Violence, Obstetric Violence, and Their Effects on Mental Health in Adolescent Pregnancies
Chapter from the book:
Çuvadar,
A.
&
Arslan,
N.
(eds.)
2026.
Holistic Approaches in Women's Health.
Synopsis
Adolescence is defined by the World Health Organization as a developmental period encompassing the ages of 10–19 years. During this stage, individuals continue their physical, cognitive, psychosocial, and identity development, making them more vulnerable to various health risks due to incomplete developmental processes. Pregnancies occurring during adolescence impose an additional burden on the developing physiological structure and may lead to significant obstetric, psychological, and social problems for both the mother and the fetus.
Today, adolescent pregnancies are considered an important public health and social issue because of their increasing prevalence and the multidimensional risks they entail. In developed and developing countries, they are often associated with unprotected and early sexual activity, whereas in socioeconomically disadvantaged societies they may be linked to child marriage, sexual abuse, and social inequalities. In this context, pregnant adolescents constitute a particularly vulnerable group to obstetric violence due to factors such as young age, inexperience, lack of knowledge, weak social status, and difficulties in accessing healthcare services.
Obstetric violence is a form of human rights violation that damages the physical, psychological, and emotional integrity of women during pregnancy, childbirth, and the postpartum period. Among adolescent pregnant women, obstetric violence may manifest through stigmatizing attitudes, judgmental communication, violations of privacy, lack of informed consent, and discrimination in healthcare services. Furthermore, issues such as mandatory reporting of underage pregnancies, the requirement for parental consent, suspicion of abuse, and legal responsibilities may place healthcare professionals in ethical dilemmas. Midwives, who play a fundamental role in women’s health services, have critical responsibilities in conducting adolescent follow-up care, early detection of pregnancy, assessment of violence and abuse indicators, support of mental health, and provision of holistic care.
