Thesis (MPH.) --University of Limpopo, 2015 / Background: There are a high number of teenagers seeking Termination of Pregnancy (TOP) at Maggys Hope Clinic in Polokwane Municipality in Capricorn District in Limpopo Province after the Termination of Pregnancy Act was passed in 1997. The numbers have doubled since the inception of the Children's Act no 38 of 2005 and the Sexual Offences Bill in 2008. The report by Stats SA and Department of education also indicated that the numbers have also doubled. Objective: The aim of the study was to determine the factors contributing to termination of pregnancies amongst teenagers at Maggys Hope Clinic in Polokwane Municipality, Limpopo Province. Methods: An exploratory, descriptive qualitative research design was used to identify and describe the factors contributing to termination of pregnancies among teenagers in Maggys Hope Clinic in Capricorn district Limpopo Province South Africa, in April 2014. Results: The results of the study revealed that CTOP legislation is one of the reasons why teenagers terminate. All the twenty participants indicated age and marital status as the motivation as the contributing factor. Looking at the age and educational level the most pushing factor is that thirteen of the participants are still at school. Eleven of the participants have no knowledge of contraceptives. This is a serious concern. Participants indicated that they had very little knowledge on reproductive health issues. The rest of the pushing factors are parental pressure, contraceptive failure, fear of parental disappointment and unpreparedness to raise a child as well. Conclusion: It can thus be concluded that teenage termination of pregnancies is a major health concern in South Africa, Africa and globally. Teenagers’ health is in danger due to engaging in unprotected sex banking on TOP as a solution. The study found that age and fear from dropping out of school, lack parental involvement in sexual matters, family economic status and marital status, including lack of knowledge and information on reproductive health issues, were the main factors contributing to termination of pregnancies among teenagers in Maggys Hope Clinic in Capricorn District, Limpopo Province.

The number of women accessing Termination of Pregnancy Services has increased in South Africa over the last 15 years. Lieberman and Davis (1992), hold that a woman’s right to choose is embedded in the principles of social work that is self-determination, empowerment and dignity. It is a social workers responsibility to ensure that the options are available to the clients. If a client is unable to choose from an array of alternatives it is because social workers have failed to provide them with the necessary information, therefore there can be no self-determination. Women who receive health care from public facilities usually cannot afford health care from a private physician and the ability of women to make informed decisions is based on the degree of information that is made available to them. In this study the researcher looks at the road travelled in order to make the decision to terminate an unwanted pregnancy. The process of data collection was a comprehensive, intensive process. Underpinned by the ecosystems theory, the qualitative exploratory research design was used for this research.Data was obtained through interviews from a purposeful sample of sixteen young women that attended the TOP (Termination of Pregnancy) Clinic at the research site, ranging from the ages of 18 to 35 years. This approach allowed the researcher to understand the processes and persons involved in making this decision. The assumption underlying this study was that the decision to terminate a pregnancy is a difficult one and often made with little or no support, education or guidance. The outcome of this study confirmed this assumption. The findings revealed that young woman accessing TOP services often choose TOP in isolation with limited knowledge and support from significant others. Some women requesting TOP may not want counselling but do need it. The need for counselling is stronger for those with strong religious beliefs and those that have little or no support systems. Based on the outcome of the analysis, recommendations were made with regard to the need for holistic counselling to be an integral component in health services rendered to women, with unintended pregnancies. Counseling whilst optional should be made compulsory such that a person can cope with the physical and psychological effects of an unwanted pregnancy should they decide to terminate or keep the pregnancy. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2012.

This study examined the influence of activated and chronic interpersonal expectations on primary and secondary appraisal of a stressful life event. Fifty-one female undergraduates were asked to imagine themselves facing an unplanned pregnancy, after which affective state and coping strategies were assessed. A subliminal priming technique was used during the experimental session to activate either positive, negative or neutral interpersonal expectations. Chronic interpersonal expectations were assessed in a telephone interview, using the Collins and Read (1990) attachment scale. Activated negative interpersonal expectations reduced positive affect; chronic interpersonal anxiety heightened overall negative affect, while chronic comfort with closeness and feeling one can depend on others were associated with less feelings of depression. Both activated and chronically accessible positive interpersonal expectations increased intentions to seek emotional support. Chronic anxiety in relationships was related to hostile coping, while a lack of comfort with closeness and depending on others were conducive to self-blaming. Implications of these findings for close relationships and stressful life events and for future priming research are discussed.

