Academic literature on the topic 'Unwanted/unplanned teenage pregnancy'

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Journal articles on the topic "Unwanted/unplanned teenage pregnancy"

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Smith, Jennifer Lawson, S. Rachel Skinner, and Jennifer Fenwick. "Preconception reflections, postconception intentions: the before and after of birth control in Australian adolescent females." Sexual Health 10, no. 4 (2013): 332. http://dx.doi.org/10.1071/sh13020.

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Background The relationship between pregnancy intentions and contraceptive behaviour is difficult to establish. This study explored the contraceptive histories of teenagers with a recent experience of pregnancy to generate qualitative profiles of pregnancy intentions. Subsequent intentions in relation to birth control were also examined. Methods: A purposive sample of female teenagers aged 14–19 years was recruited from various clinical and community-based antenatal and postnatal services and termination services across the Perth metropolitan area. The current analysis was based on a total of 56 semistructured interviews. A two-staged process of thematic analysis was conducted to identify commonalities emerging from the narrative data. Results: Three pregnancy intention profiles were identified: 1) unplanned, unwanted, unlikely; 2) planned, wanted, likely; and 3) unplanned, ambivalent, likely. Each profile represents variation in pathways to pregnancy based on teenagers’ accounts of pregnancy desires, personal responsibility over contraceptive use, and perceptions of pregnancy risk. Regardless of the way that pregnancy was resolved (i.e. termination or childbirth), similar postconception intentions surrounding birth control emerged through a shared discourse of pregnancy avoidance across the sample. Conclusions: Exploring adolescents’ understandings of the decisions and behaviours that lead to pregnancy will assist in the development of more accurate assessment tools to identify those at risk of unplanned and unwanted pregnancies. Our research also suggests that the provision of contraceptive counselling immediately after conception, followed by ongoing support, may help to maintain strong intentions to delay further pregnancies as identified in our study.
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Mothiba, Tebogo M., Livhuwani Muthelo, and Khatazile Mabaso. "Experiences Leading to the Choice of Termination of Pregnancy Amongst Teenagers at a Regional Hospital in Mpumalanga Province, South Africa." Open Public Health Journal 13, no. 1 (September 22, 2020): 489–96. http://dx.doi.org/10.2174/1874944502013010489.

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Background: In order to promote women’s rights relating to their sexual and reproductive health, termination of pregnancy in South Africa was introduced. Health professionals are expected to assist women in realizing their wishes if they want to terminate unwanted pregnancies. Unfortunately, women still experience challenges relating to the Termination of Pregnancy, more specifically, pregnant teenagers. Aim: The purpose of this study was to describe and explore the occurrences leading to the termination of pregnancy amongst teenagers. Methods: The qualitative research method was adopted to determine occurrences related to the Choice of Termination of Pregnancy amongst teenagers in Mpumalanga Province. Data were collected by conducting semi-structured interviews with teenagers to gain insight into the phenomenon studied. Permission to conduct the study at the hospital was obtained from the Department of Health Mpumalanga Province and written informed consent was obtained from participants prior to the sessions. Teenagers between the ages of 13-19 years who opted for, or had already, terminated their pregnancy participated in the study. Results The study revealed that the termination of unplanned pregnancy amongst teenagers was influenced by different life experiences. Those experiences are 1) the concern of being rejected by parents and other family members, 2) fear of being ridiculed by peers and the entire community, 3) feelings of embarrassment and shame, and 4) how the teen’s parents are likely to react when they are made aware of the pregnancy. Conclusions and Recommendations: The study revealed different circumstances, which contributed to the decision of some pregnant teenagers to opt for the termination of their pregnancy. It is of vital importance that support services be available continuously for the teenagers who opted for termination of pregnancy. More importantly, the supportive environment created by family members and close friends is of the utmost importance, because they are better placed to see the changes or see how the teens are coping pre- and post-abortion. This will enable teenagers to feel that they are not alone and enable them to cope in both pre-and-post phases.
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Senanayake*, Pramilla, and Kathryn M. Faulkner. "Unplanned teenage pregnancy." Best Practice & Research Clinical Obstetrics & Gynaecology 17, no. 1 (February 2003): 117–29. http://dx.doi.org/10.1053/ybeog.2003.0343.

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Crum, G. "Teenage unwanted pregnancy." American Journal of Public Health 78, no. 12 (December 1988): 1598–99. http://dx.doi.org/10.2105/ajph.78.12.1598.

