隨著未婚青少年懷孕日益增多,已有多項研究顯示青少年孕婦有更多孕期問題,但已婚妊娠第三期青少年的身體心像、認知行為及社會支持系統和育齡孕婦有何不同呢?本研究係以台南四家地區醫院妊娠滿28週以上之孕婦作配對收案,得育齡孕婦75名,青少年孕婦75名。經過自擬懷孕身體心像及認知行為問卷表及陳氏所譯社會支持調查表收集資料所得結果如下:兩組在身體心像及認知行為上大致相似未達顯著性差異。新生兒用物資料來源,青少年組順序為書上資訊→媽媽→婆婆→鄰居、朋友→姊殊→護士表示母親仍較朋友能協助之。在孕期食物的喜好,育齡組順序為:米飯、比薩→酸食→甜食→麵食→餅乾→可樂→漢堡→巧克力,青少年組為:麵食→酸食→比薩→甜食→米飯→漢堡→可樂、巧克力、餅乾兩組差異不大。在基本資料方面:第三孕期的睡眠狀態,兩組約以失眠佔多數,但青少年組的睡眠狀態仍較育齡組為差,且兩組達顯著性差異。經濟來源上兩組大多來自夫妻,但青少年組仰賴長輩者仍較育齡組為多,兩組呈現顯著性差異。在社會支持得分上。青少年組不期望懷孕者之社會支持低於同組期望懷孕者,也低於育齡組不期望懷孕者。
In an attempt to compare the body image, cognition, behavior and social support in the third trimester of pregnancy between the pregnant adolescent and pregnant adult in the Tainan area, seventy-five pregnant adolescents during the third trimester were enrolled and matched to seventy-five pregnant adults who were also selected for this study. The results were as follows: The two groups were similar in their body image, cognition, and behavior. The order of sources from which the pregnant adult got information about infant’s requirements was books, the neighborhood, friends, their mother, sisters, mother-in-law, and nurses. That for the pregnant adolescents was books, their mother, mother-in-law, neighborhood, friends, sisters, and nurses. The order of the preference for food of the pregnant adult was rice, pizza, sour food, sweet food, noodles, cookies, cola, hamburgers, and chocolates. That for the pregnant adolescents was noodles, sour food, pizza, sweet food, rice, hamburgers, cola, chocolates, and cookies. Both groups suffered from insomnia. However, the sleeping status of the pregnant adolescents was significantly worse than that of the pregnant adults. In both case, economic support came from spouse’s income, but it was more obvious that pregnant adolescents relied on their parents’ economic support more often than did normal pregnant women, the difference was statistically significant. The pregnant adult had a much higher score on social support than did the pregnant adolescents with a significant difference. Adolescents with unexpected pregnancies have lower social support scores than their adult counterparts.