Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009. / Full text also available online. Scroll down for electronic link.

Post-abortion support groups are a new sub-movement or strategy of the broader anti-abortion movement that provide support to women who understand their prior abortions as problematic. These groups construct abortion as a form of trauma that causes post-abortion syndrome (PAS), a broad array of negative mental health and behavioral problems similar to post-traumatic stress disorder. Although these claims are not substantiated by empirical evidence, claims that abortion causes PAS are increasingly featured in the public domain to bolster national anti-abortion claims that abortion represents a public health issue. A majority of PAS support groups are offered by crisis pregnancy centers (CPCs) affiliated with one of two national pregnancy resource centers whose approach to healing from abortion reflects the increased presence and influence of evangelical women in the CPC movement. The increased presence of evangelical women in the CPC movement is reflected in the growing influence of conservative Christian beliefs in the support services offered by CPCs in general and PAS groups specifically. This research examined a PAS group in Mississippi sponsored by an evangelical CPC affiliated with Care Net, a national pregnancy resource center, to understand the motivations of women who participate in a PAS group, how PAS group participation shapes participants’ understandings of abortion to conform to broader anti-abortion claims that abortion is a public health issue, and how PAS claims are diffused into the public domain. To discern the relationship between PAS groups and broader anti-abortion claims, I analyze state and national media coverage of the 2011 Mississippi political campaign in which voters overwhelmingly defeated a constitutional amendment to pass a personhood amendment to confer legal status to the fetus. Together these analyses show how evangelical groups are working through legislative and individual-level processes to shape the abortion debate and climate in contemporary American society.

Philosophiae Doctor - PhD / The prevention of abortion related complications and mortality is dependent on the availability, accessibility and usability of emergency post-abortion care (PAC) throughout the health care system. Unfortunately, abortion is not legal in Nigeria and Nigerian women, especially adolescents, are often unable to obtain adequate post-abortion care services due to a variety of reasons. A review of literature shows that adolescent PAC patients receive worse care than older women seeking PAC services. There is widespread recognition of the need to overcome these barriers and make it easier for women to obtain the PAC services they need. Therefore, overall aim of this research study was to provide empirical information on the barriers and challenges to adolescents' PAC and develop a policy document to inform reproductive health services for Nigerian hospitals. To develop this policy document, the study specifically sought to assess knowledge of reproductive-health and related post-abortion care services among health care providers; describe the adolescents' perception of post-abortion care received; determine the service providers' perspectives on adolescents' post-abortion care challenges and barriers; analyze the challenges and barriers faced by adolescents in obtaining post-abortion care services; explore ways in which the knowledge about challenges and barriers to adolescents' post-abortion care can be used to inform policy; develop policy document and make recommendations in key areas to improved PAC services in Nigeria as part of working towards improving reproductive health services.

Magister Psychologiae - MPsych / Throughout recorded history, women have resorted to abortion to terminate unwanted pregnancies, despite religious and legal sanctions, and frequently at significant personal risk. Abortion is, therefore, one of the oldest and at the same time most controversial of approaches to fertility control. More than most procedures, abortion is embedded in a social context that has implications for psychological responses of women. However, whilst South Africa's restrictive abortion legislation has come to the forefront of public scrutiny in recent years, research on the psychological aspects of induced abortion among black South African women has received minimal attention from social science researchers. This consideration requires redress since South Africa's abortion policy has undoubtedly had an impact on black women's mental health. Although unwanted pregnancy and the decision to abort are frequently perceived as stressful, evidence to date suggests that women do not experience severe negative reactions to abortion. Nevertheless, research has shown that some women do experience negative reactions following abortion. The responses of these women, placed within the context of the large numbers of black women who procure abortions and the immense social significance of the issue, point to a need to identify those women who are at risk for experiencing difficulties after abortion. This thesis, therefore, aimed to explore women's interpretations of the factors that influence short-term post-abortion adjustment. Five women who had procured illegal abortions were interviewed. A thematic analysis was utilised to explore participants' accounts of their abortion experiences. Furthermore, the present inquiry attempted to identify, through participants' discourses, psycho-social factors that may serve as 'risk factors' for poor post-abortion adjustment. The findings revealed that the abortion experience varies in the amount and type of stress it engenders for women. The manner in which these women responded to the procedure was found to be a joint function of their psychological state and of the social milieu in which the abortion occurred. Participants' post-abortion adjustment was found to be significantly influenced by the extent to which they experienced decision difficulty, the nature of the social environment surrounding the abortion process and individual coping responses. Thus, the findings of the study accentuate the need for counselling interventions designed to facilitate adjustment to abortion. These issues are likely to become of increased importance as the South African government deliberates on its public policy on abortion.

