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1

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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4

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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5

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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7

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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8

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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9

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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11

Leshabari, M. T., G. S. Mpangile, S. F. Kaaya, and D. J. Kihwele. "From Teenage Unwanted Pregnancy to Induced Abortion: Who Facilitates Links?" International Journal of Adolescence and Youth 4, no. 3-4 (January 1994): 195–210. http://dx.doi.org/10.1080/02673843.1994.9747736.

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12

Sham, Fatimah, Afiqah Ismail, Tuan Nor Ashikin Tuan Him, and Salmi Razali. "View and Experiences of Unwanted Pregnancy Among Malays Teenage Mother." Environment-Behaviour Proceedings Journal 6, SI4 (July 31, 2021): 27–32. http://dx.doi.org/10.21834/ebpj.v6isi4.2897.

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Ex-nuptial pregnancy among teenagers in Malaysia associates with negative consequences. However, perspective from them is lacking. To explore their experiences and perspective in addressing this phenomenon. In-depth face-to-face interviews were conducted with informed consent among 10 young women who experienced becoming unwed mothers during adolescents. Data were encoded and analyse using Qualitative Data Analysis Miner Program and interpretative phenomenological analysis. Four themes emerged; sexual activity trajectory, motherhood struggles to them, formula of resilience teenage mothers and life after misery. Perspectives from them are vital. Great support strategies could assist them for a better life. Keywords: teenage, motherhood, pregnant, sexuality, Malaysia eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v6iSI4.2896
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13

Crosby, Richard A., Ralph J. DiClemente, Gina M. Wingood, Eve Rose, and Delia Lang. "Correlates of unplanned and unwanted pregnancy among African-American female teens." American Journal of Preventive Medicine 25, no. 3 (October 2003): 255–58. http://dx.doi.org/10.1016/s0749-3797(03)00192-2.

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14

Hayter, Mark, Catriona Jones, Jenny Owen, and Christina Harrison. "A qualitative evaluation of home-based contraceptive and sexual health care for teenage mothers." Primary Health Care Research & Development 17, no. 03 (September 28, 2015): 287–97. http://dx.doi.org/10.1017/s1463423615000432.

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AimThis paper reports on the findings from a qualitative study exploring the experiences of teenage mothers using a nurse-led, home-based contraceptive service designed to prevent repeat unplanned pregnancies. The aim was to understand if, and how the service was effective in equipping teenage mothers to make informed choices about contraception, thus preventing a second pregnancy.BackgroundUnplanned teenage pregnancy remains a significant focus of health and social policy in the United Kingdom (UK). Despite the long-term pattern of declining conception rates, the UK continues to report higher rates than comparable countries elsewhere in Europe. Current estimates suggest that approximately one fifth of births amongst under 18’s are repeat pregnancies (Teenage Pregnancy Independent Advisory Group, 2009). Services that are designed to reduce second unplanned pregnancies are an important element in promoting teenage sexual health. However, there has been no UK research that explores this kind of service and the experiences of service users.MethodsWe conducted a qualitative interview study. From 2013–2014 we interviewed 40 teenage mothers who had engaged with the nurse-led, home-based contraceptive service.FindingsThe data demonstrates that the service was effective in preventing repeat pregnancies in a number of cases. Among the aspects of the service which were found to contribute to its effectiveness were privacy, convenience, flexibility, appropriately timed access, the non-judgemental attitude of staff and ongoing support.
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15

Woodward, Vivien M. "Psychosocial factors influencing teenage sexual activity, use of contraception and unplanned pregnancy." Midwifery 11, no. 4 (December 1995): 210–16. http://dx.doi.org/10.1016/0266-6138(95)90006-3.

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16

Youssef, R. M., I. I. Moubarak, Y. A. Gaffar, and H. Y. Atta. "Correlates of unintended pregnancy in Beheira governorate, Egypt." Eastern Mediterranean Health Journal 8, no. 4-5 (June 15, 2002): 521–36. http://dx.doi.org/10.26719/2002.8.4-5.521.

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This study looked at the frequency and determinants of unplanned births among women in Beheira governorate, Egypt, and the effects on antenatal and postnatal care sought by the mother for herself and her child. Unintended births comprised 23.6%; 13.8% were unwanted and 9.8% were mistimed. Contraceptive failure accounted for 28.8% of unintended pregnancies; 47.1% of women who reported unintended pregnancy were not using [corrected] contraception. Age, education and parity were predictors of unwanted pregnancy. Contraceptive use and maternal employment status predicted mistimed pregnancy. Unintended pregnancy was a barrier to antenatal care, but not to child care. Our findings suggest that family planning programmes should help women of reproductive age achieve spacing and fertility limits.
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Moreau, Caroline, Aline Bohet, Mireille Le Guen, Arnaud Régnier Loilier, and Nathalie Bajos. "Unplanned or unwanted? A randomized study of national estimates of pregnancy intentions." Fertility and Sterility 102, no. 6 (December 2014): 1663–70. http://dx.doi.org/10.1016/j.fertnstert.2014.08.011.

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18

Singh, Dela, Rabi Regmi, Tara Gurung, and Lakshmi Sunar. "Obstetric Outcomes of Teenage Pregnancies: A Hospital-based Study in a Tertiary Care Center." Medical Journal of Pokhara Academy of Health Sciences 1, no. 1 (June 4, 2018): 35–40. http://dx.doi.org/10.3126/mjpahs.v1i1.22458.

