Disproportionately large numbers of infants showing atypical growth patterns are reportedly born to young mothers. Infants with these atypical growth patterns consistently show differences in measures of infant state. The purpose of this study was to examine the relation between maternal age and infant state. The behavioral state of 61 newborn infants was rated at 30-sec. intervals using Thoman's (1975) state scale during a one-hour observational session. The total number of epochs in quiet sleep, active sleep, alert, transitions from quiet sleep to active sleep, transitions from active sleep to quiet sleep, and the range of states for each infant were regressed on maternal age in an attempt to demonstrate a quadratic relation between infant state and maternal age. The regression analysis showed that maternal age could not predict any of the state measures. However, in this study, maternal age and poverty were confounded. An overrepresentation of biomedical risk factors may have concealed differences in infant behavioral state. Exploratory regression analysis did not provide a meaningful interpretation of the relation between the biomedical risk factors and infant state measures. However, this study provides indirect support for the hypothesis that atypical patterns of fetal growth in infants born to adolescent mothers may be explained, in part, by a decreased net availability of nutrients resulting from the mothers growth needs and the growth needs of her fetus. / M.S.

The United States teen birth rate has been declining since 1991, but the teen pregnancy rate remains one of the highest in the developed world outside the former Soviet Bloc. There is no current national strategy to implement comprehensive sexuality education in schools, and states have varying sex education and abortion policies. There are various effective programs designed to prevent teen pregnancies that share common characteristics of effective programs. Given the widespread reach and number of users, YouTube has the potential to be an education resource for teen pregnancy prevention. At the time of this study, there were no studies describing the content of videos that relate to teen pregnancy. This study is intended to fill this gap in the literature. YouTube was searched with the key words “teen pregnancy,” and the results were sorted by view count. The most widely viewed 100 videos meeting inclusion criteria were included in the study. The most widely viewed videos received 434,423,558 cumulative views. These videos were coded for their source, format, and the inclusion of content variables. The content variables were also organized to fit Kirby’s model of characteristics of effective programs. The majority of videos were sources and formats that depicted teens’ experience with pregnancy, including documentaries, reality TV programs, talk shows, and vlogs uploaded by consumers. Notably, there were no videos uploaded by professionals. The content most covered in the videos were the pregnancy outcome, how the teen mother found out she was pregnant, the teen mother’s reaction to the pregnancy, and the involvement of various family members. YouTube is an opportunity to reach a larger number of viewers, but the teen pregnancy videos in the study are missing key elements of teen pregnancy that are present in the literature, like the relationship between poverty and teen pregnancy, teen abortion rates, and repeat pregnancies. The videos were also lacking in elements of Kirby’s characteristics of effective programs. Recommendations for health education practice include the need for professionals to utilize the true stories of teen pregnancies and popular influencers to create engaging, accurate content.

The purpose of this study was to explore relationships between pregnant teens' use of alcohol before and during pregnancy and several personal and social variables, including the wantedness of the pregnancy, support of the pregnancy by significant others, pregnant teens' reasons for drinking, the context of their drinking, and the use of alcohol by significant others. This information is needed to plan and evaluate effective prenatal education and intervention programs related to the use of alcohol during pregnancy. Such programs are important in light of increasing numbers of pregnant teens, the number of female adolescent drinkers, and findings about the effects of moderate and binge drinking on fetal development. Subjects consisted of 14 to 19 year old patients of the High-Risk Ob/Gyn Clinic at Roanoke Memorial Hospitals. These patients were predominantly low income urban and suburban teens, with some referrals from areas outside Roanoke City and County. Subjects responded anonymously to a written questionnaire. One-fourth of the subjects were classified as drinkers according to their binge drinking before and during pregnancy. Higher percentages of drinkers than abstainers were white, married, had been pregnant at least once in the past, and intended to become pregnant. Proportionately fewer drinkers indicated religious preferences or attended church services on a regular basis. Drinkers were more likely to smoke and smoked more than abstainers. Personal effects reasons for drinking, consumption in settings where adults were not present, and weekly consumption by peers and boyfriends/husbands were reported by significantly higher percentages of drinkers than nondrinkers. Wantedness and support of significant others were significantly related. Knowledge of the potential harm that all types of alcoholic beverages pose to fetal development was reported by over 70% of the sample. Key sources of knowledge about alcohol and fetal risk were subjects' mothers, pamphlets or books, school health class, the RMH Clinic and television. Boyfriends were also a key source of information for drinkers. Implications of these findings for clinical and educational practice are discussed. / Ed. D.

