Source paper and country | -Young women sample N -Age range -Pregnant/parenting stage (where provided) | -Ethnicity (as defined by papers) -Children’s details -Mental health status (where provided) | Aims | Qualitative methods | Reported data analysis |
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(Lesser et al., 1999) [40] USA | N = 15; ‘adolescents’ Parenting: 2 years postpartum Sample of ‘adolescents’ not defined in terms of age but quotations from young women age 17 (n = 1); age 18 (n = 5) | N = 11 Latina; n = 3 African-American; n = 1 Caucasian. N = 8 had one child; n = 4 were pregnant with their second child; n = 3 had two children. Reported symptoms of depression either during pregnancy or postpartum, measured by the Center for Epidemiologic Studies Depression Scale (n = 14) or reported a history of suicide attempt(s) within the past year (n = 1) | To provide a description of the affective component of depressed adolescents’ maternal role by eliciting young mothers’ perceptions of their maternal roles and their experiences of depression. | Ethnographic interviews, 2 h long conducted | Content analysis |
(Clemmens, 2002) [41] USA | N = 20, age 16–18 Parenting: 1–11 months postpartum | 9 African American; 8 Hispanic; 3 White All had one child Depressive symptoms | To address the phenomenon of depression from the perspective of adolescent mothers. Explore their memories of feeling depressed after the birth of their babies. | In depth face to face interviews, 15–45 min (20 mins average) | Descriptive phenomenological design (Colaizzi, 1978) |
(Renker, 2002) [42] USA | N = 40; age 18–20 Pregnant or parenting Average age for conception for the current pregnancy was 18. | N = 17 African American; N = 18 White; N = 5 teens Hispanic, American Indian, or mixed racial background. | To explore adolescents’ experiences of abuse in the year before and during pregnancy. | Structured and focused interviews 30–90 min | Generalized qualitative approach blended content/thematic analysis. (Creswell, 1994) |
(Kennedy, 2005) [43] USA | N = 10; age 16–20 Pregnant or parenting | N = 7 Mexican American; n = 3 African American. | To explore urban adolescent mothers’ experiences with community violence; witnessing parental violence, familial physical abuse, and partner violence; their methods of coping and resistance. | Individual, open-ended interviews (45–90 min) | Grounded Theory (Strauss & Corbin, 1990) |
(Stevens, 2006) [44] USA | N = 18, age 15–21 Parenting – at least 3 months postpartum | N = 6 Black; n = 7 White; n = 3 Black/White/Indian; n = 1 Black/White/Mexican; Mexican/White n = 1 Age of children: 0–3 months n = 2; 3–6 months n = 3; 6–9 months n = 3; 9–12 months n = 1; 12–24 months n = 5; 2–4 years n = 6 | To explore how adolescent women who are parenting describe what “being healthy” means to them and how they define their own health needs. | Ethnographic methods Including in-depth interviews and participant observation, photovoice | Participants’ views /meanings of health as described in interviews and narratives of photographs (ethnographic and photovoice) |
(Shanok & Miller, 2007) [45] USA | N = 42; age 13–19 39 pregnant; 3 parenting | N = 18 Hispanic; n = 19 Black; n = 4 Black and Hispanic, n = 3 undisclosed Subsection with depressive symptoms | To explore the nature of the participants’ depression and the factors that helped them to feel better. | Mixed methods. Analysis of therapy sessions with participants | Inductive qualitative analysis LeCompte and Schensul (1999) |
(Erdmans & Black, 2008) [46] USA | N = 27; average age 20, Parenting Average age 17 years old when they had their first child | 12 White, 9 Puerto Rican, 5 African American, and 1 biracial (White and Puerto Rican). | To listen to victims of child abuse tell their life histories to better understand the trajectories linking child sexual abuse to adolescent motherhood. | Two face to face interviews, 1.5–2 h | Life story method (Bertaux & Kohli, 1984) |
(Meadows-Oliver, 2009) [47] USA | N = 8; age 18–19 Pregnant (n = 2); parenting (n = 5) | N = 7 African-American, n = 1 Latina. N = 4 one child; n = 4 two children – ages between 7 months to 5 years. N = 2 pregnant at time of interview | To explore the lived experience of homeless adolescent mothers’ caring for their children while living in a shelter? | 1:1 face to face interviews lasting 20–30 min | Phenomenological approach (Colaizzi, 1978) |
(Kulkarni, 2009) [48] USA | N = 24, age 18–22 Parenting Age at first pregnancy 14–16 n = 19; 17–18 n = 5 | African American n = 9; Asian n = 1; European American n = 4; Mexican/Mexican American n = 10 Number of children 1 n = 18; 2–3 n = 6 | To explore the effects of IPV on their adolescent mothers’ important relationships. | Semi structured interviews 35 mins to 2 h with n = 24; second interviews with n = 15 | ‘Qualitative analysis’ (Miles and Huberman, 1994) |
