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Teen pregnancies: Heavy burdens for young shoulders

Pregnancy itself is a potential mental health stressor, even for older women. Generally, women are twice as likely to experience mental health challenges as their male counterparts. According to a research article published in 2022, although research on maternal mental health in Africa is sparse, some studies estimate the prevalence of postpartum depression in Africa to range between 15 to 25%.30,31. The prevalence of postpartum depression among adolescent mothers ranges from 14% to 53%. This is more than double that observed in older mothers (7–17%). The article also states that teenage mothers with untreated depression have a far greater likelihood of having a second pregnancy within two years. According to the South African Medical Journal, the number of births to young teenagers aged 10 - 14 years increased by 48.7% (from a baseline of 2 726, which is very high by developed-country standards) and the birth rate per 1 000 girls in this age category increased from 1.1 to 1.5. SAMJ analysed the data available in the public sector database, the District Health Information System, from 2017 to 2021. In adolescent girls aged 15 - 19, the number of births increased by 17.9% (from a baseline of 114 329) and the birth rate per 1 000 girls in this age category increased from 49.6 to 55.6. These increases also occurred year on year in a continuous upward trend as well as in all provinces, but at different rates. Generally, rates were higher in the more rural provinces such as Limpopo, Mpumalanga and Eastern Cape than in more urban provinces such as Gauteng and Western Cape. Londeka and Patience are both mothers who fell pregnant whilst teens. They shared their mental health struggles as well as what being pregnant whilst still a teenager is like. Londeka Ngcongo, is a 17 year old mother of a 1 year 4 months old girl. She fell pregnant in August 2020 and I gave birth in May 2021. “I was nervous; I thought that I will be kicked out at home but I didn't think of having an abortion. I first told my boyfriend that I was pregnant. He was shocked but he gave me a lot of support and took care of me. I was 3 months pregnant at the time when he told his family. They gave me much support, love as well and they love the baby too. Our relationship is good”, she says. The teen mum who is from Inanda, Durban, lives with her mother’s family. “At home everything is bad, I’m being insulted, they are talking behind my back, gossiping. I feel like a prisoner. Everything that I do is not appreciated, I feel like I am useless and I am not a member of the family, I feel like an outcast, life is difficult”, she says. Ngcongo says that her father’s side of the family is a bit more supportive. “My father’s family is okay, they are supporting me they understand that I am a child and I also do mistake as other teenagers, I even wished if I could live with them but I can’t because they live in rural area northern KZN plus I am still studying I can’t just go and live in rural area”, she says. Ngcongo had to skip school last year because her baby was very sick. “We stayed at the hospital for 2 months, and even this year my baby is still in and out of the hospital, which is a difficult thing for me as a young mother”. She says that she is grateful that her boyfriend's family is still supporting them, which she is not experiencing from her family. “In my family, it seems as if they don’t even care about my suffering; they don’t ask me anything regarding myself and or the child’s wellbeing. Ngcongo says being in school, as a young mother is not easy. “Not because I have a child but because of the depression and trauma I have. My high school life has been difficult since Grade 9 because I had no support from home, even the school uniform that I had was not in a good condition. It became worse when they found out that I was pregnant, even my mother she didn’t support me not to mention my friends as well who also turned their backs on me which is the thing I didn’t expect honestly, but I told myself that life goes on I have to be strong for myself and for my child”, she says. During the week, Ngcongo’s child stays with her grandmother (her boyfriend's mother) because she is still at school but during the weekends, holidays and school holidays, she makes sure that she fetches her child. Though Ngcongo does receive a social grant, she says it is not enough for a child who is always sick because most of the time she needs to see a doctor or be sent to hospital. “Life is tough but I try by all means to take it one step at a time”, she says. Ngcongo gets her income from hair braiding, hair styling and manicures. “My dream one day is to have my own salon in town, because to tell you the truth I don’t see myself as a career woman but I see myself as a business woman one day”, she says. 21 year-old mother to twins, Patience Mentoor, also gets income through manicures. Mentoor, who lives in Delft, Cape Town fell pregnant in Grade 11 and felt like her life was over. “It wasn’t easy at all, but I love my children. Finding out that you are pregnant at 17 isn’t easy but now finding out that it was twins was even worse. The first thing that crossed