The aim of this study was to explore the psychological effects of termination of pregnancy by choice amongst adolescents within the ages of 18 to 21 years. Exploratory, contextual, qualitative design was used to determine the psychological effects of termination of pregnancy by choice amongst adolescents. Purposive sampling method as well as snowballing were used to select participants for the study. Data collection was done through in-depth, one-on-one, face-to-face interviews, using a semi-structured interview guide. The study highlighted that adolescents who seek abortion are unmarried and mostly still studying. The results revealed that adolescents experience mental ill health after termination of pregnancy due to feelings of guilt. All participants stated that abortion is murder of a life person and that it is a bad thing to do. The study revealed that counselling that is done before TOP focuses on the procedure of TOP. There is need for a holistic approach to counselling. As a guide, policy makers need to specify the mandatory counselling in the Choice on Termination of Pregnancy Act (Act No 92 of 1996). / Health Studies / M.A. (Nursing Science)

M.A. (Research Consultation) / Adolescent and sexual reproductive health has been identified as among the most important health and development priorities by the South African development (Department of Health, 1995; African National Congress, 1994). The South African government, like many governments in the sub-Saharan region view with concern the region’s rapid population growth and high birth rates particularly among adolescents. This study investigated the perceptions of young mothers regarding teenage pregnancy. Eight participants who live in Vredendal, a predominantly Coloured area in the Western Cape Province of South Africa, were selected for interviewing using convenient sampling. Transcripts of unstructured interviews were analysed using thematic content analysis. The findings of the study suggest that young mothers initially perceive teenage pregnancy negatively. These perceptions progressively changes to a positive one. Furthermore, the results indicate a limited awareness of available preventative interventions. Results further show participants tend to experience their relationships with significant others as positive. / Psychology

Preventing teenagers’ pregnancies and improving teenagers’ reproductive health are important as pregnancies in teenagers still represent an important health challenge in Cameroon. The purpose of this dissertation of a limited scope was to describe the perception of peer educators who underwent the ‘100% young’ peer education training and the effect it had on their own sexual behaviour. A qualitative descriptive, explorative and contextual research design was conducted. Data collection was done using in-depth interviews. Fifteen peer educators were purposively selected. Two questions were asked namely; please describe how you perceived the peer education training that you underwent and, describe how this training affected your own sexual behaviour. Findings revealed that participants had a positive education experience, positive personal growth and for many, that was enough to become mentors for their peers and build awareness. Recommendations propose that interventions such as the ‘100% young’ are urgently required to prevent teenage pregnancy. / Health Studies / M.P.H.

Adolescent and sexual reproductive health has been identified as among the most important health and development priorities by the South African development (Department of Health, 1995; African National Congress, 1994). The South African government, like many governments in the sub-Saharan region view with concern the region’s rapid population growth and high birth rates particularly among adolescents. This study investigated the perceptions of young mothers regarding teenage pregnancy. Eight participants who live in Vredendal, a predominantly Coloured area in the Western Cape Province of South Africa, were selected for interviewing using convenient sampling. Transcripts of unstructured interviews were analysed using thematic content analysis. The findings of the study suggest that young mothers initially perceive teenage pregnancy negatively. These perceptions progressively changes to a positive one. Furthermore, the results indicate a limited awareness of available preventative interventions. Results further show participants tend to experience their relationships with significant others as positive. / Psychology / M. A. (Research Consultation)

