This study utilized a qualitative research methodology to examine the perspectives of six subjects, three married couples, choosing abortion to terminate unwanted pregnancies. The subjects were interviewed a few days after the abortion and six weeks after the abortion for a total of 12 hours. The researcher transcribed the interviews and observer's comments written throughout the interview process. The data were qualitatively analyzed to gain an understanding of (a) the factors which contributed to the unwanted pregnancies; (b) the process by which the couples Chose abortion to terminate the unwanted pregancies, (c) factors which contributed to the decision; (d) factors surrounding the abortion procedure; and (e) factors which predisposed the couples to different kinds of post-abortion reactions. This analysis indicated that inconsistent birth control usage was but one factor in the unwanted pregnancy. decision to abort the unwanted pregnancy created relationship conflicts because each subject had different ideas and needs in regard to managing the unwanted pregnancy. Although all of the subjects expressed relief after the abortion procedure was completed, they also expressed feelings such as guilt, sadness, and a sense of loss. All of the couples in the study experienced relationship stress, and discussed relationship issues in the interviews. More concern was verbalized about the relationship than the abortion for the couples in the study. Two of the couples expressed a commitment to making personal changes to improve the marital relationship. For the married couples in this study, the decision to terminate the unwanted pregnancy and abortion mirrored the decision-making and conflict resolution process utilized by the couples in other situations.

The introduction of the Termination of Pregnancy Act, No. 92 of 1996 was welcomed by pro-choice groups but it did raise strong opposition from pro-life groups. The pro-life/pro-life dichotomy reflects the polarization of extreme views and forms the basis of the intense abortion debate with little opportunity to reconcile the views. Although abortions are common in South Africa, not many studies have explored the experiences of women, men and health professionals related to abortions. This study aimed at fulfilling this gap. Adopting a qualitative paradigm and a feminist research design, it explored the psychosocial, religious and ethical considerations which affect women’s decision-making, and men’s and health professionals’ views on abortion. Analysis of the data was carried out by means of critical discourse analysis and presented according to several themes. The data challenges the conventional pro-life/pro-choice dichotomy. Despite deciding on the abortion, the language used by the women reflected decidedly pro-life views. None of them expressed the view that abortion was right. Their narratives reflected various structural conditions that pushed them into making the abortion decision. Despite living in a predominantly pronatalistic world, society generally prescribes the ideal conditions under which pregnancy and childbirth should occur. Thus pregnancy outside of the institution of marriage is frowned upon. Circumstances resulting from dominant pronatalistic and patriarchal discourses and practices that have made women unequal partners in society, force women to opt for decisions such as abortion. While the focus is on the fulfilment of women’s rights, from an individual liberal perspective, there is a general failure to appraise the structural conditions that fail women, thereby rendering women’s choices to be constrained by their social and financial circumstances. Based on the results of the study proposals are made with regard to future research on abortion, and policy and practice. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2013.

Much of the research on abortion is concerned with determining women’s psychological outcomes post-abortion. There is a small, but increasing, body of research around women’s experiences of abortion (conducted predominantly in Scandinavian countries where abortion laws are liberal). However, research around the decision-making process regarding abortion, particularly research that locates the decision to have an abortion within the economic, religious, social, political, and cultural aspects of women’s lives and that looks at women’s narratives, is virtually non-existent. Drawing on Foucauldian and feminist post-structuralism as well as a narrative-discursive approach, this study sought to explore women’s micro-narratives of the abortion decision-making process in terms of the discourses used to construct these micro-narratives and the subject positions made available within these discourses. This study also sought to determine whether the power relations referred to by participants contributed to unsupported and unsupportable pregnancies and the implications this had for reproductive justice. Purposive sampling was used to recruit a total of 25 participants from three different abortion facilities in the Eastern Cape. Participants were ‘Black’ women, mostly unemployed and unmarried with ages ranging between 19 and 35 years old. In analysing and interpreting participants’ narratives, the picture that emerged was an over-arching narrative in which women described the abortion decision as something that they were ‘forced’ into by their circumstances. To construct this narrative, women justified the decision to have an abortion by drawing on discourses that normalise certain practices located within the husband-wife and parent-child axes and make the pregnancy a problematic, unsupported and unsupportable one. Gendered and generational power relations reinforced this and contributed to the denial of reproductive justice

M.Ed. / After the legalization of abortions (Number 92 of 1996), the question that arose was: How does the adolescent girl experience the abortion she underwent? This question is also seen against the background of the adolescent's developmental phase and development tasks. To ascertain the adolescent girls' experience I made use of a research design that is qualitative, explorative, descriptive and contextual of nature. This research took place in two phases: In Phase one, in depth phenomenological interviews were conducted. In Phase two, I made use of logical inference to generate guidelines for educational psycologists and healthworkers who were to counsel the girls who had undergone abortions. The experiences of the adolescent girls can be divided into three dimensions, namely the physical, psychological and spiritual dimension. The guidelines that were set, are as follow: Giving of information before, during and after the abortion; Counseling for lifeskills, namely decision making, management of conflict situasions and the verbalisation of emotions; Counseling adolescent girls to develop a more positive self-image and the handling of feelings of guilt.

This practicum intends to explore the motivational factors behind repeat abortions. The underlying assumptions of this study include: (1) women have abortions; (2) women have repeat abortions. Based on these assumptions, the two research questions are (1) are there significant factors in the causation of repeat abortions, and (2) what are the implications regarding the lack of information and service to women which have a direct relationship to repeat abortions.

