The 130th Annual Meeting of APHA

5050.0: Wednesday, November 13, 2002 - Board 8

Abstract #35547

Psychosocial factors affecting transition to motherhood in first time pregnant adolescents

Margaret M. Kaiser, MSN, RN, CS1, Bevely J. Hays, PhD, RN1, and Manoj Sharma, PhD2. (1) College of Nursing, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, 402-559-5381, mkaiser@unmc.edu, (2) School of HPER, University of Nebraska at Omaha & Walden University, 6001 Dodge Street, Omaha, NE 68182-0216

Poor health, social, and economic outcomes are often associated with teen pregnancy. Difficulty with transition to motherhood can affect outcomes, including achievement of a maternal identity and maternal role attainment. Identifying and measuring psychosocial factors that can affect a positive transition to motherhood for pregnant adolescents is paramount to planning and implementing appropriate and responsive interventions to impact the long term consequences of teen pregnancy. However there are few tools available that assess factors that influence transition to motherhood, and very few are targeted for teens. The purpose of this paper is to describe characteristics of 150 unmarried first time pregnant adolescents age 15 - 18 years who plan to keep their babies. The study, conducted in three Metropolitan areas, used four measures (one new and three established) to assess psychosocial factors affecting transition to motherhood. The new tool, the Adolescent Prenatal Questionnaire (APQ), was developed based on psychosocial themes that emerged from a qualitative study of first time pregnant adolescents. The established tools used were the Cognitive Adaptation to Stressful Events (CASE; Affonso, Mayberry, Lovett & Paul, 1994), the Young Adult Maternal Confidence Scale (YAMCS; Weglicki, 1999), and the Prenatal Psychosocial Profile (PPP; Curry, Campbell & Christian, 1994). Scale scores and other descriptive statistics will be used to present the psychosocial characteristics of first time pregnant adolescents for each of the four measures; comparisons among the measures also will be described.

Learning Objectives:

Keywords: Teen Pregnancy, Adolescent Health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Adolescent Sexual Behavior, Pregnancy and Parenting

The 130th Annual Meeting of APHA