Thesis (MA (Psychology))--University of Stellenbosch, 2007. / This study aimed to determine whether there is a dominant discourse on motherhood in one semi-rural, low-income, Coloured community. It investigated the personal and individual meanings that this group of mothers attach to motherhood, and what they regard to be “good” or “bad” mothering practices. In exploring discourses the study also aimed at describing the prevailing values, assumptions, ideas, rules, fantasies and dreams concerning motherhood that prevail in the Kylemore community. The present study used data from a research project entitled the “Maternal Mental Health Project” (MMHP). The MMHP focuses on the psychological distress and resilience of low-income mothers residing in the community of Kylemore. The main focus of this larger study was extensive open-ended interviews with the women concerning their pregnancies, birth and motherhood experiences. All women reporting at the Kylemore clinic for prenatal and antenatal visits were recruited. These women were interviewed at four different points in time by the same interviewer, focusing on women’s experience of pregnancy, termination of pregnancy, birth and early motherhood. Approximately 90 women were interviewed (360 one-hour interviews) over a period of four years. Based on feminist social constructionist ideas, the current study utilised qualitative methodologies. The interviews were transcribed and then analysed according to social constructionist grounded theory. The main categories that emerged during coding revolved around what participants considered to be “good” or “bad” mothering practices. The findings clearly indicated that mothers in this community are able to both recognise and define desirable and undesirable practices of motherhood. The themes pertaining to “good” mothering focused around two central concepts: the contextual factors which determine good motherhood; and the qualities evident in a good mother. A “bad” mother was seen to be someone who was unconcerned about taking responsibility for her child, leaving this responsibility for others to fulfil. It is suggested that for many of these women, their aspirations of ideal motherhood are unrealistic and unattainable due to the social and economic circumstances in which they live. Women are thus effectively set up for failure, due to a discourse of “perfect” motherhood that seems impossible to achieve in these circumstances. This is exacerbated by the fact that “good” mothering and “bad” mothering are considered to be discrete and dichotomous categories, with no possible overlap between the two categories. It is suggested that psychologists working with low-income mothers should be involved in discussions about more realistic and less rigid discourses of motherhood, discourses that take contextual factors into account.

Dissertation submitted to the Faculty of Arts, University of the Witwatersrand, for the degree of Master of Arts. / This study evaluates the utility of a stress-coping paradigm for explaining differences in psychological adjustment to stress among duel-employed family members. Specifically, a model of stress was applied that encompassed a single stressful dual-employed family event, the degree of perceived stressfulness of this event, dual-employed family coping and five dimensions of personal adjustment (two work indicators, two family attitudes and one individual measure). This model was used to assess the mechanisms through which dual-employed family stress and coping are linked to psychological outcomes through two effects. first being the main effect which states that stress and coping have a uniform effect on well-being, independent of one another. The second being the moderator effect which says that coping moderates the impact of stressful episodes depending on the type, or degree, of stress encountered. Two procedures were applied for analysing data. Firstly, content analysis was applied to the single stressful life events measure and from this the existence of seven forms of dual-employed family stress were established, namely, occupational, domestic chore, child-care, role overload, marital, financial, and stressors arising from external systems encompassed under the label "other". Secondly, moderated multiple regression analyses were conducted to assess the relationship between each dependent, independent and moderator variable and provided statistical support for the operation of both main and moderator effects. This support, however, was found to vary according to context and level of stressfulness of the events. The limitations of the present study are noted as well as the practical and theoretical implications. Furthermore , the implications for future research on stress, coping and adjustment among dual-employed families are considered. / Andrew Chakane 2018

Thesis (M.Cur.) -- University of Limpopo, 2014 / The purpose of this study was to explore effects of teenage motherhood on the secondary education of the female learner. A qualitative research method and a descriptive, exploratory research design were adopted to undertake the study. Five one-on-one interviews were conducted and the data was analysed by using Tesch’s method of analysis. Three themes and nine sub-themes were generated from the analysed data. The research findings indicate that teenage motherhood does not have a negative effect on the ability of the learner to continue attending school, but also suggest that the various challenges experienced by the learner do have adverse effects on her school performance and ultimate decision to suspend school. There were other factors that influenced her academic performance and decision to continue or suspend school attendance; namely family support, experiences at school, as well as the cultural beliefs, traditions, and perceptions of the society she was living in. Key concepts: Teenage motherhood, effects, secondary education.