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An abortion, be it induced or spontaneous, can be a traumatic experience in the life of a woman and her family. Women can use abortion as a method of family planning or to end an unwanted pregnancy. On the contrary there are women who wish to have children of their own, but experience spontaneous abortion or recurrent abortion. When women go through an abortion they may experience different dimensions of side effects and symptoms. The women may experience physical symptoms such as blood loss, pain and sepsis as well as psychological symptoms such as despair, depression and grief. Studies indicate that women who have abortions do not receive the care that they require and are in need of high quality care. There is a need for a systematic synthesis of the best available evidence regarding interventions for nursing practitioners. This can be used to inform practice. This research study aim to critically review and synthesise best available evidence regarding the best nursing practices for women who have an abortion. This was done by conducting a thorough step-by-step systematic review with the following objectives: to critically review available research evidence on abortion care and to synthesise best practices for abortion care provided by nurses. This study can provide nursing practitioners with the necessary information about the best available evidence regarding abortion care provided by nurses. The information can be used to increase and improve the nursing practitioner’s knowledge and to promote and enhance future questions and research. Through the step-by-step use of the systematic review after a thorough search and screening of potentially relevant studies on nurses providing abortion care according to the inclusion and exclusion criteria, the critical appraisal and data extraction of nine final relevant studies could be used for data analysis and synthesis. Conclusion statements were drawn and later combined and synthesised, graded and evaluated to provide the current best available evidence. The research was evaluated, limitations identified and recommendations made for nursing practice, nursing education and nursing research. The overall conclusion that can be drawn is there is not enough sufficient evidence to demonstrate that abortion care such as contraceptive counselling and/or psychological follow-up care provided by nurses and/or midwives before and after an induced or spontaneous abortion is sufficient and effective in reducing recurrent abortions, reducing despair, depression and grief and improving psychological consequences and increasing contraceptive usage. More research must be done on abortion nursing care. / MCur, North-West University, Potchefstroom Campus, 2014

An abortion, be it induced or spontaneous, can be a traumatic experience in the life of a woman and her family. Women can use abortion as a method of family planning or to end an unwanted pregnancy. On the contrary there are women who wish to have children of their own, but experience spontaneous abortion or recurrent abortion. When women go through an abortion they may experience different dimensions of side effects and symptoms. The women may experience physical symptoms such as blood loss, pain and sepsis as well as psychological symptoms such as despair, depression and grief. Studies indicate that women who have abortions do not receive the care that they require and are in need of high quality care. There is a need for a systematic synthesis of the best available evidence regarding interventions for nursing practitioners. This can be used to inform practice. This research study aim to critically review and synthesise best available evidence regarding the best nursing practices for women who have an abortion. This was done by conducting a thorough step-by-step systematic review with the following objectives: to critically review available research evidence on abortion care and to synthesise best practices for abortion care provided by nurses. This study can provide nursing practitioners with the necessary information about the best available evidence regarding abortion care provided by nurses. The information can be used to increase and improve the nursing practitioner’s knowledge and to promote and enhance future questions and research. Through the step-by-step use of the systematic review after a thorough search and screening of potentially relevant studies on nurses providing abortion care according to the inclusion and exclusion criteria, the critical appraisal and data extraction of nine final relevant studies could be used for data analysis and synthesis. Conclusion statements were drawn and later combined and synthesised, graded and evaluated to provide the current best available evidence. The research was evaluated, limitations identified and recommendations made for nursing practice, nursing education and nursing research. The overall conclusion that can be drawn is there is not enough sufficient evidence to demonstrate that abortion care such as contraceptive counselling and/or psychological follow-up care provided by nurses and/or midwives before and after an induced or spontaneous abortion is sufficient and effective in reducing recurrent abortions, reducing despair, depression and grief and improving psychological consequences and increasing contraceptive usage. More research must be done on abortion nursing care. / MCur, North-West University, Potchefstroom Campus, 2014

This study focuses on the lived experience of four women who have undergone induced abortions. The women are white, Afrikaans speaking and from a middle to upper class background. Their ages range from 38 to 45 years. It was expected that these women would reflect and articulate their experiences in their own ways. This study was therefore of a qualitative nature. More specifically, the methodology used was a phenomenological exploration of the lived experience of each woman. The primary aim of this study was, therefore, to understand the experiences of women who have undergone induced abortions, using a qualitative form of enquiry. The acknowledgement of abortion as a potentially ambivalent experience allows one to consider the abortion process as complex, and that different women in different contexts will have both unique and common reactions to abortion. This study utilized theories of motherhood, gender and reproduction to explore the various contexts. The themes of guilt, isolation and anger that emerged were experienced by all the women, but each one not only experienced them differently but also contextualized them differently. Some general suggestions for future research are offered: exploring the different ways in which women deal with this situation could be helpful in working with those who might present with psychological symptoms. This would be particularly helpful to the role which psychologists could play in dealing with women who have undergone an abortion. The importance of support and acceptance is highlighted in this study. With the change in legislation regarding abortion, it would be helpful to consider the attitudes of the health professionals who may encounter women having abortions. In addition it is important to consider post-abortion counselling. Post abortion feelings could be normalized by explaining to women that reactions are not uni-dimensional and that positive and negative reactions are to be expected. As stated, some women do experience negative symptoms post-abortion and more research is needed to examine in depth the experience of these women. Longitudinal studies and narrative research could be beneficial in this regard. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

The diploma thesis deals with the connection between human conscience and the Post Abortion Syndrome that is described in selected sources. The aim is an analysis of the role of the conscience in Post Abortive Syndrome. The thesis is divided into four chapters. The first chapter deals with the concept of conscience and its value in our lives as well as the question of when and how our conscience affects our behaviour. The next text focuses on the connection of our conscience and actions as well as our decision making. This connection is described from philosophical, theological and psychological points of view. The second chapter focuses on abortion and the difference between miscarriage and abortion. Furthermore, the reasons for undergoing abortion, methods of abortion, and possible consequences are described. The third chapter deals with the Post Abortion Syndrome, its definition and symptoms, and information how to help affected women. In the last chapter are summarized the information and is presented the connection between conscience and Post Abortive Syndrome. The information from primary and secondary sources is supplemented with interviews with professional who come in touch with women affected by the Post Abortive Syndrome. These interviews are very valuable for deeper insight.

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