Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study

Background & Aim: Some women, throughout their life cycle, experience unintended pregnancy and had to decide on continuing or terminating it. Although the decision-making process always recurs, few studies have so far shed light on this complex, and context-based process. The aim of the present...

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Main Authors: Roghaiyeh Nourizadeh, Eesa Mohammadi, Masoumeh Simbar, Ahmad Reza Baghestani
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2020-01-01
Series:حیات
Subjects:
Online Access:http://hayat.tums.ac.ir/article-1-3215-en.html
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author Roghaiyeh Nourizadeh
Eesa Mohammadi
Masoumeh Simbar
Ahmad Reza Baghestani
author_facet Roghaiyeh Nourizadeh
Eesa Mohammadi
Masoumeh Simbar
Ahmad Reza Baghestani
author_sort Roghaiyeh Nourizadeh
collection DOAJ
description Background & Aim: Some women, throughout their life cycle, experience unintended pregnancy and had to decide on continuing or terminating it. Although the decision-making process always recurs, few studies have so far shed light on this complex, and context-based process. The aim of the present study was to explore Iranian women’s decision-making process to abort or continue an unintended pregnancy. Methods & Materials: This was a qualitative study using grounded theory approach. Data were collected through unstructured, in-depth interviews with 29 participants in Tabriz from March 2016 to May 2017. The participants were selected through the purposeful sampling method and data collection were continued until reaching data saturation. Data analysis was carried out concurrently with the data collection, using the MAXQDA software version 10. Results: Data analysis gave rise to four axial categories: “perceived threats”, “resistance mixed with indecision”, “values and supportive resources”, as well as “acceptance and confirmation of decision”. This means that the decision-making process among women with unintended pregnancy initially starts with a perceived threat as a main concern leading to their resistance towards accepting such a pregnancy, then exposure to threats arising from abortion can cause indecision and uncertainty in practicing abortion. In this respect, given the social support, women affected by religious values make efforts to choose the procedure with the least harm and threats and maximum acceptability and confirmability. “Confirmation of decision” is as well the outcome of the interactive process of decision-making. Conclusion: What can differentiate the theory of decision-making on abortion or continuation of an unintended pregnancy from the general theories of decision-making is its sociocultural confirmability. Social acceptance of abortion and childbearing in line with moral evaluation of fetal development directs the confirmability process of decision-making about unintended pregnancy.
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spelling doaj.art-c2d2ba6165334cffa0184bfe5cfb3f7f2022-12-21T18:39:15ZfasTehran University of Medical Sciencesحیات1735-22152008-188X2020-01-01254380400Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory studyRoghaiyeh Nourizadeh0Eesa Mohammadi1Masoumeh Simbar2Ahmad Reza Baghestani3 Dept. of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Dept. of Nursing, School of Medical Sciences, Tarbiat Modarres University, Tehran, Iran Dept. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Dept. of Biostatistics, School of Paramedical, Shahid Beheshti University of Medical sciences, Tehran, Iran Background & Aim: Some women, throughout their life cycle, experience unintended pregnancy and had to decide on continuing or terminating it. Although the decision-making process always recurs, few studies have so far shed light on this complex, and context-based process. The aim of the present study was to explore Iranian women’s decision-making process to abort or continue an unintended pregnancy. Methods & Materials: This was a qualitative study using grounded theory approach. Data were collected through unstructured, in-depth interviews with 29 participants in Tabriz from March 2016 to May 2017. The participants were selected through the purposeful sampling method and data collection were continued until reaching data saturation. Data analysis was carried out concurrently with the data collection, using the MAXQDA software version 10. Results: Data analysis gave rise to four axial categories: “perceived threats”, “resistance mixed with indecision”, “values and supportive resources”, as well as “acceptance and confirmation of decision”. This means that the decision-making process among women with unintended pregnancy initially starts with a perceived threat as a main concern leading to their resistance towards accepting such a pregnancy, then exposure to threats arising from abortion can cause indecision and uncertainty in practicing abortion. In this respect, given the social support, women affected by religious values make efforts to choose the procedure with the least harm and threats and maximum acceptability and confirmability. “Confirmation of decision” is as well the outcome of the interactive process of decision-making. Conclusion: What can differentiate the theory of decision-making on abortion or continuation of an unintended pregnancy from the general theories of decision-making is its sociocultural confirmability. Social acceptance of abortion and childbearing in line with moral evaluation of fetal development directs the confirmability process of decision-making about unintended pregnancy.http://hayat.tums.ac.ir/article-1-3215-en.htmlunintended pregnancyabortiondecision-makinggrounded theory
spellingShingle Roghaiyeh Nourizadeh
Eesa Mohammadi
Masoumeh Simbar
Ahmad Reza Baghestani
Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study
حیات
unintended pregnancy
abortion
decision-making
grounded theory
title Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study
title_full Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study
title_fullStr Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study
title_full_unstemmed Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study
title_short Exploration of women’s decision-making process to abort or continue an unintended pregnancy: A grounded theory study
title_sort exploration of women s decision making process to abort or continue an unintended pregnancy a grounded theory study
topic unintended pregnancy
abortion
decision-making
grounded theory
url http://hayat.tums.ac.ir/article-1-3215-en.html
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AT masoumehsimbar explorationofwomensdecisionmakingprocesstoabortorcontinueanunintendedpregnancyagroundedtheorystudy
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