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)

Rationale: There is limited research available in South Africa that explores the breastfeeding experience among adolescent mothers; most of the studies were conducted in developed countries. One such study relating to the above mentioned developed countries stated that social and commitment factors influence the decision to breastfeed by adolescents. Furthermore, while adolescent mothers appreciate the benefits of breastfeeding, pain, public exposure and perceived complexities related to breastfeeding create barriers for them. The researcher was unable to ascertain if similar ambiguities exist among adolescent mothers in South Africa, and in the Eastern Cape (EC) in particular with its high rates of adolescent pregnancy. In order to attempt to develop age appropriate recommendations to assist adolescent mothers with their breastfeeding journey, the researcher undertook this research study to answer the following question: What are the breastfeeding experiences of adolescent mothers in the Nelson Mandela Bay Heath District (NMBHD)? Aim: The research aim was to determine the experiences of adolescent mothers regarding breastfeeding in NMBHD. Methods: The study implemented a qualitative research approach. To enhance the design, the researcher utilised an explorative, descriptive and contextual research design. The ethical principles that guided this study were autonomy, nonmaleficence, beneficence and justice. Fourteen adolescent mothers, attending PHC facilities in the NMBHD participated in the study. Participants were chosen from a purposive sampling technique and data were collected from semi-structured interviews, compromising of individual interviews. The researcher analysed the data using the using the eight steps of the Tesch analysis technique. Data was also analysed by an independent coder. Results obtained from the Tesch approach were compared to that of the independent coder results. Thereafter, the major themes and sub-themes that related to the study objectives were identified. Results: Three themes and 10 sub-themes were identified. Lack of knowledge and poor adherence to EBF, perceived breastmilk insufficiency, as well as incorrect infant feeding advice given by maternal mothers and grandmothers were associated with early introduction of complementary feeding. Most participants were motivated to breastfeed due to its economic and bonding benefits, as well as seeing their infant‟s progress in growth. Challenges of breastfeeding mentioned by the participants include: lack of support from the fathers of their infants and from health care providers, breast milk leakage, and the foul smell associated with the leaking of breast milk. The participants of the study also had suggestions to help improve the support given to adolescent mothers by health care providers in PHC facilities. Conclusions and recommendations: In conclusion, this study‟s findings revealed that adolescent mothers may need extra age appropriate education and support to assist them in breastfeeding successfully at PHC facilities, the community and schools. Maternal mothers and grandmothers were found to be the primary source of a support network for most adolescent mothers as opposed to health care providers who were categorised as being the secondary source of support. Thus, breastfeeding promotion tailored at maternal mothers and grandmothers would be beneficial in improving their knowledge about the recommended infant feeding practices and consequently aid in providing appropriate support and advice to adolescent mothers. Additionally, training and attitude modification of health care providers is needed to provide adolescent mothers with age-appropriate, effective and sensitive care and counselling.

The aim of this qualitative research study is to develop insights into the dynamics involved in work- family conflict, balance and coping strategies. The study explores the experiences of seven professional women, who are also mothers, employed in professional work positions in Grahamstown. The research is interpretive in nature as it aims to explore the conflicts experienced by the professional mothers in balancing their competing roles. The study focused on the demands that these women face and the coping strategies that these working mothers develop and use, in order to balance their career aspirations as well as their family responsibilities. It set out to explore the women’s perceptions of work- family conflict and the extent to which they experience it, further examining the compromises that the women have had to make and possible feelings of guilt or regret that they may have experienced. The findings indicated that this balance is sensitive to many facilitating and hindering factors. The participants revealed that they experience work- family conflict, and that the experience of it has largely to do with the guilt of not spending enough time with their family. Another significant finding was that the women expressed their coping strategies as being organised; forming a line between work and family life as well as employing domestic workers. The women further stated that there are constant compromises that have to be made to fit in the multiple roles, and that feelings of guilt and/or regret do set in at times.

Thesis (M.Ed. (Curriculum Studies)) -- University of Limpopo, 2020 / The aim of this study was to explore perceptions of learners on the effectiveness of socio-economic intervention strategies in Mawa area, Mopani District in Limpopo Province. The study sought to investigate the effectiveness of socio-economic intervention strategies and to find out from learners other ways that can help in reducing teenage pregnancy. Six learners from three secondary schools between the ages of 14 and 19 were sampled. Data was collected using in-depth interviews to allow the researcher a platform to ask open-response questions and to explore learners’ perceptions of the effectiveness of socio-economic intervention strategies. The data was analysed thematically by carefully identifying and expanding significant themes that emerged from the participants’ perceptions of the effectiveness of socio-economic intervention strategies for teenage pregnancy. The study revealed that socio-economic intervention strategies for teenage pregnancy are not effective in rural areas of Mawa, Mopani District in Limpopo Province and as such, there is a greater need for parenting education in the province. The study recommends that priority be given to employment as well as women empowerment in the province; and that religious organisations, community leaders and teachers should work together and harder to educate their children about sex and teenage pregnancy. The study further recommends that government should fund researchers to be placed in rural areas so that they can study the culture and socio dynamics (economic structures) in different rural communities. In this way, they will be able to recommend intervention strategies and solutions that are in line with the challenges faced by teenagers in those communities.

