Study Objective

To explore minority, adolescent birth and perinatal experiences to inform and improve quality of care for this unique group.

Design

Mixed quantitative and qualitative study guided by Bourdieu's Social Fields framework.

Setting

Clinic dedicated to parenting adolescents, and a local charter school founded to serve pregnant and parenting young adults.

Participants

Sample size for quantitative data: n = 27; qualitative data: n = 14. Average age was 16.39 years (SD = 1.29); most self-identified as Latina/Hispanic or African American/Black/Afro-Caribbean/African.

Interventions and Main Outcome Measures

We used 2 validated surveys: Birth Satisfaction Scale-Revised (BSS-R), and the Postpartum Worry Scale-Revised (PWS-R). The BSS-R has 10 items, and quantifies labor and delivery experiences. The PWS-R has 20 items, and quantifies maternal, infant, and social-emotional worries. The qualitative, semistructured 30-minute interviews with a subset of survey respondents further explored perinatal mental health, labor experiences, and support networks.

Results

BSS-R data resulted in an average score of 25.14 (SD = 5.35), which correlated to moderate satisfaction with birth experience (range, 0-40 with 0 = most negative). The PWS-R average score of 55.79 (SD = 21.06) indicated elevated postpartum worry (range, 20-100 with 20 = most worry). Qualitative interviewees worried about relationships and newborn well-being; support networks fluctuated; distinct events, pain, and fear during labor dominated birth stories. Advice for peers included: tending to social support, stress, and self-care. Nonjudgmental communication, empathy, and emotional connection were desired attributes of their health care team. Participants had anxiety related to social networks and newborn care. Although birth experiences were moderately positive, they were also described as stressful. However, participants were resourceful, insightful, and took advantage of social supports.

Conclusion

Birth experiences, patterns of stress, and support networks are uniquely identified and utilized by adolescent mothers. Being heard and feeling connected to providers empowered this group of young, minority adolescents. Participant advice could inform future educational courses, programs, and hospital innovations for perinatal adolescents.

中文翻译：

---

少数族裔青少年母亲的出生故事、支持和围产期情绪健康：一项混合方法研究

学习目标

探索少数民族、青少年生育和围产期的经历，为这一独特群体提供信息并提高护理质量。

设计

以布尔迪厄的社会领域框架为指导的混合定量和定性研究。

环境

专门为青少年育儿服务的诊所，以及为怀孕和育儿青少年服务的当地特许学校。

参与者

定量数据的样本量：n = 27；定性数据：n = 14。平均年龄为 16.39 岁（SD = 1.29）；大多数自我认定为拉丁裔/西班牙裔或非裔美国人/黑人/非洲裔加勒比人/非洲人。

干预措施和主要结果措施

我们使用了 2 个经过验证的调查：出生满意度量表修订版 (BSS-R) 和产后担忧量表修订版 (PWS-R)。BSS-R 有 10 个项目，并量化了劳动和交付经验。PWS-R 有 20 个项目，量化了孕产妇、婴儿和社交情绪的担忧。对一部分受访者进行的定性、半结构化 30 分钟访谈进一步探讨了围产期心理健康、分娩经历和支持网络。

结果

BSS-R 数据的平均得分为 25.14（SD = 5.35），这与对出生经历的中等满意度相关（范围，0-40，0 = 最负面）。PWS-R 平均得分 55.79 (SD = 21.06) 表明产后担忧程度升高（范围，20-100，20 = 最担忧）。定性受访者担心人际关系和新生儿的幸福；支持网络波动；分娩过程中不同的事件、疼痛和恐惧主导了出生故事。给同龄人的建议包括：倾向于社会支持、压力和自我照顾。非评判性的沟通、同理心和情感联系是他们医疗团队的理想属性。参与者对社交网络和新生儿护理感到焦虑。虽然出生经历是适度积极的，但也被描述为压力很大。然而，参与者足智多谋，

结论

生育经历、压力模式和支持网络被青春期母亲独特地识别和利用。被倾听并感受到与提供者的联系赋予了这群年轻的少数族裔青少年权力。参与者的建议可以为未来的围产期青少年教育课程、计划和医院创新提供信息。