BACKGROUND Young mothers face mental health challenges during and after pregnancy including increased rates of depression compared to older mothers. While the prevention of teenage pregnancy in countries such as the United States and the United Kingdom has been a focus for policy and research in recent decades, the need to understand young women's own experiences has been highlighted. The aim of this meta-ethnography was to examine young women's perceptions of their mental health and wellbeing during and after pregnancy to provide new understandings of those experiences. METHODS A systematic review and meta-ethnographic synthesis of qualitative research was conducted. Seven databases were systematically searched and forward and backward searching conducted. Papers were included if they were from Organisation for Economic Co-operation and Development countries and explored mental health and wellbeing experiences of young mothers (age under 20 in pregnancy; under 25 at time of research) as a primary research question - or where evidence about mental health and wellbeing from participants was foregrounded. Nineteen papers were identified and the Critical Appraisal Skills Programme checklist for qualitative research used to appraise the evidence. Following the seven-step process of meta-ethnography, key constructs were examined within each study and then translated into one another. RESULTS Seven translated themes were identified forming a new line of argument wherein mental health and wellbeing was analysed as relating to individual bodily experiences; tied into past and present relationships; underpinned by economic insecurity and entangled with feelings of societal surveillance. There were 'no straight lines' in young women's experiences, which were more complex than dominant narratives around overcoming adversity suggest. CONCLUSIONS The synthesis concludes that health and social care professionals need to reflect on the operation of power and stigma in young women's lives and its impact on wellbeing. It adds to understanding of young women's mental health and wellbeing during and after pregnancy as located in physical and structural factors rather than individual capacities alone.

中文翻译：

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没有直线-年轻妇女对怀孕期间和之后的心理健康和幸福感的看法：系统的回顾和荟萃的人种志。

背景技术年轻的母亲在怀孕期间和之后面临精神健康挑战，包括与年长的母亲相比抑郁症的患病率增加。在最近几十年中，尽管在美国和英国等国家，预防少女怀孕已成为政策和研究的重点，但强调了解年轻女性自身经历的必要性也得到了强调。这项元民族志的目的是检查年轻妇女在怀孕期间和之后对其心理健康和福祉的看法，以提供对这些经历的新认识。方法进行了系统的审查和定性研究的元民族志综合。系统地搜索了七个数据库，并进行了向前和向后搜索。如果论文来自经济合作与发展组织国家，并且将年轻母亲的心理健康和幸福经历（怀孕时年龄在20岁以下；研究时在25岁以下）作为主要研究问题进行了探讨，或者在哪些证据中参与者的心理健康和福祉得到了重视。确定了19篇论文，并使用定性研究的“关键评估技能计划”清单来评估证据。按照元民族志的七步过程，在每项研究中检查了关键结构，然后将其相互翻译。结果确定了七个翻译主题，形成了新的论点，其中分析了心理健康和福祉与个人身体经历的关系；绑在过去和现在的关系中；经济不安全的基础上，缠着社会监督的感觉。年轻女性的经历没有“直线”，这比克服逆境所暗示的主流叙述要复杂得多。结论综合结论是，卫生和社会护理专业人员需要反思年轻女性生活中权力和污名的运作及其对幸福感的影响。它增加了对年轻妇女在怀孕期间和之后的心理健康和福祉的理解，因为他们不仅受身体和结构因素的影响，而不仅仅是个人能力的影响。这比克服逆境的主流叙述更为复杂。结论综合结论是，卫生和社会护理专业人员需要反思年轻女性生活中权力和污名的运作及其对幸福感的影响。它增加了对年轻妇女在怀孕期间和之后的心理健康和福祉的理解，因为他们不仅受身体和结构因素的影响，而不仅仅是个人能力的影响。这比克服逆境的主流叙述更为复杂。结论综合结论是，卫生和社会护理专业人员需要反思年轻妇女生活中权力和污名的运作及其对幸福感的影响。它增加了对年轻妇女在怀孕期间和之后的心理健康和福祉的理解，因为他们不仅受身体和结构因素的影响，而不仅仅是个人能力的影响。