“I wouldn’t even know where to start”: unwanted pregnancy and abortion decision-making in Central Appalachia

Adolescent unwanted pregnancy will be risk to abortion, however teens experience a dilemma to make decisions making to end pregnancy with abortion. The aim of this systematic review was to exploration pregnant teenagers who make the decision making to abortion. The database were used ScienceDirect, EBSCO host, ProQuest, and SpringerLink identified and published from 2009-2019. The search results obtained 3,365 articles, but only ten articles met the inclusion criteria. The analysis showed were two themes related to how decisions making on abortion from internal and external factors. The results of study can be considered about the assistance services of pregnant adolescents in deciding abortion. Keywords: abortion; unwanted pregnancy; decision making ABSTRAK Kehamilan remaja yang tidak diinginkan akan beresiko pada tindakan aborsi, namun demikian remaja mengalami dilema untuk mengambil keputusan dalam mengakhiri kehamilan dengan aborsi. Tujuan systematic review ini untuk mengeksplorasi remaja hamil dapat mengambilan keputusan untuk melakukan tindakan aborsi. Pencarian database yang digunakan yaitu ScienceDirect, EBSCO host, ProQuest, dan SpringerLink yang diidentifikasi dan dipublikasi dari tahun 2009-2019. Hasil pencarian didapatkan 3.365 artikel, akan tetapi hanya sepuluh artikel yang memenuhi kriteria inklusi. Hasil analisis menunjukkan bahwa terdapat dua tema terkait bagaimana pengambilan keputusan pada tindakan aborsi yaitu faktor internal dan faktor eksternal. Hasil studi ini dapat menjadi pertimbangan tentang pelayanan pendamping remaja hamil dalam memutuskan tindakan aborsi. Kata kunci: aborsi; kehamilan tidak diinginkan; pengambilan keputusan

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Assessing the relationship between intimate partner violence, externally-decided pregnancy and unintended pregnancies among women in slum communities in Mumbai, India

BMJ Sexual & Reproductive Health ◽

10.1136/bmjsrh-2017-101834 ◽

2018 ◽

Vol 45 (1) ◽

pp. 10-16 ◽

Cited By ~ 3

Author(s):

Anindita Dasgupta ◽

Anita Raj ◽

Saritha Nair ◽

Dattaram Naik ◽

Niranjan Saggurti ◽

...

Keyword(s):

Decision Making ◽

Intimate Partner Violence ◽

Reproductive Health ◽

Unintended Pregnancy ◽

Partner Violence ◽

Multinomial Logistic Regression ◽

Unwanted Pregnancy ◽

Intimate Partner ◽

Unwanted Pregnancies ◽

The Relationship

BackgroundIndia contends with a high rate of intimate partner violence (IPV), which is associated with unintended pregnancy and reflects low levels of women’s decision-making control in relation to their reproductive health. Few studies from South Asia have examined the relationship between pregnancy decision-making, IPV and unintended pregnancy.AimThis study examined associations between unintended (mistimed and unwanted) pregnancy, women’s reports of pregnancy decided externally by husband or in-laws, and IPV, among a sample of married, postpartum women.MethodsData from the ‘Mechanisms for Relations of Domestic Violence to Poor Maternal and Infant Health in India’ study were analysed. Descriptive comparisons between levels of unintended pregnancy were run on all major variables. Unadjusted and adjusted multinomial logistic regression analyses assessed women’s reports of having externally-decided pregnancies and IPV victimisation in the year prior to pregnancy as factors in mistimed and unwanted pregnancies.ResultsMistimed and unwanted pregnancies were reported by 12.2% and 7.2% of women, respectively. Externally-decided pregnancies were reported by 8.8% of women. Some 29.4% of women reported experiencing physical and/or sexual IPV in the year prior to pregnancy. Women reporting externally-decided pregnancies were significantly more likely to have had mistimed pregnancies than intended pregnancies, as were women reporting IPV. Neither external pregnancy control nor IPV were associated with unwanted pregnancy.ConclusionsWomen’s exclusion from pregnancy decision-making and violence from husbands relate to their ability to time their pregnancies as they wish. The lack of significant association between external decision-making and IPV with unwanted pregnancy may be due to low reporting of unwanted pregnancy. The overall findings highlight the importance of integrating women’s involvement in reproductive health decision-making and IPV reduction messaging in programming for the women’s health sector.

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The Doctor's Dilemma: Paternalisms in the Medicolegal History of Assisted Reproduction and Abortion

The Journal of Law Medicine & Ethics ◽

10.1111/jlme.12247 ◽

2015 ◽

Vol 43 (2) ◽

pp. 312-325 ◽

Cited By ~ 3

Author(s):

Kara W. Swanson

Keyword(s):

Decision Making ◽

Medical Profession ◽

Pregnancy Termination ◽

Unwanted Pregnancy ◽

Professional Judgment ◽

Best Interest ◽

Medical Practitioners ◽

Medical Expertise ◽

Illegal Abortion ◽

History Of

In 1954, American women experienced an unwanted pregnancy as presenting a difficult choice between bearing an unwanted child and risking an illegal abortion. Yet obstetrician/gynecologist Alan Guttmacher described abortion as “the doctor’s dilemma.” Guttmacher and his medical colleagues experienced a dilemma when their professional judgment that pregnancy termination was warranted clashed with the laws criminalizing most abortions. In that situation, the law constrained their ability to make a decision they felt to be in the best interest of a patient. To doctors, such paternalist decision-making was a bedrock principle of 20th-century medicine. Doctors had an obligation to provide, or deny, treatment to patients for their own good. This duty arose from medical expertise and separated the medical profession from lesser medical practitioners.