The aim of this study was to explore the psychological effects of termination of pregnancy by choice amongst adolescents within the ages of 18 to 21 years. Exploratory, contextual, qualitative design was used to determine the psychological effects of termination of pregnancy by choice amongst adolescents. Purposive sampling method as well as snowballing were used to select participants for the study. Data collection was done through in-depth, one-on-one, face-to-face interviews, using a semi-structured interview guide. The study highlighted that adolescents who seek abortion are unmarried and mostly still studying. The results revealed that adolescents experience mental ill health after termination of pregnancy due to feelings of guilt. All participants stated that abortion is murder of a life person and that it is a bad thing to do. The study revealed that counselling that is done before TOP focuses on the procedure of TOP. There is need for a holistic approach to counselling. As a guide, policy makers need to specify the mandatory counselling in the Choice on Termination of Pregnancy Act (Act No 92 of 1996). / Health Studies / M.A. (Nursing Science)

This study was undertaken in order to determine how black teenage primigravidae in the Umlazi area of KwaZulu perceived their pregnancies. This was an exploratory study. An interview schedule was used to elicit information from the primigravida teenagers concerned. One hundred and sixteen primigravida teenagers were interviewed. The sampling frame stretched over 6 antenatal clinics at Umlazi. This study revealed that most primigravida teenagers stand in need of consideration from health professionals of the comprehensive health services. / Health Studies / M.A. (Nursing Science)

This research report is submitted to the School of Social Sciences at the University of the Witwatersrand, Johannesburg in partial fulfilment of the requirements for the degree of Master of Arts in the field of Demography and Population Studies for the year 2016, September 2017 / Background: South Africa has some of the most progressive legislation when it comes to sexual and reproductive health rights. However, contraceptive use amongst this segment of the population group remains distorted. From a public health perspective, investing in the sexual and reproductive health needs of young people translates into an improvement in the sexual health status of the population at large. As such this paper makes use of the Health Belief Model to investigate the factors associated with the choice of type of contraceptive methods used by sexually active young women to prevent a pregnancy. Methodology: Data for this study was obtained from Wave 2 of the Transitions to Adulthood survey. The weighted sample size is 464. Analysis on the weighted data was conducted in STATA 13.1 in survey mode in order to achieve the objectives of this study. Descriptive statistics were used to analyse the data at the univariate level. The Chi-squared test was conducted to examine the relationship between the variables under investigation and the outcome, contraceptive use. The multinomial logistic regression model was used to analyse the data at the multivariate level. The results of which were provided in terms of relative risk ratios. Findings: Approximately 41% of sexually active young women in KwaZulu Natal did not use contraception to prevent a pregnancy with their most recent sexual partner. Results from the multinomial logistic regression model revealed that sexually active young women who were single were 77% less likely to make use of hormonal and other contraceptive methods to prevent a pregnancy compared to their who were counterparts in a relationship (p-value= 0.00001). Young women who have been pregnant at least once were approximately 60% less likely to utilise hormonal and other contraceptive methods to prevent a pregnancy with their most recent sexual partner. Conclusion: By using the Health Belief Model as a theoretical basis this study highlighted the complex non-linear relationships between the variables selected to constitute the health beliefs as well as the health-related behaviour of contraceptive use. The findings of this study demonstrate two key realities related to contraceptive use of sexually active young women in KwaZulu Natal. Firstly, relatively low rates of contraceptive uptake. Secondly, amongst sexually active young women who utilised contraception, there are even lower usage rates of long-acting reversible contraceptive methods. As such, it is important for healthcare facilities in KwaZulu Natal and South Africa at large to support young women in their decision to protect themselves from unintended pregnancies and from infections of HIV and others STIs. / XL2018