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Penfold, Julie. "Tackling unplanned teenage pregnancy and sexual health." Primary Health Care 22, no. 4 (April 30, 2012): 6–7. http://dx.doi.org/10.7748/phc2012.05.22.4.6.p8194.

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Mathieson, Liusaidh. "Contraception for teenagers." InnovAiT: Education and inspiration for general practice 10, no. 12 (October 11, 2017): 740–45. http://dx.doi.org/10.1177/1755738017731588.

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The majority of the UK population becomes sexually active in their teenage years. At that point, many present anxiously to their GP for advice, contraception or with an unplanned pregnancy. This article considers our legal and ethical responsibilities, special considerations in history taking, a young person’s health concerns and the declining, but still significant, incidence of teenage unplanned pregnancy.
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Van Lunsen, R. H. W. "Prevention of unwanted teenage pregnancy: The dutch experience." International Journal of Gynecology & Obstetrics 70 (2000): D5. http://dx.doi.org/10.1016/s0020-7292(00)82495-9.

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Mayun, Kadek Anggie Wisandewi, Luh Seri Ani, and Ni Luh Putu Suariyani. "Causes of unwanted pregnancy among adolescents in Bali Province: a qualitative study." Public Health and Preventive Medicine Archive 5, no. 2 (December 1, 2017): 90. http://dx.doi.org/10.15562/phpma.v5i2.20.

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Background and purpose: Teenage pregnancy is a major contributing factor of high maternal and infant mortality rates in Indonesia. Unwanted pregnancy among adolescents is increasing, therefore an understanding of its causes is essential. This study aims to explore causes of unwanted pregnancy among adolescents.Methods: A qualitative study was conducted in Bali Province. Data were obtained through in-depth interviews with 10 adolescents aged between 12-21 years who experienced unwanted pregnancy. Data were collected between September and October 2016. Data were analysed thematically and presented using a narrative approach.Results: Our study revealed that determinants associated to unwanted pregnancy among adolescents included the lack of systematic education on sexual and reproductive health both at home and school, as well as the lack of self-efficacy of teenage girls to reject pre-marital sex with their partner. Our study found that this pre-marital sex was done as an expression of love, because of being forced by the partner, and due to stressful home environments.Conclusions: The main causes of unwanted pregnancy among adolescents are the lack of sexual and reproductive health education and a weak self-efficacy of teenage girls to reject pre-marital sex demanded by their partner. Given the complexities of teenage pregnancy, overarching policy to facilitate an early comprehensive sexual and reproductive health education program at home, schools, and youth-friendly health facilities is warranted.
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Ekrami, Fatemeh, Mojgan Mirghafourvand, Sakineh Mohammad-Alizadeh Charandabi, and Jalil Babapour Kheyradin. "Maternal-Fetal Attachment and its Sociodemographic Determinants in Women With Unplanned Pregnancy." International Journal of Women's Health and Reproduction Sciences 7, no. 1 (March 25, 2018): 106–11. http://dx.doi.org/10.15296/ijwhr.2019.17.

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Objectives: Attachment to the fetus is formed before the birth and stronger prenatal maternal-fetal attachment is related to more desirable prenatal and postpartum behaviors and cares as well as better acceptance of the parenting role. Therefore, this study aimed to determine maternal-fetal attachment and its socio-demographic determinants among women with an unplanned pregnancy. Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on a convenience sample of 200 women with unplanned pregnancies attending the maternity clinic of Alavi hospital (Ardebil, Iran) during 2016-2017. To collect the data, a socio-demographic questionnaire and the maternal-fetal attachment scale (MFAS) were completed through the interviews. Data were analyzed using independent t tests, one-way ANOVA, and the general linear model. Results: The mean (standard deviation) of maternal-fetal attachment score in women with an unplanned pregnancy was 79.2 (11.2) ranging from 23 to 115. The mean attachment score was significantly higher in women with a mistimed pregnancy [83.5 (9.0)] than in those with an unwanted pregnancy [72.9 (11.0)]. The highest and lowest mean scores were observed in the "interaction with the fetus" [14.2 (3.3)] and the "role-taking" [9.2 (3.0)] sub-domains, respectively. Based on the general linear model, only the type of unplanned pregnancy (mistimed or unwanted) indicated a significant relationship with maternal-fetal attachment (P < 0.001). Conclusions: Based on the results, the type of unplanned pregnancy had a significant association with maternal-fetal attachment. Moreover, mothers with unwanted pregnancies needed greater counseling and support compared to those with mistimed pregnancies.
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Kristianingesti, Desty Putri, Dwiana Ocviyanti, and Febby Thannia. "Unplanned Pregnancy as an Adding Risk Factor of Neonatal Outcome in Teenage Pregnancy." Advanced Science Letters 24, no. 9 (September 1, 2018): 6991–93. http://dx.doi.org/10.1166/asl.2018.12907.