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Background: Teenage pregnancy is a pregnancy in a woman of age group 10-19 years which is a worldwide public health problem in both developed and developing countries. Pregnancy during this period is usually unplanned and is associated with increase maternal and perinatal morbidity and mortality. The overall aim is to study the obstetric outcome in teenage pregnancy and comparing them with the adult group. Materials and methods: A hospital-based study was conducted among teenager primiparous women aged 13-19 years while comparing them with 20-24 years primiparous delivering in the department of obstetrics and gynaecology in Pokhara, Nepal from July 20, 2017 to November 12, 2017. Medical details of the patients were retrospectively collected from the medical record section and used to record sociodemographic features, mode of deliveries, and gestational age at delivery, fetal and maternal outcomes on a structured observational checklist. Results: The incidence of teenage pregnancy was 11.22%. The mean age of teenager and control groups were 18.17± 0.86 and 22.13± 1.61 years respectively. The incidence of teenage pregnancy was higher in Dalits. Literacy was another factor that made a significant difference. The study group in comparision with the control had more vaginal delivery without episiotomy and less cesarean delivery. But there was no statistical significance in the incidence of instrumental delivery. The incidence of live birth, intrauterine fetal death, neonatal death and NICU admission had no statistical significance. Conclusion: Teenage pregnancy had more vaginal deliveries and less cesarean sections. Teenage pregnancy is not associated with adverse maternal and fetal outcomes.
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te Lindert, Luka, Maarten van der Deijl, Agripa Elirehema, Marianne van Elteren-Jansen, Raynald Chitanda, and Thomas van den Akker. "Perceptions of Factors Leading to Teenage Pregnancy in Lindi Region, Tanzania: A Grounded Theory Study." American Journal of Tropical Medicine and Hygiene 104, no. 4 (April 7, 2021): 1562–68. http://dx.doi.org/10.4269/ajtmh.20-0151.

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ABSTRACTHigh prevalence of teenage pregnancy in low-income countries impacts health, social, economic, and educational situations of teenage girls. To acquire better understanding of factors leading to high prevalence of teenage pregnancy in rural Lindi region, Tanzania, we explored perspectives of girls and key informants by conducting a facility-based explorative qualitative study according to the grounded theory approach. Participants were recruited from Mnero Diocesan Hospital using snowball sampling, between June and September 2018. Eleven pregnant teenagers, two girls without a teenage pregnancy, and eight other key informants were included. In-depth interviews (including photovoice) and field observations were conducted. Analysis of participant perspectives revealed five main themes: 1) lack of individual agency (peer pressure, limited decision-making power, and sexual coercion); 2) desire to earn money and get out of poverty; 3) dropping out of school contributing to becoming pregnant; 4) absence of financial, material, psychological, or emotional support from the environment; and 5) limited access to contraception. A majority of girls reported the pregnancy to be unplanned, whereas some girls purposely planned it. Our findings and the resulting conceptual framework contribute to a new social theory and may inform national and international policies to consider the needs and perspectives of teenagers in delaying pregnancy and promoting sexual and reproductive health in Tanzania and beyond.
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Yago-Simón, Teresa, and Concepción Tomás-Aznar. "Condicionantes de género y embarazo no planificado en adolescentes y mujeres jóvenes." Anales de Psicología 31, no. 3 (September 16, 2015): 972. http://dx.doi.org/10.6018/analesps.31.3.185911.

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<p style="margin-bottom: 0cm;">Studies about risk sexual-reproductive behaviour in young population show differences between sexes and recommend to include gender perspective. The aim of this study is to know how gender conditionings influence young women and whether there is any relationships with unplanned pregnancy.</p><p style="margin-bottom: 0cm;"><em>Method</em>: Participants: 395 women between 14 and 24 years old, attending the contraception consultation. Tool: application of the questionnaire about gender conditionings in contraception (COGANT). Analysis: relationship between scores in the questionnaire, socio-demographic variables and unplanned pregnancy.</p><p style="margin-bottom: 0cm;"><em>Results:</em> Gender conditionings act more in teenage, foreign and gipsy young women and with a lower level of studies. A higher score in the questionnaire and in both factors, “Inegalitarian relationship” and “Traditional gender role”, is related with an unplanned pregnancy.</p><p style="margin-bottom: 0cm;"><em>Conclusions</em>: It is necessary to make progress in equality and to question traditional roles to decrease unplanned pregnancies in young girls.</p>
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Mohammadi, Eesa, Roghaiyeh Nourizadeh, Masoumeh Simbar, Ahmad Reza Baghestani, and Nicole Rohana. "DEVELOPMENT AND PSYCHOMETRIC TESTING OF AN INSTRUMENT TO MEASURE WOMEN’S PERCEPTIONS OF UNPLANNED PREGNANCY." Journal of Biosocial Science 51, no. 3 (October 2, 2018): 394–402. http://dx.doi.org/10.1017/s0021932018000251.

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AbstractA woman’s decision to continue or terminate an unplanned pregnancy is affected by a broad range of contextual and cognitive factors. The identification of women’s perceptions of unplanned pregnancy is crucial for health care providers to be able to offer supportive care and counselling. The aim of this study was to develop an instrument to accurately measure women’s perceptions of unplanned pregnancy: the Women’s Perceptions of Unplanned Pregnancy Questionnaire. The instrument was developed using a methodological framework guided by Waltz et al. (2010). A conceptual model of the designed instrument emerged from the qualitative study using a content analysis approach conducted in Tabriz, Iran. Participants were recruited using convenience sampling method between June 2016 and July 2017. Participants were a sample of married Iranian women between the ages of 15 and 49 who had experienced an unplanned pregnancy, either unwanted or mistimed, within the last 3 months. Women with an established diagnosis of a psychological disorder were excluded from the study. The psychometric properties of the instrument were assessed using face, content, concurrent and construct validations. To evaluate face validity, qualitative and quantitative (item impact score) methods were used. The content validity was assessed by fifteen panel experts. In addition, concurrent validity of the designed instrument was tested using the Persian version of the Cambridge Worry Scale and the Spielberger State-Trait Anxiety Inventory. The construct validity was calculated by using the exploratory factor analysis method. Data were collected from questionnaires completed by 310 eligible women. Analysis of the data using exploratory factor analysis yielded 31 items in a unique six-factor structure. The instrument was found to have high internal consistency (Cronbach’s α=0.88) and adequate reliability (Intraclass Correlation Coefficient=0.89). A clearer understanding of women’s perceptions of unplanned pregnancy may enhance reproductive services and interventions.
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McMichael, Celia. "Unplanned but not unwanted? Teen pregnancy and parenthood among young people with refugee backgrounds." Journal of Youth Studies 16, no. 5 (August 2013): 663–78. http://dx.doi.org/10.1080/13676261.2012.744813.