my mind was my parents, I knew that they were going to be disappointed. I gave birth in June (matric year) and dropped out of school, so I don’t even have matric”, she says. Mentoor says that the pregnancy was not easy and she was depressed throughout it. “Getting through the day was hard. Both of our parents agreed that I should stay at home until the babies were born but the environment at home wasn’t nice, especially with my father. There was also a time when suicide crossed my mind because I felt like a burden and unworthy.”, she says. I was lucky that I fell pregnant towards the end of Grade 11 so I didn’t really have to face people’s comments and stares at school but I knew that when matric started I’d have to face it eventually because my bump was growing”, she says. Mentoor says that a social worker in the community encouraged her to join a support group for teen mothers, because she could see how it was affecting her mental health. “Aunty Lydia (social worker) was actually more supportive than my family, in terms of emotional support, so that did help in a way. She really guided me and told me that I need to speak about how I am feeling and not keep it inside. I am grateful to her because it really helped with the mental health struggles I was having and still have sometimes”, she says. Mentoor started doing people’s nails as a way to make income. “My boyfriend’s and his family do help financially but I just wanted to make sure that I am making money of my own, so I started with something simple. It’s not a lot but it’s a start. I really hope to study someday. I didn’t finish matric but I still hope that I can do something to secure my future.” she says. A 2020 study explores the intersection between mental health and sexual and reproductive health amongst adolescent girls and young women in South Africa. In South Africa, adolescent girls and young women (AGYW) are at risk of poor mental health, HIV infection and early pregnancy. Poor mental health in AGYW is associated with increased sexual risk behaviours, and impeded HIV testing and care. Using in-depth interviews and focus group discussions, the study explored subjective experiences of mental health and sexual and reproductive health (SRH) amongst 237 AGYW aged 15–24 years in five South African districts. Respondents shared narratives of stress, emotional isolation, feelings of depression, and suicidal ideation, interconnected with HIV, pregnancy and violence in relationships. In the South African context, pregnancy may exacerbate existing social and contextual stressors, adding additional stressors such as interpersonal relationship challenges, regret around ‘unintended’ pregnancies, and depression. Respondents suggested that due to social stigma attached to teenage pregnancy, pregnant AGYW fear being judged and gossiped about: “Pregnant girls feel sad, some even contemplate suicide (azive efuna ukuzibulala) because of hearing unpleasant things about their life being spoken by other people”. (15–18 years, WC, isiXhosa) “Pregnant girls are teased, and then they drop out of school, they don't finish; here at school, we gossip about each other in the toilets.” (15–18 years, WC). The emotional ‘burden’ of teenage pregnancy was described as a key contributing factor to poor mental health: “They say having a child is a good thing, but as a teenager it is a burden, it’s difficult to cope” (15–18 years, EC). The study also revealed that a lack of emotional support from partners/fathers of children also contributed to stress and depression amongst young mothers. Lacking a supportive social environment negatively impacted on mental health and self-esteem. Suggestions from this study include addressing the burden of unplanned teenage pregnancy. Sex education needs to be incorporated into discussions at school, home, and health facilities. Further, safe, stigma-free access to contraceptives needs to be provided for adolescents. Authors from the study also suggest that the sociocultural stigma and taboo associated with discussions about sex at school and within the community needs to be mitigated to provide a safe environment for teens to engage. Community health workers, who are typically lay members of the community who work either for pay or as volunteers with the local health care system, can be trained to provide sex education community members (including teenagers and their families). “Teens are more comfortable learning from teens. Trained peer counsellors and support groups have been used to provide safe environment for adolescents to have healthy conversations on sexual and reproductive health”. There are several organisations throughout South Africa that provide support for teenage mothers and their families. A few include: Mamkhulu.org in Mpumalanga, Teen Moms Youth Development run by Options Care Centre in George, The Parent Centre in Wynberg, Cape Town, Lifeline Pregnancy Support and Girl Pride Africa . - Health-e News
Being a teenager is hard enough these days, nevermind being pregnant. Teen moms share their journeys, often difficult and lacking in support. (Photo: Freepik)

The number of teenage pregnancies is rising rapidly in South Africa and the mental burden is taking its toll as children as young as 10 are falling pregnant.