Thesis(M.A. (Psychology)) -- University of Limpopo / Early motherhood has been associated with negative biological and social outcomes in the developing world of the teenage mother and child. The study sought to explore the psychological health of teenage mothers from selected secondary schools in Seshego Township, Limpopo Province. Generally, the study makes use of a comparative design and 120 participants were selected for the study consisting of 60 teenage mothers and 60 teenage non-mothers. The psychological health of teenage mothers was compared to the psychological health of teenage non-mothers. The study made use of the 28-item General Health Questionnaire (GHQ) with only three demographic questions, which was given to both teenage mothers and teenage non–mothers. The results of the study show that there was no significant difference in the psychological health of teenage mothers and teenage non–mothers. Results also showed that there was no significant difference on the sub-scales of somatic symptoms, anxiety and insomnia, social dysfunction and depression. Results of teenage mothers were compared to one another, and this comparison also showed that there was no significant difference within this group. Also results on age, grade and family structure showed no significant difference between the two groups compared to one another. Given the literature that exists worldwide showing that teenage motherhood can have negative impacts on mothers, particularly social and economic, but also physical and psychological health, it is clear that further research in this area needs to be conducted.

Submitted in fulfilment of the requirements of the Degree of Master of Technology: Biomedical Technology, Durban University of Technology, 2013. / The purpose of the study was to evaluate knowledge and effects of Haemolytic Disease of the Newborn (HDN) in postnatal women from the Umgungundlovu District. Although the prevalence of HDN has declined because of prophylaxis from 45 cases per 10,000 births to 10.2 cases per 10,000 births but it is still a cause of infant and neonatal morbidity and mortality. The effects of the disease range from jaundice, kernicterus and in severe cases death. Methodology : An interviewer-administered questionnaire was used to obtain information about the knowledge and effects of HDN amongst postnatal women. The incidence rate was calculated using the number of cases that were found divided by the total number of deliveries during the study period. A total of 300 women were interviewed. SPSS version 19.0 was used to analyse data. Findings : Fifteen (15) of the 300 women had babies with confirmed HDN and only four of the 15 (26%) women had knowledge of HDN. Two hundred and eighty five women had babies with jaundice but were not affected by HDN and, of these women, 12 (4.2%) of them knew what HDN was. Overall, only 16 (5.3%) knew what HDN was. All 15 women who had babies with HDN indicated financial and emotional effects because of HDN. The total incidence was 0.09% for the first 12 months of the study period. Conclusion : Postnatal women with jaundiced babies lack knowledge of HDN and HDN has financial and emotional effects on these women. Although the incidence rate of HDN was found to be even smaller than previously reported, it still exists and threatens the lives of infants and neonates.

