Table 4 Evolving themes and core concepts
Evolving themes | Relevant studies | Final themes | Core concept |
|---|---|---|---|
Psychological and social factors Stigma Suicidal attempts/ideation Mixed emotions Fear of reactions to pregnancies Unprepared for birth Not ready for motherhood | [23, 38, 38,39,40,41, 62, 63, 66,67,68, 68,69,70, 72, 73, 73, 74, 76, 78, 79] | A wealth of emotions Reacting to pregnancy Mixed emotions | Socio-cultural and religious expectations increase the stigma experienced by adolescents |
I am not ready Too young to be a mother Unprepared for birth | Not adequately prepared for birth or ready for motherhood | ||
Relationships Family Peers Partners Religion | [23, 62, 63, 66, 66,67,68,69,70, 70, 72, 72, 74, 75, 77,78,79] | Impactful relationships Acceptance, support and encouragement Rejection, harm and abandonment | Relationships with others have a direct and significant impact on adolescents needs and pregnancy experiences |
Health care services Lack of adolescent friendly services Health worker attitudes Older women | [39, 39, 40, 40, 41, 62, 62, 63, 68,69,70,71, 71, 76, 76,77,78] | Respectful and Disrespectful Care Health workers Older women | Lack of adolescent friendly and respectful provision of health care |