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23

Sriyasak, Atcharawadee, Anna-Lena Almqvist, Chaweewan Sridawruang, Wanwadee Neamsakul, and Elisabet Häggström-Nordin. "The New Generation of Thai Fathers: Breadwinners Involved in Parenting." American Journal of Men's Health 12, no. 5 (May 23, 2016): 1368–78. http://dx.doi.org/10.1177/1557988316651062.

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Becoming a father for the first time might cause great changes in a man’s identity and lifestyle. Teenage fathers must strive to balance two competing roles: the teenage role and the father role. The current study design followed grounded theory methodology to gain a deeper understanding of how Thai teenage fathers reason about becoming and being a father from a gender equality perspective. Participants were selected from a heterogeneous group of fathers until saturation was reached ( n = 25). Most of the fathers were cohabiting with their partner in an extended family. An interview guide was developed, a pilot study was undertaken, and interviews were performed on two different occasions: once during the second trimester of pregnancy and again when the baby was 5 to 6 months old. The core category, “Male breadwinners involved in parenting,” encompassed persons making the transition from being solely a teenager to being a teenage father. Most of the fathers accepted the unintended pregnancy and took on the expected breadwinning responsibility of a father. They prepared for fatherhood and changed their lifestyle. Their families provided support. Nevertheless, the fathers sought to avoid further unplanned parenthood by learning about family planning. The teenage fathers emphasized breadwinning first, then involved himself in the child and the housework. These findings provide an increased understanding of Thai teenage fathers.
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Htun, Khin Wai Wai, Korravarn Yodmai, and Pimsurang Taechaboonsermsak. "Emergency contraceptive pill use among women of reproductive age in Pathein, Myanmar." Journal of Health Research 33, no. 4 (July 7, 2019): 349–58. http://dx.doi.org/10.1108/jhr-07-2018-0047.

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Purpose Emergency contraceptive pills (ECPs) allow a second chance to prevent unwanted pregnancy in unplanned sexual intercourse. Therefore, it helps reduce the rate of induced or unsafe abortions. Although they are available over-the-counter in Myanmar, relevant information remains improperly known by women and its use is limited. The purpose of this paper is to identify the prevalence and associated factors of ECPs use among women of reproductive age in the delta region of Myanmar. Design/methodology/approach This community based cross-sectional study was conducted in Pathein Township, Ayeyarwady Division, Myanmar from March 30 to April 29, 2018. This study was conducted among 238 respondents selected using multistage sampling and face-to-face interviews employed structured questionnaires. Multiple logistic regression was used to analyze the associations among variables. Findings The prevalence of ECPs use among reproductive aged women was 11.3 percent. Factors significantly associated with ECPs use were high monthly family income (AOR=4.50, 95% CI=1.31–15.48), condom use (AOR=4.40, 95% CI=1.07–18.16) and never having experienced pregnancy (AOR=6.20, 95% CI=2.06–18.67). Originality/value To improve the use of ECPs, extension of services such as opening hours or working days is needed. The government and NGOs should implement the services to support women who have encountered unplanned sexual intercourse so that unwanted pregnancy can be prevented.
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Parekh, Angina, and Cheryl de la Rey. "Intragroup Accounts of Teenage Motherhood: A Community Based Psychological Perspective." South African Journal of Psychology 27, no. 4 (December 1997): 223–29. http://dx.doi.org/10.1177/008124639702700404.

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Using community based and women-centred perspectives, this study explored experiences of unplanned motherhood during adolescence. Ten African teenage mothers from a semi-rural area in KwaZulu-Natal volunteered to meet once a week for eight weeks to discuss their experiences of pregnancy and motherhood. The findings are discussed in the context of the effect of teenage motherhood on self, on family and peer relationships, traditional Zulu customs, and community support. Current relationships with partners and concerns about the future are also reported. The results indicate the need for school-based programmes and parent groups for adolescent mothers that will enhance their ability to examine options with a view to establishing a trajectory towards better life outcomes. Community health workers were also identified as resource personnel for enabling teenage mothers in rural and semi-rural areas to cope with their concerns and develop a way of understanding them.
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Donkor, Anthony Kudjo, and Azure Love Lariba. "The impact of sex education on teenage pregnancy in basic schools of Bawku municipal district in Ghana." Jurnal Pendidikan Biologi Indonesia 3, no. 3 (November 27, 2017): 214. http://dx.doi.org/10.22219/jpbi.v3i3.4915.

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The incidence of teenage pregnancy has been on the rise in Ghana, especially in the Bawku-East Municipality. In Ghana adults rarely discussed sexual matters with the youth. Thus, the youth have little or no information about the biological changes that take place in their bodies during the transitional period from youth to adulthood. This has resulted in unplanned pregnancies for the vast majority of teenagers, which have serious developmental and socioeconomic implications. The study was to explore how sex education could mitigate teenage pregnancy in the Bawku-East Municipality. A total sample size of one hundred and twenty-five (125) respondents was used for the study. Questionnaires, in-depth interviews, focus group discussions and observation were used to collect data for the study. The study revealed that poor parenting, poverty and peer influence were the major causes of teenage pregnancy in the study area. In addition, concealing sex education and sex-knowledge from the youth made them more curious and vulnerable. There is the need for parents and schools to empower the youth through sex education to equip them with knowledge in order to overcome the potentially corrupt information through the social media and friends. The study will be useful to students, parents, teachers and vulnerable group (girl-child) advocates in communities.
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Arai, Lisa. "Low Expectations, Sexual Attitudes and Knowledge: Explaining Teenage Pregnancy and Fertility in English Communities. Insights from Qualitative Research." Sociological Review 51, no. 2 (May 2003): 199–217. http://dx.doi.org/10.1111/1467-954x.00415.

