Experiences of pregnant unmarried adolescents in Maseru

The transition to motherhood is accompanied by a number of social and psychological consequences that place pregnant adolescents at risk in terms of later life adjustment. A qualitative study was undertaken to explore and describe the experiences of pregnant unmarried adolescents in Maseru district; and if necessary, to develop guidelines for an educational and counseling program for them. Pregnant unmarried adolescents, aged 13 to 19 years, from 10 randomly selected clinics in Maseru, were allowed to give detailed descriptions of their experiences with their first pregnancy. The meanings that those experiences had for them were also explored. Sixteen individual phenomenological and two focus group interviews were conducted. Tesch's (1990) method of analysis was used to analyse the data. Results: The respondents reported to have met the confirmation of their pregnancy with a mixture of disbelief, confusion and shame. They also experienced fear to disclose the pregnancy to their next of kin. Emotionally they reacted with misery, depression and anger. They experienced rejection and scorn by their families and friends. Although most respondents' pregnancy was later accepted by parents, support granted was mainly material with minimal social support. The majority of their boyfriends were reported to have denied parentage. A" respondents who were still in school had to drop out. Guidelines for an educational and counseling programs were made. Recommendations included: every pregnant adolescent who comes to the clinic or outpatient department should receive or be referred for counseling. Prenatal education should provide anticipatory guidance related to maternal role issues.