RNQualitativeWomen and birth : journal of the Australian College of Midwives2017

Pregnant adolescent women's perceptions of depression and psychiatric services in the United States.

Sarah E Bledsoe, Cynthia F Rizo, Traci L Wike and 4 others

PMID 28330583

WHAT IT FOUND

Pregnant adolescents with probable depression usually blamed interpersonal conflict, poverty, or pregnancy, not depression, for their distress.

They said flexible scheduling helped them use services, and they needed help with housing, childcare, legal issues, trauma, and family barriers.

Key findings

01The sample was selected for EPDS scores of 10 or higher, but only 30% had a formal depression diagnosis.

02No participant named depression as the primary problem, and perceptions fell into one of eight contextual categories.

03Participants named practical, psychological, family, and cultural barriers to psychiatric services, and several said no service option was ever offered.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used a convenience sample of 20 women from two public prenatal clinics in the southeastern United States, so findings cannot be generalized. Participants were selected for EPDS scores of 10 or higher, so the findings describe adolescents already flagged for probable depression. Member checking was not employed, and interpretation relied on expert consultants and coder consensus. Interviewers were the principal investigator and a social worker with psychiatric social work training, which may shape data collection and interpretation. Trauma history was disclosed more often during the intervention component of the larger study than during the initial interview.

The easy way to misread this

Do not read these themes as proof that flexible scheduling or additional services reduce depression. The study described perceptions and service histories in 20 pregnant adolescents and did not test any intervention or outcome.

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