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Chapter 19:
Unexpected Pregnancy
    Teachback by Logan Caligaris
The Statistics
 In the US, over 3,000,000 unintended pregnancies
  happen every year
 47% of the 3,000,000 unintended pregnancies result
  from 3,000,000 American women who use no
  contraception
 53% of the 3,000,000 unintended pregnancies result
  from 39,000,000 American women who use birth
  control
   The vast majority of unintended pregnancies among
    women who use birth control are as a result of
    inconsistent or incorrect use
Pregnancy signs
 Varies from woman to woman
 Common signs:
      Lighter, shorter, or missed menstrual period
      Tenderness or enlargement of breasts
      Sensitivity of nipples
      Urinating frequently
      Feeling more tired than usual
      Feeling nauseas and/or vomiting
      Feeling bloated
      Cramps
      Decreased or increased appetite
      Heightened emotions (more than usual)

 Feeling some of these symptoms doesn‟t automatically mean that you‟re pregnant
 If you don‟t want to be pregnant, don‟t assume that you are pregnant  Continue to
   take birth control until you take the test
Many women can become
           pregnant
 Any woman who has had intercourse with a man, has begun
  her period, and has not yet reached menopause, can
  become pregnant at any moment (no matter how young or
  how old)
 Every method of birth control can fail, even seemingly
  perfect methods such as tubal ligation
 And even though rare, it is also possible to become
  pregnant without intercourse if the man‟s sperm gets close
  enough to the vagina
 If you think you may be pregnant now, take a pregnancy test
  within the next 24 hours
Pregnancy testing
 Simplest way to find out if you are pregnant is through a home pregnancy test using your
   first urination of the day

 Home pregnancy tests cost between $6 and $12, are easily available, and can be taken
   at the time of your missed period (which is typically two weeks after ovulation)

 A blood test can also be used to detect pregnancy and can be taken as early as 6 to 8
   days after ovulation

 Medical offices, women‟s health centers and family planning clinics offer both urine and
   blood tests

 Both blood and urine tests detect human chorionic gonadotropin (hCG)
      hCG is a hormone present during pregnancy that first shows up in the bloodstream and then in
       urine

 Be cautious with negative results from urine tests as tests can be negative due to errors
   in performing the test or simply because you tested too early

 Be aware that there are a variety of opinions about pregnancy and abortion and if you
   become pregnant some people may try to push their opinions on you  In the end you
   need to choose what‟s right for you and separating others opinions from how you feel is
   incredibly important
And the verdict is…
                NOT PREGNANT
 RELIEF
   Some tips to avoid the scare of being pregnant if you are not ready or
     do not want to have children:
      Learn about other contraception methods better suited for you so you
       can avoid a pregnancy scare in the future
      If you are a victim of sexual abuse, get help!
        National Domestic Violence Hotline – 1-800-799-7233
        Rape, Abuse & Incest National Network – 1-800-656-HOPE
      Learn where to get emergency contraception (maybe even keep some
       on hand just in case)
      Go to a women‟s health or family planning clinic and talk to a counselor
 REGRET
   If you turn out to not be pregnant but realize that you wish you
     were, there is now plenty of time to plan!
And the verdict is…
             PREGNANT
 When you first learn that you are pregnant it takes a
  while for both you and your partner to adjust
  (emotionally, spiritually, economically etc.), no matter
  how ready you thought you were
   No matter how long it takes to adjust it‟s important to
    remember to trust yourself  By doing so you can learn
    what is best for you
   Take the time to think through possibilities through things
    such as quiet reflection, talking with family and
    friends, counseling, writing or anything else that works
    best for you
When most women find out
 Finding out that you are pregnant two months into
  pregnancy is not uncommon:
   Many women take signs of pregnancy as stress, digestive
    problems, and even sickness such as the flu
   Some women believe themselves to be infertile due to either
    long periods of time with failed attempts or by continually
    taking risks without results of pregnancy
   Other women are reluctant to make decisions about pregnancy
    and they wait so long that their options become very limited
   And for some pregnancy is simply unthinkable and as a result
    they do not accept the signs
What‟s the next step?
 Once you find out that you‟re pregnant, the next step is to decide
   whether to continue on with the pregnancy or have an abortion
    If you choose to continue on with the pregnancy the next step is to decide
      whether you plan on raising the child yourself or having the child raised
      through a closed or open adoption or foster care

