American adolescents are no more sexually active than adolescents in other Western nations. Each year more than one million American teenagers become pregnant, which gives the United States the dubious distinction of leading the industrialized world in the highest rates of teenage pregnancy. With the number of adolescent pregnancies increasing yearly, the cost of healthcare has become a major concern for healthcare providers. Because the teen's viewpoint is different from that of an adult, this research study focused upon the issue of teen pregnancy through the eyes of the pregnant adolescent.Heideggerian phenomenology was used as the research methodology to acquire information regarding the lived experience of pregnancy for the single adolescent, with Heideggerdian hermeneutics used in the interpretation of interviews. A purposive sample of five single primipara adolescents living in a teen home, in a large metropolitan area of a Midwestern state was utilized. Each interview was given a number in order to protect the confidentially of the participant. Interviews were audio taped and were transcribed by the researcher. The audio tapes were destroyed at the end of the study. The data obtained were studied by the researcher and others familiar with Heideggerian hermeneutics. The data were analyzed according to the seven step method described by Diekelmann, Allen and Tanner (1989). The findings identified an overall constitutive pattern along with four common themes.The overall constitutive pattern which emerged was "Pregnancy as a diverse human experience." Along with the constitutive pattern identified were four other common themes: (a) Body image changes as being within oneself; (b) Being marked as a pregnant teenager; (c) Pregnancy as loss; and (d) Pregnancy as connectedness. Both the constitutive pattern and the common themes were validated by the adolescent interviewed. The conclusions of this study showed that teens were aware of the methods of contraception and pregnancy but were unaware of the impact pregnancy would have on the teen's being in the world. / School of Nursing

No description available.

Pregnancy in unmarried teenaged girls in America today is a growing concern to health care workers, educators, government officials and parents. Pregnancy during adolescence is not an issue because births to teenagers are increasing but because teenage pregnancy is no longer a societal option. This paper describes adolescent pregnancy from within the context of the subculture of adolescence and from the perspective of 16 pregnant, teenaged girls. The findings revealed a description of the life experiences of pregnant teenagers and introduced health-care issues that were not previously disclosed in other research studies of pregnant teens. The anthropological concepts of liminality, the double-bind, social labeling, and schizmogenesis served to guide the research. The concepts also helped to explain many behaviors and observations that were made of the informants throughout the research. An ethnographic approach using participant observation and ethnographic interviews was used to collect data from 16 pregnant, unmarried, teenaged girls in a large Southwestern, urban area. The informants ranged in age from 14 through 19 years and represented various backgrounds. Nine informants resided in a home for unwed, pregnant teenagers with the remainder residing in diverse locations. Data analyses occurred concurrently with data collection as part of an ongoing process. Data were ordered and transcribed within a framework designed to enhance thematic analysis. Transcribed interview and observational data were transferred onto the Ethnograph, a data-management software program. Data were coded using substantive and conceptual codes. Codes were linked according to patterns of association and frequency of occurrence which in turn led to the revealing of recurrent thematic patterns. In all, eight themes were revealed: (1) pregnancy is bad; (2) loneliness; (3) waiting it out; (4) dependency; (5) looking bad; (6) giving up baby; (7) losing what was; and (8) losing control. Thematic content also disclosed many inconsistencies and double-binds between the larger Western macroculture and adolescent subculture. Ethnographic themes and expressions of these themes provided new information for constructing health-related interventions with pregnant teens.

Typescript (photocopy). / Digitized by Kansas Correctional Industries

No description available.