Caring for Women with Unintended Pregnancies

Simmonds, Katherine; Likis, Frances E

doi:10.1111/j.1552-6909.2011.01293.x

Cited by 17 publications

(27 citation statements)

References 25 publications

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“…A similar logic may explain why counsellors, community health workers and educators expressed more support for abortion by HIV-positive women: These health providers may have been trained to be empathic towards their patients and to care and counsel them through unintended pregnancies. Furthermore, women might be more likely to confide in lower level staff about difficulties with an unintended pregnancy because they may have more time with them and/or feel more comfortable with them (Simmonds and Likis 2011). An alternative explanation is that lower level providers may be less likely to know the law on abortion, may be less sensitive to the consequences of being thought to be 'promoting' abortion or may be more sympathetic to the desires of HIV-positive women, including a woman's desire to terminate an unintended pregnancy.…”

Section: Discussionmentioning

confidence: 97%

Attitudes of women and men living with HIV and their healthcare providers towards pregnancy and abortion by HIV-positive women in Nigeria and Zambia

Moore

Bankole

Awolude

et al. 2015

African Journal of AIDS Research

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Fertility decisions among people living with HIV/AIDS (PLWHA) are complicated by disease progression, the health of their existing children and possible antiretroviral therapy (ART) use, among other factors. Using a sample of HIV-positive women (n = 353) and men (n = 299) from Nigeria and Zambia and their healthcare providers (n = 179), we examined attitudes towards childbearing and abortion by HIV-positive women. To measure childbearing and abortion attitudes, we used individual indicators and a composite measure (an index). Support for an HIV-positive woman to have a child was greatest if she was nulliparous or if her desire to have a child was not conditioned on parity and lowest if she already had an HIV-positive child. Such support was found to be lower among HIV-positive women than among HIV-positive men, both of which were lower than reported support from their healthcare providers. There was wider variation in support for abortion depending on the measure than there was for support for childbearing. Half of all respondents indicated no or low support for abortion on the index measure while between 2 and 4 in 10 respondents were supportive of HIV-positive women being able to terminate a pregnancy. The overall low levels of support for abortion indicate that most respondents did not see HIV as a medical condition which justifies abortion. Respondents in Nigeria and those who live in urban areas were more likely to support HIV-positive women's childbearing. About a fifth of HIV-positive respondents reported being counselled to end childbearing after their diagnosis. In summary, respondents from both Nigeria and Zambia demonstrate tempered support of (continued) childbearing among HIV-positive women while anti-abortion attitudes remain strong. Access to ART did not impart a strong effect on these attitudes. Therefore, pronatalist attitudes remain in place in the face of HIV infection.

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Section: Discussionmentioning

confidence: 97%

Attitudes of women and men living with HIV and their healthcare providers towards pregnancy and abortion by HIV-positive women in Nigeria and Zambia

Moore

Bankole

Awolude

et al. 2015

African Journal of AIDS Research

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“…A case study of unintended pregnancy and options counseling provides an opportunity for nursing students to practice nondirective and nonjudgmental counseling. The case study discussion can focus on respect for a woman's right of autonomy in health care decision making and support of the development of effective communication skills that encompass respect for culture, sexual orientation, and gender identity (Simmonds & Likis, , ).…”

Section: Discussionmentioning

confidence: 99%

Essential Competencies in Nursing Education for Prevention and Care Related to Unintended Pregnancy

Hewitt

Cappiello²

2015

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…The pregnancy test results and ultra sound gestational age assessment are shared with the woman. Simmonds and Likis [19] have identified four steps for delivering options counseling after a confirmed pregnancy: 1) exploring feelings about the pregnancy, 2) identifying support systems and assessing risks, 3) assisting with decision making, and 4) providing desired service or referral.…”

Section: Why Pregnancy Confirmation?mentioning

confidence: 99%

“…Further, adoption laws differ by state, therefore it is important that healthcare providers are able to: 1) counsel women and provide state-specific information regarding the different options of adoptions, including the different manners in which adoptions can be processed (e.g., public or private agency, adoption lawyer), 2) discuss with the woman, her rights as a birth mother, and 3) refer the woman to an impartial adoption professionals such as social worker [19,30]. Women considering adoption should establish prenatal care as well as be provided information reinforcing prenatal care and education.…”

Section: Is Adoption An Option?mentioning

confidence: 99%

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Unintended pregnancy: a framework for prevention and options for midlife women in the US

Johnson-Mallard

Kostas-Polston

Woods

et al. 2017

womens midlife health

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Recently unintended pregnancies have been described as "a new kind of mid-life crisis." Given the high prevalence of unwanted or mistimed pregnancy in the US, we examined the sexual and reproductive health patterns of sexually active midlife women. An examination of the prevalence of unintended pregnancy among midlife women revealed a gap in data indicating unmet sexual and reproductive health needs of midlife women. The application of a framework for primary, secondary and tertiary prevention for unintended pregnancy may assist with guiding care for women and identifying implications for reproductive health policy and potential political interference as they relate to sexual and reproductive health in midlife women.

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Caring for Women with Unintended Pregnancies

Cited by 17 publications

References 25 publications

Attitudes of women and men living with HIV and their healthcare providers towards pregnancy and abortion by HIV-positive women in Nigeria and Zambia

Attitudes of women and men living with HIV and their healthcare providers towards pregnancy and abortion by HIV-positive women in Nigeria and Zambia

Essential Competencies in Nursing Education for Prevention and Care Related to Unintended Pregnancy

Unintended pregnancy: a framework for prevention and options for midlife women in the US

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