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In the UK, youthful pregnancy and parenthood is considered an important social and health problem and is the focus of current government intervention. Contemporary policy approaches depict early unplanned pregnancy as a consequence of relative deprivation and a lack of opportunity, leading to ‘low expectations’ among youth, and as the result of sexual ‘mixed messages’ or poor knowledge about contraception. This small scale, qualitative study explores how well these explanations accord with accounts of pregnancy and motherhood provided by young mothers and Teenage Pregnancy Local Co-ordinators in diverse English localities. The results suggest that structural factors may be more important in explaining early pregnancy than those relating to sexual attitudes and knowledge. The tension between the idea of early motherhood as problematic, or even pathological, and early motherhood as rational is also considered.
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Nugroho, Efa, Zahroh Shaluhiyah, Cahya Tri Purnami, and Kristawansari Kristawansari. "Counseling Model Development Based on Analysis of Unwanted Pregnancy Case in Teenagers." Jurnal Kesehatan Masyarakat 13, no. 1 (July 28, 2017): 137–44. http://dx.doi.org/10.15294/kemas.v13i1.9488.

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Teenegers who experience unwanted pregnancies are increasing. The number of client that access the Unwanted Pregnancy counseling services in IPPA Central Java in the year 2006 (94 clients), 2007 (91 clients), 2008 (95 clients), 2009 (68 clients), 2010 (157 clients), 2011 (98 clients), and 2012 (83 clients). Related to that data, 31% of clients were referred Haid Induction (HI), 3% refer shelter, and 66% continue the pregnancy and there were not identified. This research cunducted in 2014 used quantitative-qualitative approach which aimed to develop a model of counseling after mapping the case. Respondents were 5 Unwaned Prenancy counseling clients selected based on the final decision of counseling. From the research developed counseling model for teenage which should have an easy procedure, complete services, opening hours accordingly, no discrimination, respect privacy, provide pro choice, and low prices. Services consists of counseling, contraception, safe abortion, treatment of STIs, information center counseling and HIV testing, gynecological, prenatal and postnatal services, as well as the services of victims of gender based violence and sexual abuse.
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Lawton, Beverley, Charrissa Makowharemahihi, Fiona Cram, Bridget Robson, and Tina Ngata. "Pounamu: E Hine: access to contraception for indigenous Mãori teenage mothers." Journal of Primary Health Care 8, no. 1 (2016): 52. http://dx.doi.org/10.1071/hc15021.

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ABSTRACT INTRODUCTION Timely and equitable access to contraception enables teenage mothers to make informed choices about their sexual and reproductive health. This study aimed to identify barriers and facilitators to contraception for Māori teenagers who become mothers. METHODS ‘E Hine’ is a longitudinal qualitative Kaupapa Māori (by Māori for Māori) study involving Māori women (aged 14–19 years), following them through pregnancy (n = 44) and the birth of their babies until their babies’ first birthdays (n = 41). This analysis focusses on contraception access pre-and post-pregnancy. FINDINGS Pre-pregnancy most participants accessed contraception or advice. Contraception use was compromised by a lack of information, negative side effects, and limited follow up. All reported their subsequent pregnancies as unplanned. Participants gave considerable thought to post-pregnancy contraception. Despite this many experienced clinical and service delays, financial barriers, and negative contraceptive side effects. There was little focus on contraception initiation and a lack of integrated care between midwives and other primary care services, leaving many participants without timely effective contraception. The system worked well when there was a contraception plan that included navigation, free access, and provision of contraception. CONCLUSION The majority of participants actively sought contraception pre- and post-conception. Despite a publicly funded system, a lack of health sector integration resulted in multiple missed opportunities to meet the needs of these teenagers for effective contraception. Health service funding formulas should define the goal as initiation of contraception rather than advice and provide funding to improve timely access to long acting reversible contraception. KEYWORDS Indigenous teenage pregnancy; contraception; barriers to contraception; Māori mothers
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Burgen, Brenda. "Women with Cognitive Impairment and Unplanned or Unwanted Pregnancy: A 2-Year Audit of Women Contacting the Pregnancy Advisory Service." Australian Social Work 63, no. 1 (March 2010): 18–34. http://dx.doi.org/10.1080/03124070903471033.

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Dejneka, Grzegorz Jakub, Małgorzata Ochota, Wiesław Bielas, and Wojciech Niżański. "Dystocia after Unwanted Mating as One of the Risk Factors in Non-Spayed Bitches—A Retrospective Study." Animals 10, no. 9 (September 19, 2020): 1697. http://dx.doi.org/10.3390/ani10091697.

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This article presents a retrospective study on dystocia cases in bitches that were unintentionally mated and carried an unwanted pregnancy in the last 39 years. The evaluated medical records include 76 cases of difficult labour, which is 8.3% of 914 dystocia cases recorded during the period. Of these bitches, 38.2% (29/76) were 8 years, and 18.4% (14/76) were younger than 12 months. In 67/76 cases (88.2%), conservative (pharmacological and manual) obstetrical assistance proved to be unsuccessful, and caesarian section (CS) had to be performed, in contrast to the remaining recorded cases of dystocia (in which the pregnancy was intended and expected) when CS was performed significantly less often, in 71.5% (599/838) of cases. In unplanned pregnancies, 46.6% (110/236) of delivered pups were dead compared to only 26.4% (864/3273) dead pups in planned pregnancies. p value < 0.05 was considered significant. Despite the widespread availability of the spaying procedure nowadays and its safety, unplanned and unwanted pregnancies in dogs are still a concern in clinical practice. However, throughout the years investigated here, we observed an apparent decrease in the occurrence of dystocia after unintended mating, with much less recorded cases from year 2004 (71 vs. 5). Most probably, this is due to the increasing popularity of surgical castration in both females and males, and rising societal awareness of its importance, giving hope that some improvement in the welfare of dogs has already been achieved.
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Utami, Fitriana Putri. "PRAKTIK ORANGTUA DALAM PENGAWASAN PERGAULAN REMAJA GUNA MENCEGAH KEHAMILAN TIDAK DIINGINKAN (KTD)." Care : Jurnal Ilmiah Ilmu Kesehatan 7, no. 2 (July 12, 2019): 7. http://dx.doi.org/10.33366/jc.v7i2.1043.