According to the South African Medical Journal (SAMJ), the number of births among children aged 10 – 14 years increased by 48.7% and the birth rate per 1 000 girls in this age category increased from 1.1 to 1.5.

Frightening figures

Up to half of the adolescent mothers experience postpartum depression in Africa and if left untreated, they are far more likely to fall pregnant again within two years.

According to a research article published in 2022, although research on maternal mental health in Africa is sparse, some studies estimate the prevalence of postpartum depression in Africa to range between 15 to 25%.30,31.

The prevalence of postpartum depression among adolescent mothers ranges from 14% to 53%. This is more than double than observed in older mothers (7–17%).

SAMJ analysed the data available in the public sector database, the District Health Information System, from 2017 to 2021. 

In adolescent girls aged 15 – 19, the number of births increased by 17.9% and the birth rate per 1 000 girls in this age category increased from 49.6 to 55.6. 

These increases also occurred year-on-year in a continuous upward trend in all provinces but at different rates. 

Generally, rates were higher in the more rural provinces such as Limpopo, Mpumalanga and Eastern Cape than in more urban provinces such as Gauteng and Western Cape. 

Teen pregnancies: Heavy burdens for young shoulders

A screenshot from a Department of Basic Education presentation shows that almost one in three teenage girls will fall pregnant in South Africa.

Teen mums share their stories

Given these frightening numbers, teen moms share their experiences and the effect pregnancy had on their young lives.

Londeka and Patience are both mothers who fell pregnant as teenagers. They shared their mental health struggles and what it was like to be expecting a baby.

Londeka Ngcongo, 17, is mother to a baby girl just over a year old. She fell pregnant in August 2020 and gave birth in May last year.  

“I was nervous and thought that I will be kicked out at home. But I never thought of having an abortion,” said Ngcongo.  

“I told my boyfriend first that I was pregnant. He was shocked but he gave me a lot of support and took care of me. I was three months pregnant at the time when he told his family,” she said. “They offered me a lot of support and love, and they love the baby too. Our relationship is good.”

Life at home

The teen mum who is from Inanda, Durban, lives with her mother’s family.

“At home everything is bad. I’m being insulted and they are talking behind my back, gossiping. I feel like a prisoner, said the teen. 

“They don’t appreciate anything I do at home. I feel like I am useless and I am not a member of the family. Life is difficult as an outcast,” said Ngcongo. 

She said that her father’s side of the family is a bit more supportive.

“My father’s family is okay. They are supportive and understand that just like any other teenager, I made a mistake. I wish I could live with them but I can’t because they live in a rural area in northern KZN. I am studying so I can’t live in a rural area,” she explained. 

Challenges as a young mother

Ngcongo had to skip school last year because her baby was very sick. 

“We stayed at the hospital for two months. Even this year, my baby is still in and out of hospital which is difficult for me as a young mother,” said Ngcongo.

She said she is grateful for the support from her boyfriend’s family since her own doesn’t care about her well-being or the baby’s. 

Depression and trauma

Ngcongo said that being at school is tough, not because she has a child but because of depression and trauma.

“My high school life has been difficult since Grade 9 because I had no support from home. Even the school uniform that I had was not in a good condition,” she explained. “It became worse when they found out that I was pregnant. My mother didn’t even support me not to mention my friends who all turned their backs on me. But I told myself that life goes on and that I have to be strong for myself and my child.”

During the week, Ngcongo’s child stays with her boyfriend’s mother. But during weekends and holidays, she fetches her child. 

Though Ngcongo does receive a social grant, it’s not nearly enough to cover medical expenses. 

Ngcongo makes extra income from hair braiding, hair styling and manicures.

“My dream one day is to have my salon in town. I see myself as being a businesswoman one day,” Ngcongo said.

Responsibility times two

Patience Mentor, a 21-year-old mother to twins, also makes ends meet through manicures.

Mentor, who lives in Delft, Cape Town fell pregnant in Grade 11 and felt like her life was over.

“It wasn’t easy at all, but I love my children. Finding out that you are pregnant at 17 isn’t easy but finding out that you’re expecting twins is even worse,” said Mentor.

