Younger teen-agers who become pregnant tend to view pregnancy as a way to form or enhance connections with others, and are less likely to think they are unprepared to raise a child.
By contrast, pregnant teens who are 18 or 19 years old acknowledge that they lack preparedness, but say there are advantages to having a baby earlier in life. These observations offer some insight into how to prevent teen pregnancies, researchers say in a paper published in the current issue of Pediatrics.
"We need to help teen-agers identify ways to connect with others in life besides motherhood," says lead author Cynthia Rosengard, PhD, MPH, a researcher in internal medicine at Rhode Island Hospital and an assistant professor of medicine at Brown Medical School. "If those connections are lacking in a teen-ager's life, that's something we all need to look at - whether we're parents, teachers or physicians."
The study was conducted with 247 pregnant adolescents, ages 12 to 19, who were seeking prenatal care at a primary care clinic. They were given a survey that asked for demographic information and included open-ended questions about the advantages and disadvantages of being pregnant as a teen-ager compared to waiting until they were older.
While the teens' answers varied, there were common themes. Among the list of advantages, they believed a baby would help them form connections with others, such as bringing them closer to their boyfriend or creating a family. One 13-year-old noted as an advantage, "being able to play along with your child not only being his/her parent but being a friend."
Some said if they had a baby early in life, that would give them more time later to accomplish what they wanted. For example, one adolescent said her child would be older when she wanted to become a lawyer. Others expressed concerns about fertility later in life. And some said they would receive more support as a young parent than if they were older.
Some teens also said having a baby would require them to mature and take on more responsibility; one young woman said that motherhood would keep her from drinking and doing drugs. A 15-year-old wrote "the good thinks (sic) are that I have someone to live for."
Among disadvantages, teens expressed that they would have more responsibility and would miss out on typical adolescent experiences. Some said they would have to put their lives on hold and revise their life goals. They also expressed concern that they could have difficulty juggling school and motherhood and might have to drop out of school. A 14-year-old responded: "1. No job to support me and my baby 2. Im (sic) not out of school."
Those who said they were not prepared emphasized different areas in which they were not ready, including being too young and lacking stability. Teens also were concerned about how others might view them because they had a baby during adolescence.
Disadvantages mentioned by a 17-year-old were: "financial problems. Not waiting until I was married because I'm not sure if the father is always gonna be there."
Researchers noted differences between the age groups. About half of those aged 18 or 19 said they were not prepared for pregnancy, compared to 42 percent of 16- and 17-year-olds and 35 percent of teens under 16. They gave reasons such as: immaturity, being emotionally unprepared, financial or employment instability, uncertain relationships and lack of stable housing. Likewise, 63 percent of the oldest teens felt the pregnancy would disrupt their life, while 83 percent of teens under 16 believed the pregnancy would bring on more responsibility and change their life plans.