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Adolescence is a period of transition from childhood to adulthood accompanied by physical and hormonal changes. Sexual maturity in adolescence causes the emergence of sexual interest and high curiosity about sexuality. This makes adolescents very vulnerable to lead to premarital sexual behavior and the occurrence of unwanted pregnancies. This study aims to find out the practices of parents in providing adolescent social risk management at unwanted pregnancy. This research is a qualitative study with a case study approach. The informants in this study were seven people who were selected purposively with the criteria of parents who had teenage boys and girls (12-21 years) and were known to have been dating. Data validation uses triangulation of sources, namely teenagers who have been dating as many as three people. Data is taken by independent interview and analyzed using content analysis. Supervision by parents on child relationships includes parents having to know who their children are, supervising children's personal phone calls, setting curfew rules and giving penalties if the child violates. Parents also secretly checked children's personal items, even moved children's schools because the school environment was considered to have a bad influence. Monitoring by parents is intended so that children avoid bad relationships and risk the occurrence of unwanted pregnancy, but parents rarely give messages regarding reproductive health and sexuality to their teenagers. Parents are expected to be able to carry out family-based reproductive health and sexuality education to improve adolescents' understanding of the adverse effects and efforts to prevent unwanted pregnancy.
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Christofides, Nicola J., Rachel K. Jewkes, Kristin L. Dunkle, Frances McCarty, Nwabisa Jama Shai, Mzikazi Nduna, and Claire Sterk. "Risk factors for unplanned and unwanted teenage pregnancies occurring over two years of follow-up among a cohort of young South African women." Global Health Action 7, no. 1 (August 21, 2014): 23719. http://dx.doi.org/10.3402/gha.v7.23719.

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Fletcher, A. "Combined educational and contraceptive interventions reduce unplanned teenage pregnancy, but how useful is this finding for policy and practice?" Evidence-Based Medicine 15, no. 1 (February 1, 2010): 4. http://dx.doi.org/10.1136/ebm1002.

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Gebremedhin, Merhawi, Tewelde Gebrehawerya, Gezahagn Tesfaye, Mariam Alemayehu, and Sultan Waritu. "Prevalence of unintended pregnancy among antenatal care followers, in kersa woreda, estern hararghae, Ethiopia." International Journal of Medicine 5, no. 1 (April 20, 2017): 120. http://dx.doi.org/10.14419/ijm.v5i1.7477.

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Introduction: Unintended pregnancy is an important Public health concern worldwide that affect women, families and society at large. An unintended pregnancy has been responsible for unplanned and mostly unwanted family unions that ultimately cause disrupted lifestyles, a source of conflict between individuals and families as well as discrimination against girl hence the objective of this study was aimed to assess the prevalence of unintended pregnancy and its cause among ANC followers.Methodology: The study was conducted in kersa woreda, Eastern hararghae, Ethiopia from February to March, 2015. Facility based descriptive cross-sectional study was conducted among the sample of pregnant women visiting the randomly selected health facility. The source population was all pregnant women residing in kersa woreda and the study population was all pregnant women found in study area who visited health institution for ANC follow up. Our sample was 328 women, and respondents were selected using systematic random sampling. The data was cleaned, entered and analyzed using SPSS version 20.0.Result: The magnitude of unintended pregnancy was 31.3% of those, 82(25.6%) was mistimed and 18 (5.6%) was unwanted. Decision power, no radio, and not able to discuss with partner showed significant association. God’s order, husband contraceptive disapproval, and lack of information on contraceptives were mentioned as main cause for current unintended pregnancy.Conclusion: unintended pregnancy was prevalent in 31.3%. Absence of radio, lack of information and lack of discussion with partner was significant predictors. Health information dissemination is needed to community residents, and local governors should ensure that accessible, affordable and acceptable contraceptive is in place.
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Gipson, Jessica D., and Andrew L. Hicks. "THE DELINKING OF SEX AND MARRIAGE: PATHWAYS TO FERTILITY AMONG YOUNG FILIPINO WOMEN." Journal of Biosocial Science 49, no. 1 (January 26, 2016): 1–14. http://dx.doi.org/10.1017/s0021932015000462.

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SummaryPartnership and fertility patterns of young Filipinos have changed dramatically from previous generations, with a widening gap between sexual initiation and marriage, and concurrent increases in teenage pregnancy and unwanted fertility. Further understanding of young adults’ social contexts and partnership patterns are needed to inform reproductive health programmes and policies affecting young Filipinos. Multivariate Poisson regression models were conducted with longitudinal and inter-generational data from the Cebu Longitudinal Health and Nutrition Survey (1998–2009) to examine the predictors of young women’s fertility. Age at first sex, and number and duration of partnerships each independently and significantly predicted women’s fertility by 2009 after controlling for contextual influences. Young women with more conservative attitudes towards dating, sex and marriage, and who perceived their mothers to have more conservative attitudes, had higher fertility than their peers, as did young women with mothers who reported more adolescent sexual behaviours. In contrast, fertility was lower among daughters who had higher levels of communication with their mothers. Given high levels of unintended fertility and teenage pregnancy in the Philippines, the findings indicate that the interval between sexual initiation and first and subsequent partnerships may be ideal intervention points for reproductive health services for young Filipinos.
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Nicolet, Laure, Amir Moayedoddin, Joel Djatché Miafo, Daniel Nzebou, Beat Stoll, and Emilien Jeannot. "Teenage Mothers in Yaoundé, Cameroon—Risk Factors and Prevalence of Perinatal Depression Symptoms." Journal of Clinical Medicine 10, no. 18 (September 15, 2021): 4164. http://dx.doi.org/10.3390/jcm10184164.

