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Young Women with Unplanned Pregnancies in Bangkok, Thailand (Paperback)
Loot Price: R1,102
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Young Women with Unplanned Pregnancies in Bangkok, Thailand (Paperback)
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Objectives: This book examined the decision making process and
health seeking patterns of low-income young women with unplanned
pregnancies who opted for abortion, putting baby up for adoption,
or keeping the baby. Methods: Research methodology in this book
focused on formative research utilising qualitative data. The study
was conducted covering all five shelters and low-income communities
in Bangkok, Thailand. The data collection was through Focus Group
Discussions, and in-depth interview. Forty-five cases were
purposively recruited into the study. The data were analysed using
content analysis. Results: From the qualitative research, the
results indicated that the majority of the young women tended to
select abortion as their first choice, while a few cases continued
their pregnancies to term without any attempt to terminate the
pregnancy. These women tended to delay seeking assistance once they
found out their pregnancy situation. Majority of the low-income
young women were more likely to resort self-medication as their
first alternative, which was sometimes hazardous to their health.
Decision on self-medication or abortions with unskilled personnel
sometimes resulted in serious and life-threatening complications.
Many pregnancy-termination situations resulted from
self-medication. While most of these women made the important
decision themselves, they still sought advice, guidance, and
support from their partners, peers and parents. When the first
attempt failed, they would seek a second or third attempt until
they felt it was not possible to achieve what they had planned.
Most women with unplanned pregnancies knew that they had options
regarding termination of their pregnancies but their main concern
was confidentiality. Consequently, the women who wanted to
terminate their pregnancies adopted three patterns of action, i.e.,
1) visiting drugstores / grocery stores, 2) visiting private
clinics or hospitals, and 3) using physical pressure or vigorous
actions. Most of the women realised that private clinics provided
effective methods for terminating pregnancy, but due to its high
cost, they would first resort self-medication or self-management.
If they were not successful, they would then visit a private clinic
and asked others to support the cost. Understanding the women's
decisions making process and their health seeking patterns
utilisation allows us to understand their decision and course of
actions. The program managers, implementers, providers, partners,
parents/relatives, and friends should do as much as possible to
support the decision of the women in order to provide better
information and services to reduce the impact, both physical and
mental, of their selected choice.
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