Photocopy of typescript. / Thesis (Ph. D.)--University of Hawaii at Manoa, 1979. / Bibliography: leaves 109-112. / x, 112 leaves ill. 29 cm

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2010.

Thesis (M.A.)--Oregon State University, 2011. / Printout. Includes bibliographical references (leaves 113-120). Also available on the World Wide Web.

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

No description available.

This study aimed to provide empirical verification to the hypothesis that unwanted fertility could lead to mortality, with underinvestment as an intervening mechanism. Unwanted fertility was defined as a live birth that deviated from parental expectation in some distinguishable characteristics or set of characteristics. Births defined as unwanted were: 1) births which respondent indicated she preferred to have occurred later or births which she did not want at all, 2) those whose birth order exceeded the mother’s desired family size, and 3) those which exceeded the number of desired boys of the number of desired girls of the mother. Underinvestment as defined by Scrimshaw (1978) involved the idea that mothers would not go to extremes to save the life of a child and might invest more time and resources in other children. To measure underinvestment, a scale was constructed made up of the following items: 1) source of prenatal care, 2) frequency of prenatal care, 3) age started supplementary feeding, 4) length of breastfeeding, 5) source of medical treatment, 6) length of time before treatment was sought, and 7) time spent cuddling and playing with child. Mortality was classified into two types: postneonatal mortality and childhood mortality. Postneonatal mortality involved deaths from ages one to eleven months. Childhood mortality involved deaths at ages one to four years. Thus, analysis proceeded in two ways: 1) that involving all live births born at least a year before the time of the interview and 2) that involving only live births born at least five years before the time of the interview. Results of the study did not support the hypothesis that unwanted fertility could lead to mortality, with underinvestment as an intervening mechanism. In general, no significant association was found between unwantedness and mortality. However, underinvestment and mortality (postneonatal and childhood) were significantly associated for both wanted and unwanted births. Underinvestment and childhood mortality were significantly related for births in lower class families and for births in middle and upper class families. Postneonatal mortality was significantly related to underinvestment among lower class births only. Postneonatal mortality was not significantly related to SES. Childhood mortality was significantly related to SES with underinvestment as an intervening variable. The study underscored the difficulties involved in measuring the variables of interest -- unwantedness and underinvestment. Several limitations of the study were pointed out and recommendations for further research were stated. / Ph. D.

Women of child-bearing age sometimes fail to plan for pregnancies. Often they discover that they are pregnant and are not prepared or cannot afford to raise the child. Before 1996 there was no choice for women as regards pregnancies, all pregnancies must be carried to term and delivered except on health grounds and with stringent conditions. However after the TOP act was enacted in 1996, women were allowed a choice of TOP up to and including 20 weeks of pregnancy.<br /> <br /> Regardless of the availability of choice of TOP, some pregnant women still present late (after 12 weeks) for TOP when the risks of complications and costs are higher. Women who present late for TOP usually have to be admitted to a district or regional hospital and managed. The costs at such institutions are high. TOPs before 12 weeks (early TOP) are done in a primary health care (PHC) facility (TOP center) and no admission is required hence less cost. Complications of early TOP are also very mild and rare. In Lejweleputswa district there is only one TOP Center (Kopano TOP Clinic) and this serves both Lejweleputswa and the Northern Free State districts. Early TOPs (less than 12 weeks) are done and completed at this center. Late TOPs (above 12 weeks but not more than 20 weeks) are initiated at this TOP center and referred to district or regional hospitals nearest to the patient&rsquo / s home, in both districts for completion.<br /> <br /> Problems - An increasing number of women are seeking TOP service at late stages of pregnancies and the incidence of severe complications like severe bleeding, retained placenta, infection, amniotic fluid embolism, death etc, are increasing. The hospital&rsquo / s bed space and budget are stretched to the limit due to the influx of late term TOP to the hospitals. Lack of manpower, especially doctors, in these hospitals also create some problems, as the few doctors available have to attend to other ill patients as well. Sometimes bleeding TOP patients are transfused with blood and placed on a waiting list for theatre and this often increases the risk of complications. The emotional effect of late TOP on hospital staff (doctors and nurses) are enormous as the expelled fetus are much more developed than in early TOP where no fetus is seen at evacuation with simple Manual Vacuum Aspiration (MVA).<br />