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Background: Perinatal depression is defined as a non-psychotic depressive episode occurring during pregnancy or during the first year following childbirth. This depressive disorder is highly prevalent among teenage women but there is a lack of data in low- and middle-income countries. The objective of this study was to provide baseline data on the sociodemographic characteristics of pregnant teenagers or teenage mothers in an urban zone in Yaoundé, Cameroon. Risk factors were assessed, and prevalence of depressive disorders was determined. Methods: Women aged 20 years old or less in the perinatal period were invited to participate in the study. A total of 1344 women participated in the four-stage data collection process involving a questionnaire including questions on sociodemographic background, an assessment of their risk of perinatal depression using the EPDS questionnaire (Edinburgh Postnatal Depression Scale), a clinical interview based on the DSM 5 (Diagnostic and Statistical Manual of Mental Disorders), and a final section focusing on risk factors of perinatal depression. Results: The EPDS score was obtained for 1307 women. The prevalence of depressive disorder symptoms among teenage or young pregnant women is estimated to be 70.0%. This risk is significantly increased by different factors including unintended or unplanned pregnancy (aOR: 1.33, 1.14–1.56 CI95%), being separated or single (aOR: 1.34, 1.12–1.60 CI95%), experiencing depression and anxiety before childbirth (aOR: 1.50, 1.02–2.27 CI95%), abortion experience (aOR: 2.60, 1.03–7.14 CI95%) and domestic violence (aOR: 1.76, 1.12–2.83 CI95%). Conclusion: The results of this study reveal a high prevalence of depressive disorder symptoms within the study population. These findings highlight the need to develop maternal care programs to support both mothers and their infants.
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Drwal, Małgorzata, Katarzyna Głaszcz, Anna Taracha, Adrianna Krupa, Olga Padała, and Ryszard Maciejewski. "Prevention of STI and teenage pregnancies through sex education." Polish Journal of Public Health 126, no. 1 (March 1, 2016): 46–49. http://dx.doi.org/10.1515/pjph-2016-0010.

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Abstract Different names are used when referring to sex education, as well as there are different ways to teach the subject. Yet, it remains an essential part of the school curriculum. Using different curricula may yield various results. The content of sex education classes is dependent on various cultural and social aspects, specific to the certain country. In Poland, sex education-related topics are brought up during classes of Introduction to Family Planning, as it is called in Polish. The Ministry of Education is responsible for shaping sex education policies. The curriculum mostly focuses on STI-related diseases (including HIV/AIDS), contraceptive methods and teen pregnancy issues. Unfortunately, psychological aspects of sex or sexual assault subjects are rarely discussed upon. As a result, sexual initiation often results in unwanted pregnancies or infections. Shame is a huge obstacle to effective communication on these topics between teens ant their parents. This shows the need for organizing educational meetings for parents or carers to help them start a conversation on this delicate subject with their kids. Sex education should be focused on presenting upright knowledge with medical accuracy, which will be an addition to the content provided by parents. Well-prepared teachers can have impact over lowering the rate of sexually transmitted infections and teenage pregnancies. Sex education has also a significant influence over promoting responsible sex and increasing teens’ awareness.
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Grigg, E. "Combined educational and contraceptive interventions reduce unplanned teenage pregnancy, but effects on other outcomes such as sexually transmitted infections unclear." Evidence-Based Nursing 13, no. 1 (February 1, 2010): 5–6. http://dx.doi.org/10.1136/ebn.13.1.5.

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Grigg, E. "Combined educational and contraceptive interventions reduce unplanned teenage pregnancy, but effects on other outcomes such as sexually transmitted infections unclear." Evidence-Based Nursing 13, no. 1 (February 23, 2010): 5–6. http://dx.doi.org/10.1136/ebn1003-1.

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41

Ramsay, Marc. "Wrongful Pregnancy and the Offset/Benefits Approach." Canadian Journal of Law & Jurisprudence 28, no. 1 (January 2015): 129–54. http://dx.doi.org/10.1017/cjlj.2015.20.

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Wrongful pregnancy cases involve unwanted pregnancies and births caused by medical negligence. In all such cases, the resulting child is unplanned and the relevant healthcare professional’s services were retained in order to prevent pregnancy and childbirth. I argue that wrongful pregnancy victims are entitled to Total Recovery, damages for both child-rearing costs and losses associated with pregnancy. Critics of Total Recovery often appeal to the Offset/Benefits Approach (OBA). In its most radical form, OBA insists that healthy children always constitute an overall benefit to their parents and that this overall benefit cancels out any claim to damages for child-rearing costs. However, OBA cannot justify blocking or reducing wrongful pregnancy victims’ claims to child-rearing damages. The conviction that children must always be treated as overall beneficial to their parents is based on a confused combination of moralistic judgment and legal fiction. More importantly, the benefits of children, whatever these may be, fall outside the scope of the tortfeasor/victim relationship; these benefits are irrelevant to the assessment of damages. My case against OBA is based on an account of corrective justice that draws on the works of Ernest Weinrib and Arthur Ripstein. I illuminate both the defects of OBA and the justice of Total Recovery by comparing wrongful pregnancy suits with Weinrib’s famous plane crash example.
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42

Moore, Jesse N., Mary Anne Raymond, John D. Mittelstaedt, and John F. Tanner. "Age and Consumer Socialization Agent Influences on Adolescents’ Sexual Knowledge, Attitudes, and Behavior: Implications for Social Marketing Initiatives and Public Policy." Journal of Public Policy & Marketing 21, no. 1 (April 2002): 37–52. http://dx.doi.org/10.1509/jppm.21.1.37.17612.

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Social marketing initiatives that influence adolescents’ sexual behavior are critical given that adolescents are the most at-risk group for sexually transmitted diseases and unplanned and unwanted pregnancy. This study, involving 1343 middle school– and high school–aged students, explores relationships among several factors that potentially influence adolescents’ sexual knowledge, attitudes, and behavior. The authors examine the influence of several socialization agents, including parents, peers, and mass media. The results show that parental influence is the most consistent socialization agent across age groupings on all dependent variables studied. However, the relative influence of parents, peers, and media may vary between middle school– and high school–aged adolescents. The authors discuss implications for social marketing initiatives, public policy, and further research.
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Brown, Nicole E., Alyssa Abebe, Kaleab Abebe, and Duane Eisaman. "Determining Factors Associated with Sexual Behavior and Undesired Outcomes in Urban,Young, Adult Female Populations: A Comparative Study." Women's Health – Open Journal 7, no. 1 (May 28, 2021): 10–26. http://dx.doi.org/10.17140/whoj-7-142.

