Decision-making trajectories leading to termination of an unplanned pregnancy: specificities among adolescent and adult women

Abortion care pathways and service provision for adolescents in high-income countries: A qualitative synthesis of the evidence

“…Thirty-five studies were included in the review and are summarised in S3 Table. Studies were published from 2001 to 2019, with 12 published in the last five years [20,[26][27][28][29][30][31][32][33][34][35][36]. Sixteen studies were cross-sectional quantitative [20,26,[29][30][31][35][36][37][38][39][40][41][42][43][44][45], 13 were cross-sectional qualitative [27,33,34,[46][47][48][49][50][51][52][53][54][55], four were mixed method [56][57][58][59], and two were quantitative cohort studies [28,32]. The study data covered eight countries (Australia, Israel, Netherlands, New Zealand, Portugal, Sweden, UK and the United States...…”

“…In six studies, adolescents' reasons for seeking an abortion were explored. These included their age, male partners/ boyfriends leaving, disruption of future life goals (education and career), current life circumstances, their inability to take care of and provide for the child, their relationship with their parents, pressure from parents or partner, and issues related to pregnancy, abortion, or adoption [29,46,47,52,57,59]. Adolescents stated: ".…”

How Can Unintended Pregnancies Be Prevented among Adolescents Who Engaged in Sexual Intercourse at Earlier Ages? The Role of Female Education and Partner Age Difference

“…In the final version of the questionnaire, questions had two equivalent versions: one version adapted to adolescents who were pregnant at the time of the assessment and the other version adapted to adolescents who were not pregnant at the time of the assessment. The questionnaire was pilot-tested and adjusted to ensure clarity, comprehension, and suitability and has been used in several studies using samples of Portuguese pregnant adolescents [4,6,12,18,23,42,[52][53][54][55][56]. , not being active, being homosexual or having an infertile partner).…”

A Pregnancy Decision-Making Model: Psychological, Relational, and Cultural Factors Affecting Unintended Pregnancy

“…The presence of violence in an intimate relationship is likely to be a significant factor during this stage, as some pregnant people may view pregnancy as a stimulus to leave their relationship, while others may find their pregnancy options restricted by an abusive partner (Côté & Lapierre, 2014; Williams & Brackley, 2009). Other considerations might include the social support of parents (viz., for people who become pregnant in adolescence; Pereira et al, 2019), relatives, friends, and communities, especially for families of color, in which extended families are likely to play a stronger role in children’s lives (Wilson, 1989). Evaluating social support networks may be even more complex for people whose pregnancy was a result of rape or incest and especially so for those whose perpetrators were family members or partners.…”

“…Research has consistently demonstrated that, especially for young pregnant people, educational aspirations and goals have a significant influence on pregnancy decision-making, with less goal-orientation related to higher likelihood of parenting (Appiah-Agyekum et al, 2015; Sihvo et al, 2003). Similarly, people who are employed and especially those whose current or ideal careers are seemingly incompatible with parenting may be more likely to choose abortion (Pereira et al, 2019; Reuter, 2018; Sihvo et al, 2003). Thus, pregnant people who perceive continuing their pregnancy as being in conflict with their career or educational goals and lifestyles may be more likely to consider abortion.…”