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Dissertations / Theses on the topic "Unwanted/unplanned teenage pregnancy"

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Sharp, Jonathan. "'Unplanned but not unwanted' : a developmental perspective of teenage pregnancy." Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.396729.

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Warren, Keith Clements. "Family Environment, Affect, Ambivalence and Decisions About Unplanned Adolescent Pregnancy." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc331841/.

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This study investigated the relationships among family environment, demographic measures, the decisions made by unintentionally pregnant adolescents regarding post-delivery plans (stay single, get married, adoption), and the certainty with which these decisions were made. The Information Sheet, Family Environment Scale (Moos & Moos, 1981), and Multiple Affect Adjective Check List (Zuckerman & Lubin, 1965a) were administered to 17 5 pregnant adolescents, ages 14 through 22, who intended to carry their pregnancies to term. Pearson product-moment correlations and multiple regression analyses were utilized to assess the relationships between family environment and certainty of decision and between family environment and negative affect. Greater uncertainty was associated with nonwhite racial status and living with both natural parents or mother only. Higher levels of negative affect were related to lower levels of perceived family cohesion, independence, expressiveness, and intellectualcultural orientation. The demographic variables of age, trimester of pregnancy, and family constellation were also found to be useful in predicting levels of negative affect. Subjects who were older, further along in their pregnancies, and living with both natural parents or mother only tended to report greater negative affect. Findings of greater uncertainty and negative affect associated with living with the natural mother are consistent with previous reports of disturbed mother-daughter relationships among this population. Discriminant analysis revealed that subjects choosing adoption were more likely to be older and to be white than those choosing to keep the child. They also tended to perceive higher levels of expressiveness and independence in their families. Comparisons between the present sample and "normal" families revealed differences which were statistically significant, but quite small in terms of raw score units. Indeed, these groups may be more similar than has often been assumed. The implications of these findings for the delivery of services and for future research efforts in this area were discussed. More intensive assessment of family functioning is needed. Based upon present results, further investigation of the family constellation variable is warranted.
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Khethiwe, Thandokazi Theo. "Factors contributing towards and support groups for young women who are experiencing unwanted pregnancies." Thesis, University of Zululand, 2012. http://hdl.handle.net/10530/1274.

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Submitted in fulfillment of the requirements for the degree Masters in Psychology in the Department of Psychology, Faculty of Arts at the University of Zululand, South Africa, 2012.
Unwanted pregnancy among young unmarried South African women still remains a challenge. It has been identified that young unmarried women who are living in rural areas are more vulnerable to unwanted pregnancy. Bronfenbrenner.s theory of systems has been used in the study. The participants were sourced from eMbobeni location, a rural area in Bizana in the Eastern Cape Province. The data was collected through focus group interviews and analysed through content analysis. Group interviews were tape recorded and transcribed. Group support was provided for the participants in the focus group. Through the study it has emerged that lack of knowledge about sexuality and the protection of oneself still remains a challenge. Factors contributing towards unwanted pregnancy among young unmarried women were identified as being lack of parental support; lack of knowledge and the stigma towards contraception; pressures from the partner; ignorance, carelessness and restrictions; and shift of responsibility.
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MacPherson, C. "A study to examine the risk factors and consequences associated with unplanned and unwanted pregnancy." Thesis, Queen's University Belfast, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273056.

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Pierce, Tamarha. "Experimental priming of interpersonal expectations and coping with an unplanned pregnancy." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23286.

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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.
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Ekéus, Cecilia. "Teenage parenthood : paternal characteristics and child health outcomes /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-033-8/.

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Xie, Jingying, and 谢静颖. "A cross-sectional knowledge, attitude and practice study among women with unplanned pregnancy in Guangzhou, China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46943729.

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Sodi, Edzisani Egnes. "Qualitative reflections on teenage motherhood experiences." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50433.

