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Adolescent pregnancy resolution with special reference to pre-abortion counselling

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dc.contributor.advisor Kruger SP, Dr en
dc.contributor.author Evangelisti L en
dc.date.accessioned 2016-09-22T08:38:37Z
dc.date.available 2016-09-22T08:38:37Z
dc.date.created 1997 en
dc.date.submitted 2000 en
dc.identifier.uri http://hdl.handle.net/20.500.11892/36781
dc.description.abstract An exploratory study of the extent and nature of adolescent pregnancy resolution and pre-abortion counseling was undertaken. Little research has been done on pre-abortion counseling in South Africa since the Choice of Termination of Pregnancy Act (92 of 1996) was passed in February 1997. This study emphasised pre-abortion counseling since this is a new field for most counselors. A literature study was conducted on adolescent pregnancy, focusing on the factors and possible consequences of the choice to carry the pregnancy to term or to terminate it. Adolescents, more than adults, need assistance to make this decision. Crisis intervention was explored as a possible counseling model for pregnancy resolution and pre-abortion counseling. The preliminary investigation included interviews with social workers and nursing professionals in Mossel Bay. Nursing professionals were included in the study since they administer the pregnancy tests and are therefore the first professionals with whom the pregnant adolescent comes into contact. This investigation revealed that nurses, not social workers, do most of the pre-abortion counseling in Mossel Bay. The Choice on Termination of Pregnancy Act emphasises the importance of supplying pre and post-abortion counseling at the facility providing the termination of pregnancy. The Act also envisages this as primarily a medical concern, with the implication that nursing professionals should do the counseling. The role of professional counselors such as social workers is not mentioned in the Act. The Act lies down that training will be provided to equip nursing professionals with necessary skills to render this service. The empirical study examined the training and skills of nursing professionals and social workers to determine whether they were adequately qualified to render these services. The respondents' attitude towards pregnant adolescents who choose abortion was also investigated, since this would influence their counseling skills. The investigation revealed that many of the nurses did not seem confident in their counseling although they felt that they were adequately qualified to counsel pregnant adolescents. The nurses explained that they did not feel that they had enough knowledge of the different options, especially foster care and adoption and therefore referred patients to a social worker or Options Pregnancy Centre (a volunteer based counseling centre). The social workers felt confident in counseling adolescents who decided to carry pregnancy to term. The counseling model used was crisis intervention, which is most appropriate for pre-abortion counseling as well. However they felt that they did not have enough information of abortion procedures and emotional consequences of abortion to counsel a pregnant adolescent requesting an abortion effectively. The study showed that respondents felt empathy and understanding for the adolescents' situation and the seriousness of the decision needing to be made. The study also found that social workers and nurses were willing to attend further training in order to improve their knowledge and their counseling skills. The training should therefore not focus on attitudes but simply on improving counseling skills. Training should focus on the nature of a crisis and the steps of crisis intervention. en
dc.language English en
dc.subject Social work en
dc.subject Medical social work en
dc.title Adolescent pregnancy resolution with special reference to pre-abortion counselling en
dc.type Masters degree en
dc.description.degree MA en

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