This evaluation was undertaken because of an interest by the authors in the abortion program at the Medical School. Interest in the emotional status of patients receiving abortions was aroused while working in a field placement at the Medical School through the Portland State University School of Social Work. With the consent and assistance of the Obstetrics-Gynecology Department and the Director of Social Services, this study was initiated with the hope that it would be a step toward providing an over-all and continuing assessment of information about the women receiving abortions. The researchers’ particular area of interest concerned the characteristics of emotional depression as they relate to the abortion process. A decision was made that this study would concentrate on gathering data in relation to three aspects of the sample: To describe the sample through demographically terms and attitudes; To describe the amount of depression the women have prior to receiving the abortion; To determine if some circumstance or attitudes have a correlation with the amount of depression of the women.

A period of ten years has elapsed since the Choice on Termination of Pregnancy Act came into effect. Little has been done in South Africa to investigate public discourses concerning termination of pregnancy since the implementation of the Act. The social context and the quality of available support systems determine the outcome of the women’s feelings after the abortion. Knowledge about the social context is important, as it will help to understand the complexities and nuances of abortion. The aim of the research is to explore public discourses on Choice on Termination of Pregnancy (CTOP), and the potential implications of these discourses on the use of the CTOP service. The sample consisted of 23 black isiXhosa-speaking participants from the rural area of the Eastern Cape Province in South Africa. Four focus groups coming from different age groups (between the ages 18 and 52) with both men and women participated in the study. Fictitious vignettes that tap into two different scenarios regarding abortion based on women’s stories were used. Discourses that emerged from people’s text are explained, described and interpreted through a discourse analysis. Since the study was interested in public discourses it led to the discovery of 17 interpretative repertoires as follows: social stigma, abortion equated to murder, degradation of society, pregnancy as an irresponsible act, conditional acceptance, TOP in the context of marriage, future potentiality invested in the foetus, dehumanizing foetus into a clot, shared decision making responsibility, gender dynamics interpretative repertoire, negative post abortion consequences, the scolding versus the supportive nurse interpretative repertoire, alternatives interpretative repertoire, rights versus no responsibility interpretative repertoire, more knowledge needed, male and female or generational differentiation repertoire, and the positive effects repertoire. Abortion is opposed on religious and cultural grounds. TOP has been legalized in South Africa but with this a debate and conflicting views have arisen. These variations in people’s discourses may limit access to TOP for women who need the service.

M.Cur. (Psychiatric Nursing) / Termination of pregnancy is now legal in South Africa, bringing with it issues that have never before had to be addressed. Nobody denies that termination of pregnancy has an effect on women, but very few people realise that termination of pregnancy also has an impact on men. The study tells the story of a few adult biological fathers who accompanied their partners to the various identified clinics in Gauteng for a termination of pregnancy. The goal of this study was to: Explore and describe how single adult biological fathers experienced the termination of pregnancy his partner had. Describe guidelines for the advanced psychiatric nurse practitioner to support adult biological fathers to mobilise their resources and promote their mental health as an integral part of health. The paradigmatic perspective of this study was guided by the Theory for Health Promotion in Nursing (Rand Afrikaans University, Department of Nursing Science, 1999:2-15), which reflects the focus on the whole person. A functional approach was followed (Botes, 1991 :2) based on the model for nursing research developed by Botes (1995:6). The design of the study utilised is a qualitative, descriptive, exploratory and contextual design (Mouton & Marais, 1994:43-44,51) using in-depth, semi-structured, phenomenological interviews as a method of data collection. Field notes were also taken after the completion of each interview, while prior to this permission was obtained from the various identified private clinics in Gauteng where this study was conducted, as well as from the adult biological fathers who voluntarily participated in this study. The results of this study were tabulated according to categories and themes. The first theme identified the powerlessness the adult biological fathers experienced related to the inability to have a choice in the process of the termination of pregnancy. The second theme told of the emotional turmoil experienced by the adult biological fathers related to the impact of the decision on interpersonal and intra-personal relationships. The third theme identified the psychological defence mechanisms the adult biological fathers used as a way of dealing with the stressful effects of the termination of pregnancy.

This research examines men’s talk around abortion using critical discourse analysis. Current literature indicates a dearth of studies addressing the topic of men and abortion in various domains. An understanding of men’s relationship to abortion, however, is crucial to understanding abortion as a social phenomenon. This study utilises the work of Foucault around discourse and power, as well as Butler’s work on gender to create a theoretical framework to approach data. Data were collected in the form of interview groups made up of men, as well as newspaper articles and on-line forum discussions that featured men as the author. What emerged from theses texts was a ‘Familial Discourse’ which posits the nuclear, heterosexual family as a long term relationship between a mother and father, which forms the ideal site to raise children. Discourses that support the family are a discourse of ‘Equal Partnership’ which establishes the man and the woman as being in a heterosexual relationship where each partner is seen to have equal power, and a discourse of ‘Foetal Personhood’ which constructs the foetus as a child in need of a family. Related to the heterosexual matrix, the formation of a family unit comes to be constructed as ‘natural’. Abortion acts as a disruptor to these discourses. By disrupting the formation of the family unit, abortion negatively affects the individuals involved. A relationship where a formation of a family unit was disrupted cannot survive. If the female partner has an abortion without her partner, it is seen as disrupting the equal partnership between the man and the woman. Men in this case see themselves as ‘powerless’ compared to women. From this point a ‘New Man’ discourse emerges, where men position themselves as loving and responsible in the context of a nuclear, heterosexual family unit. Abortion disrupts ‘Foetal Personhood’ and is constructed as murder. In the case of rape the ‘Familial Discourse’ can be invoked either to justify abortion or resist abortion, based on whether or not a family unit can be formed. These discourses reproduce patriarchy.

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)