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'Adolescence', Pregnancy and Abortion
Winner of the Rhodes University Vice-Chancellor's Book Award 2012!
Winner of the 2011 Distinguished Publication Award of the Association for Women in Psychology!
Why, despite evidence to the contrary, does the narrative of the negative consequences of teenage pregnancy, abortion and childbearing persist? This book argues that the negativity surrounding early reproduction is underpinned by a particular understanding of adolescence. It traces the invention of \"adolescence\" and the imaginary wall that the notion constructs between young people and adults. Macleod examines the entrenched status of \"adolescence\" within a colonialist discourse that equates development of the individual with the development of civilisation, and the consequent threat of degeneration that \"adolescence\" implies.
Many important issues are explored, such as the invention of teenage pregnancy and abortion as a social problem; issues of race, culture and tradition in relation to teenage pregnancy; and health service provider practices, specifically in relation to managing risk. In the final chapter, an argument is made for a shift from the signifier \"teenage pregnancy\" to \"unwanted pregnancy\".
Using data gathered from studies worldwide, this book highlights central issues in the global debate concerning teenage pregnancy. It is ideal for academics, and students of health psychology, women's studies, nursing and sociology, as well as practitioners in the fields of youth and social work, medicine and counselling.
eBook
Behind the silence
Behind the Silence is the first in-depth work in any language to explore the diverse perspectives of mainland Chinese regarding induced abortion and fetal life in the context of the world's most ambitious and intrusive family planning program. Bringing to light the range of Chinese views and experiences, Nie Jing-Bao draws on extensive primary sources and intensive fieldwork, including surveys by and interviews with hundreds of rural, urban, and overseas Chinese. Nie's exploration of the multi-layered meanings of public silence, official pronouncements, forgotten controversies from the Imperial era, public and private consensus and disagreement, women's personal stories, and doctors' narratives provides compelling evidence on the remarkably varied, sometimes critical, and often tormented voices of the Chinese people. Revealing a surprising range of beliefs and feelings concerning the morality of abortion and fetal life, the book nevertheless finds widespread acceptance of national population policies. It also examines the personal anguish and complex socio-cultural and ethical issues entwined with coerced abortion essential to enforce birth-control policies. In addition, the author argues, the abortion issue illustrates the importance of taking seriously China's internal plurality if Westerners and Chinese are to develop a fruitful cross-cultural dialogue.
eBook
Abortion law and political institutions : explaining policy resistance
This volume provides a comprehensive study of abortion politics and policy in Northern Ireland. Whilst there is a substantial amount of literature on abortion in Ireland and the rest of the United Kingdom, there has been scant academic attention paid to the situation in Northern Ireland. Adopting a feminist institutionalist framework, the book illustrates the ways in which abortion has been addressed at both the national institution at Westminster and the devolved institution at Stormont.
Book
Abortion after Roe
Abortion is - and always has been - an arena for contesting power relations between women and men. When in 1973 the Supreme Court made the procedure legal throughout the United States, it seemed that women were at last able to make decisions about their own bodies. In the four decades that followed, however, abortion became ever more politicized and stigmatized. Abortion after Roe chronicles and analyzes what the new legal status and changing political environment have meant for abortion providers and their patients. Johanna Schoen sheds light on the little-studied experience of performing and receiving abortion care from the 1970s - a period of optimism - to the rise of the antiabortion movement and the escalation of antiabortion tactics in the 1980s to the 1990s and beyond, when violent attacks on clinics and abortion providers led to a new articulation of abortion care as moral work. As Schoen demonstrates, more than four decades after the legalization of abortion, the abortion provider community has powerfully asserted that abortion care is a moral good.
eBook
Abortion Care as Moral Work
Abortion Care as Moral Work brings together the voices of abortion providers, abortion counselors, clinic owners, neonatologists, bioethicists, and historians to discuss how and why providing abortion care is moral work. The collection offers voices not usually heard as clinicians talk about their work and their thoughts about life and death. In four subsections--Providers, Clinics, Conscience, and The Fetus--the contributions in this anthology explore the historical context and present-day challenges to the delivery of abortion care. Contributing authors address the motivations that lead abortion providers to offer abortion care, discuss the ways in which anti-abortion regulations have made it increasingly difficult to offer feminist-inspired services, and ponder the status of the fetus and the ethical frameworks supporting abortion care and fetal research. Together these essays provide a feminist moral foundation to reassert that abortion care is moral work.
eBook
Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss
Miscarriage is generally defined as the loss of a pregnancy before viability. An estimated 23 million miscarriages occur every year worldwide, translating to 44 pregnancy losses each minute. The pooled risk of miscarriage is 15·3% (95% CI 12·5–18·7%) of all recognised pregnancies. The population prevalence of women who have had one miscarriage is 10·8% (10·3–11·4%), two miscarriages is 1·9% (1·8–2·1%), and three or more miscarriages is 0·7% (0·5–0·8%). Risk factors for miscarriage include very young or older female age (younger than 20 years and older than 35 years), older male age (older than 40 years), very low or very high body-mass index, Black ethnicity, previous miscarriages, smoking, alcohol, stress, working night shifts, air pollution, and exposure to pesticides. The consequences of miscarriage are both physical, such as bleeding or infection, and psychological. Psychological consequences include increases in the risk of anxiety, depression, post-traumatic stress disorder, and suicide. Miscarriage, and especially recurrent miscarriage, is also a sentinel risk marker for obstetric complications, including preterm birth, fetal growth restriction, placental abruption, and stillbirth in future pregnancies, and a predictor of longer-term health problems, such as cardiovascular disease and venous thromboembolism. The costs of miscarriage affect individuals, health-care systems, and society. The short-term national economic cost of miscarriage is estimated to be £471 million per year in the UK. As recurrent miscarriage is a sentinel marker for various obstetric risks in future pregnancies, women should receive care in preconception and obstetric clinics specialising in patients at high risk. As psychological morbidity is common after pregnancy loss, effective screening instruments and treatment options for mental health consequences of miscarriage need to be available. We recommend that miscarriage data are gathered and reported to facilitate comparison of rates among countries, to accelerate research, and to improve patient care and policy development.
Journal Article