'n Evaluasie van pre-aborsie berading aan vroue met ongewenste swangerskappe in die Wes-Kaapse metropool : 'n verpleegkundige perspektief

[摘要] ENGLISH ABSTRACT: Problem statement: The abortion regulation was implemented in 1997 before the necessaryinfrastructure was in place. The shortage of educated healthcare providers in abortion facilities ledto uninformed women.Aims for this research was exploratory-describing of nature and was aimed on pre-abortioncounselling to women with unwanted pregnancies in the state facilities in the Western Capemetropole to be evaluated from a nursing perspective.Methodology: Two samplings was done namely a 50% randomized, proportional stratified samplingfrom the State Health facilities in the Western Cape Metropole which offer abortion care service, aswell as the non-randomized convenient sampling of pregnant women that received pre-abortioncounselling. Data was gathered with the help of self compiled questionnaires. Quantitative datawas analyse with the help of Statistika 7 and qualitative data according to Tesch's approach.Results: Of the respondents 79% was between the age 16 and 30 and 72% was single. Althoughthe Department of Health strives that abortion care services should be offered by a level 1 healthfacility, only 43% have been counselled through a registered nurse. While 49% consider preabortioncounselling as important, 39% of the respondents received no, or information in groupsregarding the termination of the pregnancy, 77% received information with regarding to theprocedure and 50% was informed when they could go forth with normal activities. Approximately54% received no information regarding post-abortion complications and 59% did not received afollow-up date. Approximately 68% of the respondents received information regarding familyplanning.Conclusion: It seems that pre-abortion counselling is not done according to guidelines and there ismany gaps in the existing counselling methods in the different health facilities.Recommendations: Counselling should be based on the WHO and the Department of Health'sguidelines for abortion care. Nurses should be more involved in education programs. Abortion carefacility's should promote the total spectrum of abortion care and counsellors should receive specialtraining and annually be re-evaluated.

[发布机构] Stellenbosch University