Reflections on two decades of research on teen sexual behavior and pregnancy.
        Journal of School Health. 1999; 69: 89-94
        • Lesser J.
        • Anderson N.L.R.
        • Koniak-Griffin D.
        “Sometimes you don’t feel ready to be an adult or a mom.
        Journal of Child & Adolescent Psychiatric Nursing. 1998; 11 ( ∗Qualitative articles discussed in this review.): 7-16
        • Lesser J.
        • Koniak-Griffin D.
        • Anderson N.L.R.
        Depressed adolescent mothers’ perceptions of their own maternal role.
        Issues in Mental Health Nursing. 1999; 20 ( ∗Qualitative articles discussed in this review.): 131-149
        • Mackey M.C.
        • Tiller C.M.
        Adolescents’ description and management of pregnancy and preterm labor.
        Journal of Obstetric, Gynecologic, & Neonatal Nursing. 1998; 27 ( ∗Qualitative articles discussed in this review.): 410-419
        • Martin J.A.
        • Park M.M.
        • Sutton P.D.
        National Vital Statistics Report. 2002; 50: 1-20
        • Montgomery K.S.
        Creating consistency and control out of chaos.
        The Journal of Perinatal Education. 2000; 9 ( ∗Qualitative articles discussed in this review.): 7-14
        • Moore K.
        • Miller B.
        Adolescent sexual behavior, pregnancy and parenting.
        Journal of Marriage and the Family. 1990; 52: 1025-1044
        • Noblit G.W.
        • Hare R.D.
        Meta-ethnography. Sage, Newbury Park, CA1988
        • Oxley G.M.
        • Weekes D.P.
        Experiences of pregnant African American adolescents.
        Journal of Family Nursing. 1997; 3 ( ∗Qualitative articles discussed in this review.): 167-188
        • Polit D.F.
        • Beck C.T.
        • Hungler B.P.
        Essentials of nursing research. 5th ed. Lippincott, New York2001
        • Sandelowski M
        • Docherty S.
        • Emden C.
        Qualitative metasynthesis.
        Research in Nursing and Health. 1997; 20: 365-371
        • Sciarra D.T.
        • Ponterotto J.G.
        Adolescent motherhood among low-income urban Hispanics.
        Qualitative Health Research. 1998; 8 ( ∗Qualitative articles discussed in this review.): 751-763
        • Singh S.
        • Darroch J.E.
        Adolescent pregnancy and childbearing.
        Family Planning Perspectives. 2000; 32: 14-23
        • Sleutel M.R.
        Women’s experiences of abuse.
        Issues in Mental Health Nursing. 1998; 19: 525-539
        • SmithBattle L.
        Teenage mothers’ narratives of self.
        Advances in Nursing Science. 1995; 17 ( ∗Qualitative articles discussed in this review.): 22-36
        • SmithBattle L.
        • Leonard V.
        Adolescent mothers four years later.
        Advances in Nursing Science. 1998; 20 ( ∗Qualitative articles discussed in this review.): 36-49
        • Stenberg L.
        • Blinn L.
        Feelings about self and body during adolescent pregnancy.
        Families in Society. 1993; 74 ( ∗Qualitative articles discussed in this review.): 282-290
        • Stevens J.W.
        Adolescent development and adolescent pregnancy among late age African American female adolescents.
        Child and Adolescent Social Work Journal. 1994; 11 ( ∗Qualitative articles discussed in this review.): 433-453
        • Ventura S.J.
        • Curtin S.C.
        • Mathews T.J.
        Teenage birth in the United States: National and state trends, 1990–96. National Vital Statistics System. National Center for Health Statistics, Hyattsville, MD1998
        • Wayland J.
        • Rawlins R.
        African American teen mothers’ perceptions of parenting.
        Journal of Pediatric Nursing. 1997; 12 ( ∗Qualitative articles discussed in this review.): 13-20
        • Williams C.
        • Vines S.W.
        Broken past, fragile future.
        Journal of the Society of Pediatric Nurses. 1999; 4 ( ∗Qualitative articles discussed in this review.): 15-23