“The first thing that crossed my mind was my parents. I knew that they were going to be disappointed. I gave birth in June during my Grade 12 year and dropped out of school, so I don’t even have matric, ”she said.

Mentor said that the pregnancy was not easy and she was depressed throughout.

‘I felt like a burden’

“Getting through the day was hard. Both of our parents agreed that I should stay at home until the babies were born but the environment at home wasn’t nice, especially with my father. There was also a time when suicide crossed my mind because I felt like a burden and unworthy,” she said.

“I was lucky that I fell pregnant towards the end of Grade 11 so I didn’t have to face people’s comments and stares at school. But I knew that I’d have to face it eventually in matric because my bump was growing.”

Mentor said that a social worker in the community encouraged her to join a support group for teen mothers because she could see how it was affecting her mental health.

“Aunty Lydia was more supportive than my family so that did help in a way. She guided me and told me that I need to speak about how I am feeling and not keep it inside. I am grateful to her because it really helped with the mental health struggles I was having and still have sometimes,” Mentor said.

She started doing people’s nails as a way to make income.

“My boyfriend and his family do help financially but I just wanted to make sure that I am making money of my own, so I started with something simple. It’s not a lot but it’s a start. I hope to study someday. I didn’t finish matric but I still hope that I can do something to secure my future.” 

Reproductive vs mental health

A 2020 study explored the intersection between mental health and sexual and reproductive health among adolescent girls and young women (AGYW) in SA.

They are at risk of poor mental health, HIV infection and early pregnancy. Poor mental health in AGYW is associated with increased sexual risk behaviours and impeded HIV testing and care.

Using in-depth interviews and focus group discussions, the study explored subjective experiences among 237 AGYW aged 15–24 years in five districts. 

Respondents shared narratives of stress, emotional isolation, feelings of depression, and suicidal ideation, interconnected with HIV, pregnancy and violence in relationships.

In the South African context, pregnancy may exacerbate existing social and contextual stressors, adding additional stressors such as interpersonal relationship challenges, regret around ‘unintended’ pregnancies, and depression.

Respondents suggested that due to the social stigma attached to teenage pregnancy, pregnant AGYW fear being judged and gossiped about. 

Feeling sad and suicidal

“Pregnant girls feel sad and some even contemplate suicide (azive efuna ukuzibulala) because of gossip. They are teased and then drop out of school,” read the study.

The emotional ‘burden’ of teenage pregnancy was described as a key contributing factor to poor mental health.

“They say having a child is a good thing, but as a teenager, it is a burden, it’s difficult to cope,” said some of the respondents.

The study also revealed that a lack of emotional support from partners or the fathers of children also contributed to stress and depression among young mothers. Lacking a supportive social environment negatively impacted mental health and self-esteem.

Suggestions from this study include addressing the burden of unplanned teenage pregnancies.

Sex education and contraceptives

Sex education needs to be incorporated into discussions at school, home, and health facilities. Safe and stigma-free access to contraceptives also needs to be provided for adolescents. 

Authors from the study also suggest that the sociocultural stigma and taboo associated with discussions about sex at school and within the community need to be mitigated to provide a safe environment for teens to engage. 

Community health workers can be trained to provide sex education to community members (including teenagers and their families).

“Teens are more comfortable learning from teens. Trained peer counsellors and support groups have been used to provide a safe environment for adolescents to have healthy conversations on sexual and reproductive health,” it further read.  

There are several organisations throughout South Africa that provide support for teenage mothers and their families. A few include:

 

About the author

Faith Mutizira

About the author

Sandile Mbili

Sandile Mbili is an award-winning CJ based in KwaZulu Natal and has been freelancing since 2010. As a creative writer has contributed to Radio Khwezi drama department for 6 years and also wrote articles for Inkazimulo Newspaper and Daily Sun. Sandile has a Diploma in Comprehensive Writing from College SA and has completed an online course with Frety Media for Press Code. To date, he has produced 10 radio dramas and won two awards for Best Radio Drama on MTN Radio Awards 2015 and Best Educational Magazine Show at MDDA-Sanlam Media Awards 2015.

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