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Thesis (MPhil)--Stellenbosch University 2005
ENGLISH ABSTRACT: The aim of the current study was to undertake a phenomenological investigation on teenage motherhood and to learn how this experience forms part of the teenage mother's life. Using the snowball sampling method, five women aged between 26 and 35 years were selected to participate in the study. All the five women became mothers during their teenage years. Indepth interviews were conducted in Northern Sotho and Tshivenda depending on the language preference and fluency of the participant. The interviews were audio-taped, and later transcribed and translated. A phenomenological method of analysis was used to transform the original data into natural meaning units (NMUs) which were further interrogated so as to distil central sociological themes that were associated with the experience of teenage motherhood. Apart from the finding that the participants got pregnant when they were aged between 16 and 18, five sociological themes associated with teenage motherhood were identified. These are: • Lack of knowledge about sexual relationships contributes to teenage pregnancy and motherhood. • Early childbearing has a negative impact on the teenage mother's social relationships. • Teenage mothers tend to experience emotional problems after delivery of their babies. • Teenage motherhood has a long term disruptive effect on the teenage mother's educational and occupational opportunities. • Teenage motherhood leads to significant lifestyle changes for those who have been through the experience. In view of the above themes, sexual education both at school and at home, is suggested here as a more viable option to help minimise the risk of teenage motherhood in society. Whilst other options like abortion and the newly introduced child support grant are also available to the teenage mother, these are not considered favourable.
AFRIKAANSE OPSOMMING: Die doel van die huidige studie was om 'n fenomenologiese ondersoek oor tienermoederskap te doen en uit te vind hoe hierdie belewenis deel uitmaak van die tienermoeder se bestaan. Deur die sneeubaltoetsingsmetode is vyf vroue tussen die ouderdomme van 26 en 35 jaar gekies om deel te neem aan die studie. AI vyf vroue het tydens hulle tienerjare moeders geword. Diepteonderhoude is in Noord-Sotho en Venda gevoer, afhangende van die taalvoorkeur en -vlotheid van die deelnemer. Klankopnames is van die onderhoude gemaak wat later getranskribeer en vertaal is. 'n Fenomenologiese analisemetode is gebruik om die oorspronklike data na natuurlike betekeniseenhede (NMUs - natural meaning units) te herlei wat verder ondersoek is om sentrale sosiologiese temas geassosieer met die belewing van tienermoederskap te identifiseer. Behalwe vir die bevinding dat die deelnemers swanger geraak het toe hulle tussen die ouderdom van 16 en 18 jaar was, is vyf sosiologiese temas geassosieer met tienermoederskap geïdentifiseer. Hierdie temas is: • 'n Gebrek aan kennis oor seksuele verhoudings dra by tot die voorkoms van tienerswangerskappe en -moederskap. • Vroeë kinderbaring het 'n negatiewe impak op die tienermoeder se sosiale verhoudings. • Tienermoeders is geneig daartoe om emosionele probleme te ondervind na die geboortes van hulle babas. • Tienermoederskap het 'n langtermyn ontwrigtende effek op die tienermoeder se opvoedings- en werksgeleenthede. • Tienermoederskap lei tot betekenisvolle veranderinge in lewenstyl vir diegene wat die ondervinding deurgemaak het. Met inagneming van bogenoemde temas word hier voorgestel dat seksuele opvoeding beide op skool en by die huis 'n meer lewensvatbare opsie is om die risiko van tienermoederskap in die samelewing te verminder. Alhoewel ander opsies soos aborsies en die nuutingestelde toekennings van kinderonderhoud ook vir die tienermoeder beskikbaar is, word hierdie opsies nie as bevorderlik beskou nie.
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Lei, Ming. "Entertainment education and gender how do they contribute to the prevention of teen and unplanned pregnancy? /." Online access for everyone, 2008. http://www.dissertations.wsu.edu/Thesis/Summer2008/m_lei_072108.pdf.

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Sanches, Natália Canella. "Gravidez não planejada: a experiência das gestantes de um município do interior do estado de São Paulo." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-16012014-154537/.

