الفهرس 
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Abstract
Summary
Teenage pregnancy refers to the pregnancy of women under the age of 20. Many studies around the world have shown that the number of teenage pregnancies is increasing. Due to the double burden of reproductive and growth, teenage pregnancy leads to infertility in high-risk groups. Approximately 95% of teenage births occur in developing countries, especially in rural areas. Early pregnancy may be combined with malnutrition and poor medical care to cause medical problems.
The meaning given to teenage pregnancy varies in different cultures, and so does the corresponding meaning and consequences. Teenage pregnancy is a complex issue that is affected by many factors, including personal, family, and community characteristics.
The consequences affect the health, social and economic well-being of young people, their children, and society as a whole. Teenage pregnancy is one of the main problems in every health system because early pregnancy can have harmful effects on girls’ physical, psychological, economic, and social needs. An unmet need is defined as the difference between the service needed to properly deal with the health problem and the actual service received.
Unmet needs of pregnant teenagers reported in major cities in the United States; the most frequently reported needs are social, support needs, health education, including family life education, sex education, parenting courses, contraceptive counseling, and let youths understand community resources and health services; This includes the need for early prenatal care, the need for financial assistance, including supplementary income for the mother, medical care funding, the need for nutrition services, including nutrition education, more adequate diets and food supplements for adolescents, and transportation.
The purpose of the study was to assess rural teenage pregnant female unmet needs. The study was conducted at the antenatal clinics at Damanhur Medical National Institute and Red Crescent center in Damanhur at Beheira Governorate. A descriptive research design was used. The subjects of this study included 320 purposeful pregnant women.
Tool I: Structured interviewing scheduale which contain three parts:
I: included Personal and general characteristics of the studied women.
II: included assessment of the previous obstetrical and medical history
III: included assessment of the current obstetrical and medical history.
Tool II: Health needs assessment sheet to assess rural teenage pregnant female unmet needs.
Tool III: Likert Attitude Scale to assess rural teenage pregnant female attitude regarding their unmet needs
The main results of this study revealed that:
66.9% The age of the studied sample is between 18-19 years old, and the average age of the studied teenage pregnant women is 18.02 ± 1.1 years old. Most of them 94.7% are married and 43.1% have secondary education. In terms of work, 89.4% of the participants did not have a job, and 47.4% hardly had enough income.
The most unmet need is ”exercise to do during pregnancy” 95.3%, followed by ”recognition of physiological changes during pregnancy” 90.3%, and then ”adequate rest during the day” 74.4%. Finally, 70.9% of the study of teenage pregnant women’s physiological needs were not met.
All the psychological needs were not met, except for the ”availability of psychological support provided by the medical team”, 31.3% of the research sample reports met the needs. In addition, the needs for ”avoidance of violence during pregnancy” and ”availability of husband’s psychological support” were not fully met 73.8% and 63.1%, respectively. The most unmet need is to ”recognize the normal psychological changes during pregnancy.” 95.3% and ”prepare for the role of mother.” 73.1%.
All research samples reported that all social needs have not been met, but the need to ”provide safe transportation for regular follow-up pregnancy” has not been fully met 70.0%. In addition, the most unmet needs were “participating in community activities in their free time.” 95.3% and “family members actively providing support when needed.” 77.2%.
93.7% of the research, the sample reported that all their needs were not met, and only 6.3% reported that all their needs were met.
91.0% of the studied sample had positive attitude concerning effect of their unmet needs on their over-all health and pregnancy out-come.
There are no correlation between physical needs, psychological needs, social needs, and attitudes.
Conclusions
The majority of the studied rural teenage pregnant female’s physical, psychological and social needs were unmet. Moreover, majority of the studied rural teenage pregnant female had positive attitude concerning effect of their unmet needs on their over-all health and pregnancy out-come.
Recommendations
Establish pre conception counseling program to meet rural teenage pregnant female needs.
Prenatal health classes should be implemented, at antenatal clinics and Maternal and Child Health centers, regarding teenage pregnancy and its consequences.
Development of tell communication mobile app for teenage pregnant female to improve their knowledge and attitude about their needs.