Thesis (MScMedSc)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Despite the decreased rate of HBV horizontal transmission in South Africa (SA) due to the HB vaccine, the risk of perinatal transmission remains of concern, especially in HIV/HBV co-infected women. Loss of HBV immune control, resulting in higher HBV replication and thus increasing the risk of transmission is described in HIV/HBV co-infected women. Chronic hepatitis is a well-recognized risk factor for hepatocellular carcinoma (HCC). The presence of specific HBV mutations has been reported in chronic and HCC patients and is used in algorithms for the prediction of HCC in CHB patients in Asia. While these mutations are extensively described in male patients, little is known regarding the antenatal and paediatric populations. This study aimed to determine the prevalence of HBV infection in HIV-exposed infants and to investigate the presence of HCC-related mutations in pregnant women and HIV-exposed children in SA. Residual samples of infants born to HIV-infected mothers were collected from the P1041 study previously conducted in SA. HBV markers (HBsAg, anti-HBs and anti-HBc) were tested on the Architect (Abbott). HBsAg positive samples were tested for HBV DNA to determine HBV viral loads. HBV strains were characterised by sequencing of the HBsAg gene and genotypes were determined by phylogenetic analysis using HepSEQ (www.hepseq.org.uk). For the HCC-related mutations investigation, samples and data were collected from three HBV-related studies: the NHLS Paediatric Study, an Antenatal Study and the current study. Pre-S, basal core promoter (BCP) and pre-core data was collected from all samples. Multiple alignments were formed and the nucleotide sequences of these extracts were translated into protein sequences. These protein sequences were compared manually to the HBV reference genes to identify HCC-related mutations. Of 850 HIV-exposed infants tested, three infants were positive for both HBsAg and HBV DNA. Two samples show evidence of past, but cleared HBV infection. Sequence analysis showed that the infants were infected with a subgenotype A1. At follow up, only one infant and mother were able to be traced and contacted. The infant was HIV-infected and had been on an ART regimen, including lamivudine for two years. HBV testing showed that the infant was HBsAg positive and had an undetectable viral load. Core sequence analysis showed clustering between mother and infant sequences. Transmission of mutant HBV previously associated with HCC prompted the question of what the prevalence of mutations in the antenatal and paediatric population is. In this investigation of HCC-related mutations study, a higher prevalence of combined pre-S, BCP and pre-core mutations was found in HIV-infected as compared to HIV-uninfected women. This study shows that vertical transmission is occurring in HIV-exposed infants in SA despite HB vaccination. Data described in this study suggests the importance of HB vaccination closer to the time of birth in SA. Moreover, data on the higher prevalence of HCC-related mutations in HIV-infected pregnant women provide a background for further longitudinal studies to confirm these findings and their implications in SA. / AFRIKAANSE OPSOMMING: As gevolg van die beskikbaarheid van die Hepatitis B virus (HBV) entstof , het horisontale transmissie van die virus drasties in Suid-Afrika (SA) verminder. Ten spyte hiervan, is daar steeds ‘n hoë risiko van perinatale transmissie van swanger vroue na hulle babas, dit word veral gesien met MIV/HBV positiewe vroue. Dit is wyd beskryf dat vroue wat mede-besmet is met MIV/HBV gewoonlik beheer verloor oor hulle immuunstelsel, wat lei tot ‘n hoër mate van HBV replikasie en dus ‘n hoër risiko van virus oordrag. Kroniese hepatitis is wel bekend as ‘n hoë risiko faktor vir HCC. Die teenwoordigheid van spesifieke HBV mutasies in kroniese en HCC pasiënte word alreeds in Asië gebruik in sekere algoritmes en formules om infeksie aan te dui en te voorspel. Hierdie mutasies is omvattend beskryf in manlike pasiënte, maar baie min is bekend in voorgeboorte en pediatriese gevalle. In hierdie studie het ons die teenwoordigheid van HCC-verwante mutasies in swanger vroue en MIV-blootgestelde kinders in Suid-Afrika ondersoek. Monsters is verkry van babas gebore van MIV-positiewe moeders van die P1041 studie wat voorheen in SA gedoen is. Die HBV merkers (HbsAg, teen-HBs en teen-HBc) was op die Architect (Abbott) getoets. HBsAg positiewe monsters was getoets vir HBV DNA om die virale lading te bepaal. Die verskeidenheid HBV stamme was gekarakteriseer deur die virus se nukleïensuur volgordes te bepaal. Die verskillende genotipes is bepaal deur filogenetiese analises te doen met behulp van die HepSEQ (www.hepseq.org.uk) program. Vir die HCC-verwante mutasie studie is monsters en data vergelyk met 3 HBV-verwante studies: die NHLS pediatriese studie, ‘n voorgeboorte studie en hierdie spesifieke studie. Voor-S, basale kern promoter en voor-kern data was van alle monsters bekom. ‘n Veelvoudige belyning was gedoen met die nukleïensuur volgordes van die verskeie DNA ekstrakte, wat daarna vertaal is in proteïen volgordes. Hierdie proteïenvolgordes translasie was by hand vergelyk met verwysings gene om die relatiewe HCC mutasies te probeer identifiseer. Van die 850 blootgestelde MIV babas wat getoets is, het 3 positief getoets vir beide HbsAg en HBV DNA. Twee monsters het bewys van verlede , maar vrygestelde HBV infeksie. Data analise bewys dat die babas met subtipe A1 besmet was. Ons kon slegs een moeder en baba paar opvolg en kontak vir verdere toetse. Die baba was MIV-positief en was op antiretrovirale behandeling , insluitend lamivudine, vir ten minste 2 jaar. HBV toetse het gewys dat die baba HbsAg positief is en ‘n onopspoorbare virale lading gehad het. Kern nukleïensuur volgorde analise het groepering getoon tussen die ma en baba se virus monsters . Die transmissie van die mutante HBV wat geassosieer is met HCC het gelei tot die vraag wat die voorkomssyfer is van hierdie spesifieke mutasies in die voorgeboorte en pediatriese populasies in SA. In hierdie studie het ons ‘n hoër gekombineerde voorkomssyfer gevind van die voor-S, basale kern promoter en voor-kern mutasies in MIV-positiewe vroue, in vergelyking met MIV-negatiewe vroue. Hierdie studie bewys dus dat vertikale transmissie van HBV in blootgestelde MIV babas steeds plaasvind, ten spyte van HBV inenting. Die data wat in hierdie studie beskryf was dui daarop dat die belangrikheid van HBV inenting nader aan die tyd van die geboorte in SA gegee moet word.As gevolg van die hoë voorkomssyfer van HCC-verwante mutasies in swanger vroue, is daar verdere longitudinale studies nodig om hierdie bevindinge en hul implikasies in SA te bevestig.