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A gestação, o parto e o puerpério são saberes especiais no universo da mulher, do parceiro, da família e de sua comunidade. A gestação pode gerar diversos sentimentos, tais como: o de surpresa, o de castigo, o de prêmio, o de motivação para continuar a viver, o de realização de um projeto antigo, o de competição em família, o de problema, o de estorvo, o de descuido ou de irresponsabilidade. Confirmada a gravidez, a mulher, o parceiro e os familiares podem vivenciar diferentes reações diante dessa novidade. A reação inicial depende do desejo e planejamento da gravidez (gestação), podendo ser desejada, planejada, ou acidental, não planejada e, até mesmo indesejada. Gravidez não planejada é toda a gestação que não foi programada pelo casal ou, pelo menos, pela mulher. A sua ocorrência tem impacto importante na oferta de cuidados de pré-natal, na orientação sobre aleitamento materno, no estado nutricional infantil e nas taxas de morbimortalidade materno-infantil. Embora pouco estudada, a gravidez não planejada representa risco aumentado de ansiedade e de depressão, sobretudo no período puerperal. Tendo em vista estes aspectos, o objetivo deste estudo foi compreender como as gestantes vivenciaram/experienciaram uma gravidez não planejada e suas consequências à vida familiar/conjugal. O estudo baseou-se na metodologia de análise de dados qualitativos, na análise destes dados, utilizou-se a abordagem metodológica do Discurso do Sujeito Coletivo (DSC), por meio do software Atlas.ti. A população em estudo foi constituída de gestantes em idade fértil, entre 18 e 49 anos de idade, pois essa faixa etária assegura maioridade às mulheres. Foi utilizada para organizar os dados verbais, entrevista semiestruturada, realizada com 11 gestantes. Partindo dos depoimentos das gestantes copiados no software, a análise dos discursos teve início com a identificação das expressões-chave, nas quais estão contidas as ideias centrais de cada discurso que foram escritas de forma breve e objetiva. Foi evidenciado que as gestantes apresentaram reações iniciais negativas com relação à descoberta da gravidez não planejada, vivenciaram conflitos, devido ao medo de enfrentar a família, o companheiro e os pais. Também ficou evidente que a gravidez não planejada tem como principal consequência a problemática nos níveis biopsicossociais. Evidenciaram altos níveis de ansiedade, estresse e depressão no decurso da gestação. Quanto aos métodos contraceptivos, a maioria estava em uso quando da descoberta da gravidez. Considera-se que este estudo ganha relevância pelo impacto que exerce sobre o bem-estar pessoal, familiar e socioeconômico das mulheres e seus companheiros, em virtude das possíveis gestações não planejadas
Pregnancy, childbirth and the postpartum period are special knowledge in the world of woman\'s partner, family and your community. Pregnancy can cause many feelings, such as: the surprise, the punishment, the premium, the motivation to continue living, the realization of an old design, the competition in the family, the problem of the hindrance, to carelessness or irresponsibility. Confirmed pregnancy, the woman, her partner and family members may experience different reactions to this news. The initial reaction depends on the planning and desire of pregnancy (gestation), and may be desired, planned or accidental, unplanned and even unwanted. Unplanned pregnancy is any pregnancy that was not planned by the couple, or at least the woman. Its occurrence has important impact on the provision of prenatal care, the guidance on breastfeeding, the nutritional status and rates of maternal and child morbidity and mortality. Although little studied, unplanned pregnancy is increased risk of anxiety and depression, especially in the postpartum period. Considering these aspects, the aim of this study was to understand how pregnant women experienced / experienced an unplanned pregnancy and its consequences for family life / marriage. The study was based on the methodology of qualitative data analysis, the analysis of these data, we used the methodological approach of the Collective Subject Discourse (CSD), using the software Atlas.ti. The study population consisted of pregnant women of childbearing age, between 18 and 49 years of age, because this age ensures age women. Was used to organize the verbal data, semi-structured interviews conducted with 11 pregnant women. Based on the testimonies of the women copied the software, discourse analysis began with the identification of key expressions, in which are contained the main ideas of a speech that was written briefly and objectively. It was shown that pregnant women had initial negative reactions regarding the discovery of unplanned pregnancy, experienced conflict due to fear of facing the family, spouse, and parents. It was also evident that unplanned pregnancy is mainly due to problematic levels biopsychosocial. Showed high levels of anxiety, stress and depression during pregnancy. As for contraception, the majority was in use when the discovery of the pregnancy. It is considered that this study becomes relevant for the impact it has on the well -being, family and socioeconomic status of women and their partners, because of possible unintended pregnancies
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Books on the topic "Unwanted/unplanned teenage pregnancy"

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Koster-Oyekan, Winny. Unplanned pregnancies: Causes and effects : a study in Western Province of factors contributing to unwanted pregnancies and of the choices women make when faced with unwanted pregnancy. Mongu, Western Province, Zambia: Ministry of Health, Provincial Medical Office, Primary Health Care Programme, 1995.

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Furedi, Ann. Unplanned pregnancy: Your choices : a practical guide to accidental pregnancy. Oxford: Oxford University Press, 1996.

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Counseling for unplanned pregnancy and infertility. Waco, Tex: Word Books, 1987.

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Peckham, Stephen. Unplanned pregnancy and teenage pregnancy: A review. Southampton: Institute for Health Policy Studies, 1992.

