Study project (BCur)--University of Stellenbosch, 2007. / ENGLISH ABSTRACT: Problem statement: The abortion regulation was implemented in 1997 before the necessary
infrastructure was in place. The shortage of educated healthcare providers in abortion facilities led
to uninformed women.
Aims for this research was exploratory-describing of nature and was aimed on pre-abortion
counselling to women with unwanted pregnancies in the state facilities in the Western Cape
metropole to be evaluated from a nursing perspective.
Methodology: Two samplings was done namely a 50% randomized, proportional stratified sampling
from the State Health facilities in the Western Cape Metropole which offer abortion care service, as
well as the non-randomized convenient sampling of pregnant women that received pre-abortion
counselling. Data was gathered with the help of self compiled questionnaires. Quantitative data
was analyse with the help of Statistika 7 and qualitative data according to Tesch’s approach.
Results: Of the respondents 79% was between the age 16 and 30 and 72% was single. Although
the Department of Health strives that abortion care services should be offered by a level 1 health
facility, only 43% have been counselled through a registered nurse. While 49% consider preabortion
counselling as important, 39% of the respondents received no, or information in groups
regarding the termination of the pregnancy, 77% received information with regarding to the
procedure and 50% was informed when they could go forth with normal activities. Approximately
54% received no information regarding post-abortion complications and 59% did not received a
follow-up date. Approximately 68% of the respondents received information regarding family
planning.
Conclusion: It seems that pre-abortion counselling is not done according to guidelines and there is
many gaps in the existing counselling methods in the different health facilities.
Recommendations: Counselling should be based on the WHO and the Department of Health’s
guidelines for abortion care. Nurses should be more involved in education programs. Abortion care
facility’s should promote the total spectrum of abortion care and counsellors should receive special
training and annually be re-evaluated. / AFRIKAANSE OPSOMMING: Probleemstelling: Die aborsiewetgewing is in 1997 geïmplementeer voordat die nodige
infrastruktuur in plek was. Die tekort aan doeltreffend-opgeleide gesondheidswerkers in
aborsiesorgdienste het tot gevolg gehad dat vroue oningelig is met betrekking tot
aborsiesorgdienste.
Doelwitte vir hierdie navorsing was ondersoekend-beskrywend van aard en daarop gerig om preaborsie
berading aan vroue met ongewenste swangerskappe in staatsaangewysde fasiliteite in die
Wes-Kaapse metropool te evalueer vanuit ‘n verpleegkundige perspektief.
Metodologie: Twee steekproefnemings is gedoen, naamlik ‘n 50% ewekansige, proporsionele,
gestratifiseerde steekproefneming van die staatsgesondheidsfasiliteite in die Wes-Kaapse
metropool wat aborsiesorgdienste aanbied, sowel as ‘n nie-waarskynlike,
gerieflikheidssteekproefneming van swanger vroue wat pre-aborsie berading ontvang. Data is met
behulp van selfopgestelde vraelyste ingesamel. Kwantitatiewe data is ontleed met behulp van
Statistica 7 en die kwalitatiewe data deur middel van Tesch se benadering.
Resultate: Van die respondente was 79% tussen die ouderdom van 16 en 30 jaar en 72% was
enkellopend. Alhoewel die Departement van Gesondheid strewe dat aborsiesorgdienste by ‘n vlak
1 gesondheidsfasiliteite aangebied word, het slegs 43% hul berading hier deur geregistreerde
verpleegkundiges ontvang. Terwyl 94% pre-aborsie berading beskou as belangrik, het 39% óf
geen, óf inligting in groepe ontvang betreffende die beëindiging van die swangerskappe, 77% het
inligting ontvang met betrekking tot die prosedure en 50% was ingelig wanneer hul kon voortgaan
met normale aktiwiteite. Sowat 54% het geen inligting ontvang betreffende post-aborsie
komplikasies nie en 59% het nie ‘n opvolgdatum gekry nie. Sowat 68% van die respondente het
wel inligting ontvang oor gesinsbeplanning.
Slotsom: Dit blyk dus dat pre-aborsie berading nie volgens riglyne gedoen word nie en dat daar
baie leemtes is in die bestaande beradingsmetodes in die verskillende gesondheidsfasiliteite.
Aanbevelings: Berading moet gebaseer word op die WGO en die Departement van Gesondheid se
riglyne vir aborsiesorg. Verpleegkundiges moet meer betrokke raak by voorligtingsprogramme.
Aborsiesorgfasiliteite moet die totale spektrum van aborsiesorg kan behartig en
aborsiesorgberaders moet spesiale opleiding ontvang en jaarliks her-evalueer word.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/17740 |
| Date | 12 1900 |
| Creators | Brits, Ronel, Burger, Inalize, Gagiano, Carine, Immelman, Anja, Kitshoff, Carine, Mostert, Mari, Nortje, Chantell, Van Schoor, Marlene |
| Contributors | Smit, Ilze, Stellenbosch University. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing Science. |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | Afrikaans |
| Detected Language | Unknown |
| Type | Thesis |
| Format | xii, 1 v. (various pagings) : ill. |
| Rights | Stellenbosch University |
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