THE EXPERIENCES OF WOMEN WHO UNDERGO TERMINATION OF PREGNANCY IN MPUMALANGA PROVINCE, SOUTH AFRICA

Authors

  • R E Mookamedi University of South Africa
  • Mogotlane Sophie Manathiel University of South Africa
  • Janetta Roos University of South Africa

DOI:

https://doi.org/10.25159/2520-5293/207

Abstract

The Choice of Termination of Pregnancy Act, 92 of 1996 (South Africa 1996) is aimed at improving the lives of all women, stipulating that every woman has the right to make choices about her own body, including being pregnant. This act was welcomed by many health professionals as it was seen as a way to increase access to safe abortion services and thus prevent morbidity and mortality associated with unsafe and illegal ‘back street’ abortions. The purpose of the study was to explore and describe the experiences of women who undergo termination of pregnancy (TOP) at TOP services in the Mpumalanga Province, South Africa. A qualitative, descriptive, explorative and contextual research design was utilised. Participants were included in the sample through convenience sampling. Data was collected from nine individuals using semi-structured interviews. Tesch’s method of data analysis was used to analyse the qualitative data. Measures to ensure trustworthiness were applied throughout the research and ethical considerations in the conduct of research adhered to. The findings revealed that health care consumers in Mpumalanga Province experienced emotional, physical and psychological discomfort in the TOP services received. Recommendations include community education for the support of the TOP programme, better integration of the TOP programme into other medical and social services and timely counselling, control and pain management for women who undergo TOP.

Metrics

Metrics Loading ...

References

Babbie, E. & Mouton, J. 2011. The practice of social research. South African edition. Cape Town: Oxford University Press.

Booyens, S.W. (updated by M. Bezuidenhout). 2014. Dimensions of healthcare management. 3rd edition. Cape Town: Juta.

Concise English Dictionary. 2004. London: Clays.

Corbin, J. & Strauss, A. 2008. Basics of qualitative research. 3rd edition. London: Sage.

Creswell, J.W. 2009. Research design: qualitative, quantitative, and mixed methods approach. 3rd Edition. London: Sage.

Department of Health. 2005. A national overview of the implementation of the Choice on Termination of Pregnancy Act, 92 of 1996, 1997–2004. Report on implementation of the Choice on Termination of Pregnancy Act, 92 of 1996. Pretoria: Government Printer.

De Vos, A.S., Strydom, H., Fouchè, C.B. & Delport C.S.L. 2011. Research at grass roots level for the social sciences and human service professions. 4th edition. Pretoria: Van Schaik.

Engelbrecht, M.C. 2005. Termination of pregnancy policy and services: An appraisal on the implementation and operation on the Choice on Termination of Pregnancy Act (92 of 1996).Unpublished doctoral thesis, University of the Free State, Bloemfontein, South Africa.

Gresh, A., & Maharaj, P. 2014. Termination of pregnancy: perspectives of female students in Durban, South Africa. Supplement on Population Issues in South Africa 28(1):681–690.

Harries, J., Orner, P., Gabriel, M. & Mitchell, E. 2007. Delays in seeking an abortion until the second trimester: a qualitative study in South Africa. BMC Reproductive Health, 4:7. Doi:10.1186/1742-4755-4-7.

Harries, J., Stinson, K. & Orner, P. 2009. Health care providers’ attitudes towards termination of pregnancy: a qualitative study in South Africa. BMC Public Health, 9:296. Doi:10.1186/1471-2458-9-296.

Lipp, A. 2008. A woman centred service in termination of pregnancy: a grounded theory study. Contemporary Nurse, 31:9–19.

Littman, L.L., Zarcadoolas, C. & Jacobs A.R. 2009. Introducing abortion patients to a culture of support: a pilot study. Archives of Women’s Mental Health, 12:419–431.

Mdleleni-Bookholane, T. 2007. Factors related to and the consequences of the termination of pregnancy at the Umtata General Hospital, Eastern Cape. South African Journal of Psychology, 37(2):245–259.

MDOH– See Mpumalanga Provincial Department of Health

Medley, L. 2011. Fake doctors arrested for illegal abortions. Daily News, 27 June:5.

Mokgethi, N.E., Ehlers, V.J. & Van der Merwe, M.M. 2006. Professional nurses’ attitudes towards providing termination of pregnancy services in a tertiary hospital in the North West Province of South Africa. Curationis, 29(1):36–39.

Morroni, C., Buga, G. & Myer L. 2006. Understanding aspects of the termination of pregnancy legislation. Continuing Medical Education, 24(1):37–38.

Mpumalanga Provincial Department of Health (MDOH). 2009a. Policy for the implementation of the Choice on Termination of Pregnancy Act, 92 of 1996, as amended. Mbombela: Government Printer.

Mpumalanga Provincial Department of Health (MDOH).2009b. Information request approval – Mpumalanga. Mbombela: Government Printer.

Nandipha, K. 2008. New laws make it easier for rural women to choose. City Press, 20 January:14.

Orner, P., De Bruyn, M. & Cooper, D. 2011. ‘It hurts, but I don’t have a choice, I’m not working and I’m sick’: decisions and experiences regarding abortion of women living with HIV in Cape Town, South Africa. Culture, Health & Sexuality, 13(7):781–795.

Poggenpoel, M. & Myburgh, C.P.H. 2006. Women’s experience of termination of a pregnancy. Curationis, 29(1):3–9.

Polit, D.F. & Beck, C.T. 2012. Nursing research: generating and assessing evidence for nursing practice. 9th edition. New York: Lippincott Williams & Wilkins.

SABC – See South African Broadcasting Cooperation

Shellenberg, K.M. & Frohwirth, L. 2009. Exploring the perceptions and experiences of stigma among abortion patients in the United States. PAA Manuscript, 1–22.

Sibuyi, M.C. 2004. Provision of abortion services by midwives in Limpopo Province of South Africa. African Journal of Reproductive Health, 8(1):75–78.

South Africa (Republic). 1996. Choice on Termination of Pregnancy Act, 92 of 1996. Pretoria: Government Printer.

South African Broadcasting Cooperation, MNet. 2002. Carte Blanche 3 June at 12:00. Auckland Park: SABC.

Trueman, K.A. & Magwentshu, M. 2013. Abortion in a progressive legal environment: the need for vigilance in protecting and promoting access to safe abortion services in South Africa. American Journal of Public Health, 103:397–399.

Weitz, T.A. 2010. Rethinking the mantra that abortion should be ‘safe, legal, and rare’. Journal of Women’s History, 22(3):161–172.

Downloads

Additional Files

Published

2015-07-27

How to Cite

Mookamedi, R E, Mogotlane Sophie Manathiel, and Janetta Roos. 2015. “THE EXPERIENCES OF WOMEN WHO UNDERGO TERMINATION OF PREGNANCY IN MPUMALANGA PROVINCE, SOUTH AFRICA”. Africa Journal of Nursing and Midwifery 17 (1):147-61. https://doi.org/10.25159/2520-5293/207.

Issue

Section

Articles
Received 2015-05-20
Accepted 2015-05-21
Published 2015-07-27