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Coping with an unplanned pregnancy. New York: Rosen Pub. Group, 1996.

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Simpson, Carolyn. Coping with an unplanned pregnancy. New York: Rosen Pub. Group, 1994.

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Coping with an unplanned pregnancy. New York: Rosen Pub. Group, 1999.

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Coping with an unplanned pregnancy. New York: Rosen Pub. Group, 1990.

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Magadi, Monica A. Unplanned childbearing: The socio-demographic correlates and the extent of repeatability among women in Kenya. Nairobi, Kenya: African Population & Health Research Center, 2001.

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Townsend, Rita, and Ann Perkins. Bitter fruit: Women's experiences of unplanned pregnancy, abortion, and adoption. Alameda, CA: Hunter House, 1992.

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Book chapters on the topic "Unwanted/unplanned teenage pregnancy"

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Feldman, William. "Unwanted Teenage Pregnancy: A Canadian Perspective." In Preventing Disease, 92–93. New York, NY: Springer New York, 1990. http://dx.doi.org/10.1007/978-1-4612-3280-3_11.

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Fielding, Jonathan E., and Carolyn A. Williams. "Unwanted Teenage Pregnancy: A US Perspective." In Preventing Disease, 94–100. New York, NY: Springer New York, 1990. http://dx.doi.org/10.1007/978-1-4612-3280-3_12.

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Fox, Dov. "Procreation Imposed." In Birth Rights and Wrongs, 113–26. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190675721.003.0009.

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A negligently failed abortion, birth control, or sterilization foists on plaintiffs the very pregnancy or parenthood they enlisted professional assistance to avoid. Courts refuse to remedy these reproductive injuries on the ground that babies are blessings. But this repudiates plaintiffs’ moral agency to decide what’s good for their own lives. It’s specious and patronizing to think that all unsuspecting parents will come to be glad that misconduct rode roughshod over their decisions to be sterilized, use contraception, or have an abortion. And courts shouldn’t dismiss complaints in which causation is uncertain, provided that plaintiffs can show that negligence increased the chances of unwanted procreation by a non-insignificant degree. But it’s only fair to hold defendants liable for whatever portion of the reproductive injury their negligence caused, or the corresponding chance that their misconduct is to blame for causing it. Plaintiffs shouldn’t be denied the compensation they’re entitled to just because they exercised their protected liberties to decline abortion or adoption. Insisting that negligence victims cut off ties with a fetus or child as a condition of recovery disrespects their interest in making reproductive decisions for themselves. Forcing their hand yet again only exacerbates that injury to such a meaningful part of their lives that specialists had previously given them legitimate reason to expect. Raising the unplanned child may be worse for them than the childless future they’d hoped for—but abortion or adoption may be worse than either of those.
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Dryfoos, Joy G. "Introduction: Hypotheses and Theories." In Adolescents at Risk. Oxford University Press, 1992. http://dx.doi.org/10.1093/oso/9780195072686.003.0003.

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Many children are growing up in the United States today without a hope of enjoying the benefits that come with adulthood. They are not learning the skills necessary to participate in the educational system or to make the transition into the labor force. They cannot become responsible parents because they have limited experience in family life and lack the resources to raise their own children. The gap between achievers and nonachievers is expanding. A new class of “untouchables” is emerging in our inner cities, on the social fringes of suburbia, and in some rural areas: young people who are functionally illiterate, disconnected from school, depressed, prone to drug abuse and early criminal activity, and eventually, parents of unplanned and unwanted babies. These are the children who are at high risk of never becoming responsible adults. There is growing concern in this nation about the future status and work potential of these high-risk youth. This concern has been heightened in direct proportion to the awareness that at least one-quarter of future labor force requirements will not be met unless these ill-equipped young people are helped. We cannot say that their problems are being ignored. The press and television are full of stories dramatizing the difficulties of young people, and hundreds of local, state, and national conferences address these issues and make recommendations about amelioration. There are literally thousands of programs addressed to preventing or ameliorating various problem behaviors. In fact, each problem area (e.g., school achievement, drugs, pregnancy, delinquency, suicide, mental health) has its own specialized constitutency, meetings, publications, and “gurus.” One might well ask, if all of these resources are being used to combat the separate problems, why is the status of high-risk youth deteriorating? An array of explanations can be offered in response to this critical question. Success is elusive because the programs as interventions are too fragmented and weak to have enough impact. They do not create change either in the individuals who exhibit the behavior or in the institutions responsible for the environment in which the behavior is learned.
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