Identify Mental Health Needs of Adolescent Pregnant Women: a Qualitative Study

Overview

Journal Int J Adolesc Med Health

Specialty Pediatrics

Date 2024 May 7

PMID 38713895

Authors

Sarwinanti

Widyawati

Sri Warsini

Mohammad Hakimi

Wawan Febri Ramdani

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study is to explore adolescent pregnant women related to their pregnancy experience about mental health needs during pregnancy for the prevention of depression during pregnancy.

Methods: This research is a qualitative study design with a phenomenological approach. Data collection using interviews (in-depth interviews). This study involved 18 participants consisting of 12 pregnant women aged 15-19 years and 6 midwives who work at the health center. The criteria for informants of pregnant women are pregnant with Trimester I to III, age 15-19 years and not experiencing complications of pregnancy.

Results: Based on interviews conducted with informants, five themes were obtained about the experiences and needs of pregnant women in adolescence. These themes are (1). Risk of depression, (2). Social and family support needs, (3). Needs of mental health services, (4). Obstacles for midwives in providing mental health services, and (5). needs of mental health information media.

Conclusions: Five needs of teenage pregnant women are factors that can support mental health to prevent depression during pregnancy.

References

Pearlstein T . Depression during Pregnancy. Best Pract Res Clin Obstet Gynaecol. 2015; 29(5):754-64. DOI: 10.1016/j.bpobgyn.2015.04.004. View

van de Loo K, Vlenterie R, Nikkels S, Merkus P, Roukema J, Verhaak C . Depression and anxiety during pregnancy: The influence of maternal characteristics. Birth. 2018; 45(4):478-489. DOI: 10.1111/birt.12343. View

Milgrom J, Gemmill A . Screening for perinatal depression. Best Pract Res Clin Obstet Gynaecol. 2013; 28(1):13-23. DOI: 10.1016/j.bpobgyn.2013.08.014. View

Figueiredo B, Pacheco A, Costa R . Depression during pregnancy and the postpartum period in adolescent and adult Portuguese mothers. Arch Womens Ment Health. 2007; 10(3):103-9. DOI: 10.1007/s00737-007-0178-8. View

Nonacs R, Cohen L . Assessment and treatment of depression during pregnancy: an update. Psychiatr Clin North Am. 2003; 26(3):547-62. DOI: 10.1016/s0193-953x(03)00046-7. View

Elfenbein D, Felice M . Adolescent pregnancy. Pediatr Clin North Am. 2003; 50(4):781-800, viii. DOI: 10.1016/s0031-3955(03)00069-5. View

Siegel R, Brandon A . Adolescents, pregnancy, and mental health. J Pediatr Adolesc Gynecol. 2014; 27(3):138-50. DOI: 10.1016/j.jpag.2013.09.008. View

Leftwich H, Alves M . Adolescent Pregnancy. Pediatr Clin North Am. 2017; 64(2):381-388. DOI: 10.1016/j.pcl.2016.11.007. View

Vigod S, Wilson C, Howard L . Depression in pregnancy. BMJ. 2016; 352:i1547. DOI: 10.1136/bmj.i1547. View

10.

Nasreen H, Kabir Z, Forsell Y, Edhborg M . Low birth weight in offspring of women with depressive and anxiety symptoms during pregnancy: results from a population based study in Bangladesh. BMC Public Health. 2010; 10:515. PMC: 2939645. DOI: 10.1186/1471-2458-10-515. View

11.

Al Rawahi A, Al Kiyumi M, Al Kimyani R, Al-Lawati I, Murthi S, Davidson R . The Effect of Antepartum Depression on the Outcomes of Pregnancy and Development of Postpartum Depression: A prospective cohort study of Omani women. Sultan Qaboos Univ Med J. 2020; 20(2):e179-e186. PMC: 7328833. DOI: 10.18295/squmj.2020.20.02.008. View

12.

Raisanen S, Lehto S, Nielsen H, Gissler M, Kramer M, Heinonen S . Risk factors for and perinatal outcomes of major depression during pregnancy: a population-based analysis during 2002-2010 in Finland. BMJ Open. 2014; 4(11):e004883. PMC: 4244456. DOI: 10.1136/bmjopen-2014-004883. View

13.

Koleva H, Stuart S, OHara M, Bowman-Reif J . Risk factors for depressive symptoms during pregnancy. Arch Womens Ment Health. 2010; 14(2):99-105. PMC: 3433272. DOI: 10.1007/s00737-010-0184-0. View

14.

Dibaba Y, Fantahun M, Hindin M . The association of unwanted pregnancy and social support with depressive symptoms in pregnancy: evidence from rural Southwestern Ethiopia. BMC Pregnancy Childbirth. 2013; 13:135. PMC: 3716614. DOI: 10.1186/1471-2393-13-135. View

15.

Jeong H, Lim J, Lee M, Kim S, Jung I, Joe S . The association of psychosocial factors and obstetric history with depression in pregnant women: focus on the role of emotional support. Gen Hosp Psychiatry. 2013; 35(4):354-8. DOI: 10.1016/j.genhosppsych.2013.02.009. View

16.

Biratu A, Haile D . Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross-sectional study. Reprod Health. 2015; 12:99. PMC: 4627391. DOI: 10.1186/s12978-015-0092-x. View

17.

Staneva A, Bogossian F, Wittkowski A . The experience of psychological distress, depression, and anxiety during pregnancy: A meta-synthesis of qualitative research. Midwifery. 2015; 31(6):563-73. DOI: 10.1016/j.midw.2015.03.015. View

18.

Littlewood E, Ali S, Ansell P, Dyson L, Gascoyne S, Hewitt C . Identification of depression in women during pregnancy and the early postnatal period using the Whooley questions and the Edinburgh Postnatal Depression Scale: protocol for the Born and Bred in Yorkshire: PeriNatal Depression Diagnostic Accuracy.... BMJ Open. 2016; 6(6):e011223. PMC: 4916566. DOI: 10.1136/bmjopen-2016-011223. View

19.

Lever Taylor B, Nath S, Sokolova A, Lewis G, Howard L, Johnson S . The relationship between social support in pregnancy and postnatal depression. Soc Psychiatry Psychiatr Epidemiol. 2022; 57(7):1435-1444. PMC: 9246777. DOI: 10.1007/s00127-022-02269-z. View

20.

Astuti A, Hirst J, Bharj K . Indonesian adolescents' experiences during pregnancy and early parenthood: a qualitative study. J Psychosom Obstet Gynaecol. 2019; 41(4):317-326. DOI: 10.1080/0167482X.2019.1693538. View