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The role of social interpersonal communication on abortion decision making: A review of literature

International Journal of Health, Medicine and Nursing Practice ◽

10.47941/ijhmnp.179 ◽

2017 ◽

Vol 1 (1) ◽

pp. 1-13

Author(s):

Mercy Wahome ◽

Dr Hellen K. Mberia ◽

Dr Geoffrey Sikolia

Keyword(s):

Decision Making ◽

Literature Review ◽

Sexual Health ◽

Interpersonal Communication ◽

Quantitative Research ◽

Emotional Health ◽

Behavioural Change ◽

Unwanted Pregnancy ◽

Fear Of Rejection

Purpose: The objective of the study was to role of social interpersonal communication on abortion decision making.Methodology: This study used a Desk top review. The analysis was largely based on literature review from previous surveys, program reports and internet search on secondary information relating to the social, interpersonal and communication.Results: From the reviewed literature, the study found out that sexual health education can help provide adolescents with decision-making information skills and Peer-reviewed programs, strategies, and resources for sexual health, mental and emotional health, injury prevention, tobacco and substance abuse, and exercise and healthy eating and issues of abortion. It was found out that programs which included knowledge, perceived risks, values, attitudes, perceived norms, and self-efficacy were found to be effective in guiding behavioural change. Adolescents showed that they are aware of the use of contraceptives but they are not easily accessible and the main reason for them to terminate the unwanted pregnancy was due to fear of rejection in the society and family. Worldwide, the most commonly reported reason women cite for having an abortion is to postpone or stop childbearing. The second most common reason - socioeconomic concerns - includes disruption of education or employment; lack of support from the father; desire to provide schooling for existing children; and poverty, unemployment or inability to afford additional children. In addition, relationship problems with a husband or partner and a woman's perception that she is too young constitute other important categories of reasons. Women's characteristics are associated with their reasons for having an abortion: With few exceptions, older women and married women are the most likely to identify limiting childbearing as their main reason for abortion.Recommendation: Since the findings of this study was based on literature review/desktop review, the study recommends for the use of semi structured questionnaires and unstructured interview guides to obtain both quantitative and qualitative data respectively. In so doing, it will enable the researcher to compare the findings with those obtained from the desk top review. This research recommends the use of Convergent Parallel research design to arrive at an integrated summary of the predictors (quantitative research), and views and personal experiences (qualitative research) on decision making on abortion.

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Teenagers’ Decision Making About Abortion As An Action To Terminate Unwanted Pregnancy

Jurnal Kebidanan Midwiferia ◽

10.21070/midwiferia.v6i2.616 ◽

2020 ◽

Vol 6 (2) ◽

pp. 44-49

Author(s):

Fatya Nurul Hanifa ◽

Anjarwati ◽

Herlin Fitriani Kurniawati

Keyword(s):

Decision Making ◽

Social Stigma ◽

Pregnancy Termination ◽

Unwanted Pregnancy ◽

Partner Support ◽

Individual Level ◽

Interpersonal Factors ◽

Unwanted Pregnancies ◽

Women And Girls ◽

Access To Contraception

Unwanted pregnancy and pregnancy termination generally occurs in adolescents who want to prevent or delay childbirth and have limited access to contraception. Women and girls have unmet contraceptive needs, so that unwanted pregnancies and unsafe abortions are considered normal. The latest data states that 7% of girls aged 15 to 19 will become pregnant and 2% of girls in this age group will have an abortion. Decision making for women before carrying out intentional abortions is influenced by several factors including individual level factors namely marital status, education level, economic independence and whether the woman is a victim of rape or incest. Interpersonal factors such as parent and partner support are also found as influences in decision making, because they have social determinants such as religion and social stigma and norms that exist. The aim of this study was to find out how adolescents make decisions about abortion as an end to unwanted pregnancies.

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Discarding optimality: Throwing out the baby with the bathwater?

Behavioral and Brain Sciences ◽

10.1017/s0140525x18001401 ◽

2018 ◽

Vol 41 ◽

Cited By ~ 1

Author(s):

Patrick Simen ◽

Fuat Balcı

Keyword(s):

Decision Making ◽

Perceptual Decision Making ◽

Reward Rate ◽

Perceptual Decision ◽

Standard Observer ◽

Rate Maximization ◽

Reward Rate Maximization ◽

Descriptive Standard ◽

Observer Model

AbstractRahnev & Denison (R&D) argue against normative theories and in favor of a more descriptive “standard observer model” of perceptual decision making. We agree with the authors in many respects, but we argue that optimality (specifically, reward-rate maximization) has proved demonstrably useful as a hypothesis, contrary to the authors’ claims.

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