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Background Sexually transmitted infections (STIs) and unwanted pregnancies affect adolescent females annually. This study’s objective was to determine factors leading to disproportionate risk of STIs and unplanned pregnancies utilizing a survey to compare a presumed high-risk urban female population with an age-matched expected low-risk urban female population. Methods Adolescent women ages 18-24 were surveyed during 2017 utilizing a qualtrics survey. The survey was given at a local urban university and participating students received research credit. The survey was also given at an urban Emergency Department (ED) using an iPad to participants during their visit. The main outcomes measured were STI and unplanned pregnancy rates. Results The ED cohort had higher rates of chlamydia (52% vs 5%), gonorrhea (20% vs 0%), trichomoniasis (30% vs 2%), pregnancy (60% vs 2%), and perceived themselves to be a higher-risk for pregnancy (3.4 vs 1.9) than the University cohort. They were younger the first time they had vaginal sex (15.6 vs 16.3-years), though median age of first oral sex was similar between groups. The ED cohort was older (21.4-years-old vs 19.1-years-old) and more likely to be non-white (64% vs 6%). There were no differences between the cohorts in regard to educational background and sexual orientation. After adjustments were made, the University cohort was more likely to use condoms and had a lower rate of lifetime partners. Conclusion Young, urban females use condoms and birth control less frequently and have more male partners than an age-matched university population.
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Ziebland, Sue, and Krista Maxwell. "Not a ‘proper’ solution? The Gap between Professional Guidelines and Users' Views about the Safety of Using Emergency Contraception." Journal of Health Services Research & Policy 3, no. 1 (January 1998): 12–19. http://dx.doi.org/10.1177/135581969800300105.

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Objectives: As a form of contraception which is used after sex, emergency contraception occupies a singular place in the birth control repertoire. The relatively high UK incidence of pregnancy terminations and of teenage pregnancy, combined with the recognition that much early sex remains unplanned and unprotected, has led to calls for better access to emergency contraceptive methods. In this study a combination of self-completion questionnaires and semi-structured interviews was used to explore views of emergency contraception among women who were using the method. Methods: Five hundred and ten women attending two family planning clinics in Oxford and London completed a questionnaire in the waiting room and 53 women who were attending for emergency contraception took part in semi-structured interviews. Results: The view, presented in recently published UK guidelines, that emergency contraception is a reliable method and not dangerous to repeat, was not shared by the respondents. The rationale for and sources of women's concerns about the strength of the dose of hormonal emergency contraception and the nature of side-effects are explored.
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Bales, M., E. Pambrun, M. Melchior, N. M. C. Glangeaud-Freudenthal, M. A. Charles, H. Verdoux, and A. L. Sutter-Dallay. "Prenatal Psychological Distress and Access to Mental Health Care in the ELFE Cohort." European Psychiatry 30, no. 2 (February 2015): 322–28. http://dx.doi.org/10.1016/j.eurpsy.2014.11.004.

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AbstractBackground:Pregnant women are vulnerable to the deleterious impact of environmental stressors. The aims were to identify the environmental and pregnancy characteristics independently associated with prenatal psychological distress and access to mental health care.Methods:We used data from the French cohort Étude Longitudinale Française depuis l’Enfance (ELFE), a nationally representative cohort of children followed-up from birth to adulthood. Information about prenatal psychological status and access to mental health care was collected during the maternity stay. Maternal/pregnancy characteristics independently associated with psychological distress and access to mental health care were explored using multivariate analyses.Results:Of the 15,143 mothers included, 12.6% reported prenatal psychological distress. Prenatal distress was more frequent in women with very low economical status, alcohol/tobacco use, unplanned/unwanted pregnancy, late pregnancy declaration, multiparity and complicated pregnancy (high number of prenatal visits, prenatal diagnosis examination, obstetrical complications). Of the women reporting prenatal distress, 25% had a prenatal consultation with a mental health specialist and 11% used psychotropic drugs during pregnancy. Decreased likelihood to consult a mental health specialist was found in young women, with intermediate educational level and born abroad.Limitations:Causal inferences should be made cautiously as the questionnaire did not collect information on the temporal sequence between psychological distress and associated characteristics.Conclusions:Women with social and obstetrical vulnerabilities are at increased risk of poor mental health during pregnancy. Improving mental health care access during pregnancy is a public health priority.
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Malga, Pelonomi F., Boitumelo Marilyn Setlalentoa, Choja Oduaran, and Nopasika Maforah. "Factors Influencing HIV/AIDS and Risky Sexual Behaviour Among Learners in South Africa." Global Journal of Health Science 10, no. 5 (May 1, 2018): 197. http://dx.doi.org/10.5539/gjhs.v10n5p197.

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HIV/AIDS is a global health concern and young people are more at risk of being infected. The explored factors that contribute to HIV/AIDS and risky sexual behaviour among learners aged 12-18 years in Vuyolwethu High School. The study focused on learners who were in Grade 10-12. This study employed a mixed method research. Quantitative phase was limited to learners while the qualitative phase focused on life-orientation teachers. The total study sample is 150, and the gender distribution is equally distributed at 50% for both males and females. The dominating age and grade among respondents is age 17-18 years and grade 11. Quantitative data were subjected to descriptive analyses while thematic analysis is employed for analysis of qualitative data. Overall, about 51.3% of the respondents strongly agreed that engaging in sexual intercourse without protection is risky, and that unprotected sexual activity can lead to unwanted sexual encounters, unwanted teenage pregnancy and HIV/AIDS. Similarly, substance abuse is found to be a key factor that influences risky sexual behaviour among adolescents, thus resulting to unwanted pregnancies and HIV/AIDS infection. The main conclusion drawn from the findings is that while adolescents seem to be knowledgeable on the factors that contribute to risky sexual behaviour, this knowledge does not lead to attitude change. It is therefore recommended, based on the study’s findings, that there should be more focused training programmes directed not only at knowledge but also attitude and behaviour change.
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Andriana, Kiki. "PENGETAHUAN IBU HAMIL DAN DUKUNGAN KELUARGA PADA KEJADIAN KEHAMILAN USIA MUDA REMAJA." JURNAL MEDIA KESEHATAN 11, no. 1 (November 16, 2018): 093–101. http://dx.doi.org/10.33088/jmk.v11i1.362.