(Brown, Brady & Letherby, 2011) [49] UK | N = 9; age 16+ Parenting (1–5 years) Age range time of giving birth 13–18 years. | Children age 1–5 years | To explore a range of issues pertinent to young women’s lack of agency, disempowerment and experiences of power, control and domestic violence with reference to intimate and familial relationships. | In-depth, semi-structured interviews 1–2 h | Grounded theory “style” (Glaser & Strauss, 1967) |
(Smith & Roberts, 2011) [50] UK | N = 13 under age of 25 at interview Parenting | N = 5 White British; n = 3 Mixed race; n = 2 Black British; n = 1 Indian; n = 1 Caribbean; n = 1 Black African | To explore the experience of being a young parent and some of the influences on their sexual and reproductive behaviours in young mothers from a variety of socioeconomic backgrounds. | Semi structured interviews | Thematic analysis (Braun and Clarke, 2006) |
(Crawford et al., 2011) [51] USA | N = 24, age 16–19 at baseline Pregnant or parenting | Data not provided for the sub sample of those interviewed for qualitative research. | To follow a sample of young homeless females over a 3-year period as they moved from late adolescence into early adulthood informed by in-depth interviews with a subsample. | Semi structured interviews of 1 h | Thematic coding |
(Boath et al., 2013) [52] UK | N = 15; age 17–19 Parenting - first time mothers with babies under the age of one. Age range at the time of giving birth 16 to 18 years (mean 16.9). | Children under age of one Identified by their health visitor as suffering from postpartum depression following clinical assessment. | To elicit the experiences of teenage mothers with postpartum depression and to further explore those factors associated with depression in younger mothers. | 40 min – 1.5 h face-to-face semi-structured interviews | Thematic framework analysis (Ritchie & Spencer, 1994) |
(Herrman, 2013) [53] USA | N = 26; age 14–18 N = 22 16–39 weeks pregnant; n = 4 parenting | N = 7 Hispanic; N = 10 African American; N = 6 White; N = 3 mixed origins Children age 1–3 months. | To provide a voice to young mothers about their thoughts and perceptions of TDV within the context of their relationships and experiences in pregnancy and parenting. | Semi structured focus groups | Qualitative coding of typologies (Rubin and Rubin, 2005) |
(Aparicio et al., 2015) [54] USA | N = 6; age 19–22 Parenting, mothers in foster care Age 14 to 17 years at the time of their first pregnancy. | n = 5 African American; n = 1 Latina, born in the U.S. Three participants had one child, one participant had two children, and one participant had three children. | To explore the lived experience of motherhood among teen mothers in foster care with a history of maltreatment. To inform teenage pregnancy prevention and to elucidate practices to give teenage mothers in foster care and their children the very best start possible in cases where a birth occurs. | Three in-depth interviews for each participant 1–2 weeks apart | Interpretative Phenomenological Analysis (IPA) |
(Kinser & Masho, 2015) [55] USA | N = 17; mean age: 17.5 +/− 1.3 years Pregnant | N = 17 African American | To evaluate pregnant, AA adolescents’ perceptions of depression and stressful experiences and assess feasibility and acceptability of adjunctive/ complementary, non-pharmacologic stress and depression management strategies for this underserved population. | Qualitative interviews using nontherapeutic focus groups | Content analysis with phenomenological overtones (Sandelowski, 2000) |
(Leese, 2016) [56] UK | N = 12; age 16–19 Parenting | – | To capture young mothers’ journeys to understand the reality of individual and collective experiences within cultural context of support group (Flick 2009). | Ethnographic narrative interviews and participant and non-participant observation collected over year | Thematic analysis Gomm (2008) |
(Fortier & Foster, 2017) [57] Canada | N = 10; age 21–25 Parenting Conception age 13–19 | All identified as Anglophone and Caucasian | To understand better the experiences of young mothers with subsequent pregnancy and motherhood in Canada’s capital. | Semi structured depth phone interviews av. 60 mins | Qualitative content analysis (Elo and Kyngäs 2008) |
(Bledsoe et al., 2017) [58] USA | N = 20; age 14–20 Pregnant | 46.5% African American; 46.5% Latina. Pregnant: average gestational age 16.85 weeks (SD = 4.63) 6 prior depression diagnosis; 1 bipolar; 1 mood disorder,1 panic disorder | To address knowledge gaps regarding the experience of U.S. low-income, minority, depressed pregnant adolescent women’s perceptions of pregnancy, depression, and help-seeking. | In depth, semi structured interviews and questionnaire | Descriptive qualitative approach |