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For many adolescents, motherhood is unplanned and so requires exceptional resilience. This was a key finding in a study of
46 Jamaican pregnant adolescent mothers attending antenatal clinics in Jamaica. Of the 30 adolescents who participated in
individual interviews, 7 cases were referred for counseling due to their need for emotional and psychological support. One of
the adolescents reported recent sexual violence and another reported having experienced childhood sexual abuse. In addition,
2 cases of suicidal ideation or attempts were identified. Amongst the 2 focus groups, the 16 participants provided insights into
their experience following contact with the healthcare system and environment in which they lived. For these young mothers,
pregnancy may follow experiences of reproductive coercion, violence, poor social support and limited access to reproductive
health information. Yet, most of the mothers were able to overcome social challenges, become future oriented and demonstrate
resilience. The venue in which maternity care is provided can help to support social capacity and resiliency in these young
mothers. This paper proposes a model of care delivery informed by Antonovsky�??s Sense of Coherence framework and provides
psychological counseling, access to activities that build agency and decision-making, and the provision of respectful, culturally
safe care by engaged healthcare providers.
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