Hila J. Spear is Professor of Nursing and Director of Graduate Studies, Liberty University, Lynchburg, Virginia.
Personal Narratives of Adolescent Mothers-to-Be: Contraception, Decision Making, and Future Expectations
Article first published online: 19 JUL 2004
Public Health Nursing
Volume 21, Issue 4, pages 338–346, July 2004
How to Cite
Spear, H. J. (2004), Personal Narratives of Adolescent Mothers-to-Be: Contraception, Decision Making, and Future Expectations. Public Health Nursing, 21: 338–346. doi: 10.1111/j.0737-1209.2004.21407.x
- Issue published online: 19 JUL 2004
- Article first published online: 19 JUL 2004
- decision making;
- teen pregnancy
Abstract Results not discussed in a previously published qualitative study (Spear, 2001) are presented in this article. Analysis of the personal narratives of eight pregnant adolescents who attended an alternative school for pregnant teens yielded the following categories: decision making, contraceptive behavior and sexual attitudes, and future expectations. The findings revealed that decisions regarding pregnancy were made with little deliberation and some participants implied that pregnancy was planned. Although knowledgeable about how to prevent pregnancy, participants did not consistently practice contraception and their sexual experiences were marked by indifference and lacked intimacy. Future expectations consistently included support from the fathers of their unborn children. Implications for nursing practice and further research are discussed.