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Unwanted teenage pregnancies are very embarrassing and can damage theirfuture, therefore some teenagers have an abortion to abort their pregnancy. This researchis an analytical research using Cross Sectional approach. The study population was allpregnant women from July to September as many as 370 pregnant women. The sample inthis study were 82 respondents. The sampling technique was carried out by means ofquata sampling. Data collection was carried out by filling out the questionnaire carriedout on October 23 to November 2, 2017. Data analysis was used chi-square with p-value0.005. The results showed that most respondents did not experience pregnancy at a youngage, lacked knowledge and had negative family support. Based on the results of theanalysis there is a significant relationship between knowledge and family support with theincidence of pregnancy at a young age with p-value, namely p = 0.033 and p = 0.030.Respondents' knowledge can be improved by conducting counseling, disseminatingfanplet, health promotion, and activeness of respondents seeking information aboutpregnancy at a young age, attending formal or non-formal health education namelyconsulting with health workers and respondents can seek information through print andelectronic media.
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Warner, Rachel, Louis Appleby, Anna Whitton, and Brian Faragher. "Demographic and Obstetric Risk Factors for Postnatal Psychiatric Morbidity." British Journal of Psychiatry 168, no. 5 (May 1996): 607–11. http://dx.doi.org/10.1192/bjp.168.5.607.

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BackgroundPostnatal depression follows 10% of live births but there is little consensus on the risk factors associated with its development. Previous smaller studies have been unable to quantify the impact of independent risk factors as relative and attributable risks.MethodThe Edinburgh Postnatal Depression Scale (EPDS) was used to screen a systematic sample of 2375 women, six to eight weeks after delivery. Information on socio-demographic and obstetric variables was collected at the screening interview. The risk factors associated with high EPDS scores (>12) were determined and entered stepwise into a regression model.ResultsFour independent variables were found to be associated with an EPDS score above this threshold. These were an unplanned pregnancy (OR 1.44); not breast-feeding (OR 1.52), and unemployment in either the mother, i.e. no job to return to following maternity leave (OR 1.56), or the head of household (OR 1.50). These four variables appeared to explain the risk associated with other risk factors.ConclusionsAlthough a direct aetiological role for these risk factors is not certain, they may indicate strategies for the prevention of affective morbidity in postnatal women. These may include reducing unwanted pregnancy and employment for women after childbirth.
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Moyano, Nieves, Reina Granados, Christian Andrés Durán, and Carlos Galarza. "Self-Esteem, Attitudes toward Love, and Sexual Assertiveness among Pregnant Adolescents." International Journal of Environmental Research and Public Health 18, no. 3 (January 31, 2021): 1270. http://dx.doi.org/10.3390/ijerph18031270.

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Adolescence is a stage of growth and development of great relevance. Unplanned teenage pregnancies can be considered a global public health problem due to the high impact on the present and future of these young people, as well as their possible offspring. The aim of this study was to analyze the relationship between self-esteem, attitudes toward love, and sexual assertiveness among pregnant and non-pregnant teenagers. We also considered whether their pregnancy was planned or not. The study was conducted with 225 women from Ecuador (34.2% pregnant; Mean age = 16; SD = 1.15). We administered self-reported measures such as the Rosenberg Self-Esteem Scale, the Love Attitudes Scale, and the Sexual Assertiveness Scale between 2018 and 2019. Self-esteem was higher in adolescents with a planned pregnancy than in those women whose pregnancy was not planned. Pregnant women reported greater acceptance and endorsement of beliefs related to the myth of “soulmate” in comparison to non-pregnant women. Sexual assertiveness related to the negotiation of the use of contraceptive methods was greater in non-pregnant adolescents than in pregnant girls. We discuss the implications of our findings in terms of sexual education and prevention in the sex education field. This study shows differences in self-esteem, attitudes toward love, and sexual assertiveness between pregnant and non-pregnant adolescents.
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Pitale, Devdatt Laxman. "Mifepristone-misoprostol combination in medical termination of early pregnancy." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 3 (February 27, 2018): 1035. http://dx.doi.org/10.18203/2320-1770.ijrcog20180887.

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Background: Unplanned and unwanted pregnancies are common worldwide despite of the medical advancements and wider availability of contraceptive methods. The development of safe, effective, inexpensive, nonsurgical methods of abortion is thus highly desirable. Objective of present study was to evaluate the effectiveness of Mifepristone 200 mg orally followed by Misoprostol 800 µg intravaginally 48 hours later in women undergoing medical termination of early pregnancy (up to 63 days of gestational age).Methods: The present study included 100 pregnant women requesting termination of pregnancy in first trimester attending the department of Obstetrics and Gynecology. Women with gestational age up to 63 days from the first day of the last menstrual period with previous regular cycles were studied. Patients without medical or surgical contraindications to Mifepristone and Misoprostol were included.Results: Majority of the pregnant women belonged to the age group between 20-30 years. 30% of these women were nulliparous and 70 % were multiparous. The period of gestation varied from 35-63 days.90% of the patients had complete abortion and 10% had incomplete abortion. All the patients expelled the products of conception within 24 hours of prostaglandin administration. The adverse effects reported were nausea reported by 30%, vomiting by 5 %and diarrhea by 2% of the cases. None of the patients reported excess bleeding at the time of abortion, hospitalization or blood transfusion. This regimen has the effectiveness of complete abortion rate with few side effects.Conclusions: The Mifepristone- Misoprostol combination offers an effective, acceptable, out-patient procedure and an alternative to surgical methods of abortion in medical termination of early pregnancy (up to 63 days of gestation).
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