 It is not uncommon to take a long time to decide what the next step it
   as your body is going through many hormonal changes that affect
   how you feel

 It is extremely responsible and moral to take as long as you need to
   figure out what the right choice is for you as long as you continue the
   pregnancy with medical care until you make your decision

 Additionally, it is important to know that teenagers, who are still in the
   process of physically maturing, are four times more likely to die as a
   result of pregnancy-related causes than an older woman
Who to turn to
   The best support during pregnancy is from a partner who is both loving and nurturing and can
    offer you support throughout the process, especially important during an unexpected pregnancy
     But not everyone has someone like this in their life

   During pregnancy women face a variety of pressures

   Pressure from their family:
     Family members who think they knows what‟s best for everyone
     Family members who have strong beliefs about abortion
     Family members‟ religious beliefs, identity as a caretaker, mourning over the loss of a child etc.
     Parents who are ashamed of their children and have concerns about the effects of a child on them

   Pressure from their partner:
     Partners who feel strongly one way or the other without consideration for what would be best for you
     Partners who believe a child will fix everything
     Partners who want a child in order to control your life

   In either case, if your loved ones have strong opinions about what you should do it is important to
    find support in order to stand up against what they believe or you could wait until you are concrete
    in your decision before telling anyone the news  The most important thing is that you follow your
    heart and do what you believe is best for you
THE OPTIONS
Abortion
 Abortion is a safe and legal option in the US but can be
  stressful as a result of your age, financial situation, or
  where you live

 The first three months of pregnancy (calculated from
  your last period) is the easiest, safest, and most
  affordable time to have an abortion

 After 12 weeks having an abortion becomes incredibly
  difficult
Parenting
 With an emotionally nurturing and consistent caretaker
  babies are incredibly adaptable and resilient as long as
  they are comfortable, safe, and properly fed

 More and more children are growing up without a father
  around, but as women become more economically
  independent and empowered it is much more socially
  acceptable for them to parent on their own or with the
  father of the child
Foster Care
 Shared child rearing among friends and extended
  families in order to give every child a chance to flourish
  is a very common system throughout the US and
  around the world
 Important steps in choosing Foster Care:
   Obtain a lawyer in order to negotiate informal or
    government (formal) foster care
   Ensure that the guardian can make educational and
    medial decisions while you are gone
   Learn the process for regaining custody, especially with
    formal care, so that you don‟t end up permanently losing
    your parental rights
Adoption (Part 1)
 Due to middle-class mothers using adoption as a method of hiding
  children of „unacceptable‟ (p. 387) relationships dating back to the
  1970s, the secretive nature of closed adoptions is now considered
  to be psychologically unhealthy for both the mother and her child
 Today the number of mothers who choose open adoptions for their
  children is increasing
   Open adoptions allow mothers to have some level of contact with their
     children

 Considerations in a closed adoption
   Consider choosing an agency that will keep information about you on
    hand to give to the child if the adoptive family requests it
   Consider choosing an agency that can update you late on how things
    are going in case you change your mind about never wanting to know
Adoption (Part 2)
 A good adoption agency will treat you like a client, will pay for your
  legal and counseling services , will not offer you money for your
  child, and will prioritize matching the child‟s background with that
  of the adoptive parents
 Standard practice allows mothers to choose an appropriate
  adoptive family for her child from a pool of applicants
 Adoptive parents don‟t always have to be found through
  agencies, they can also be found through a medical practitioner, a
  lawyer, a newspaper ad or an independent adoption facilitator 
  In these situations an adoption plan would be made directly with
  the adoptive parents and/or lawyer instead of through an adoption
  agency
 In any adoption situation, whether it‟s through an agency or it‟s a
  private adoption, it is recommended that you have not only your
  own lawyer but your own counselor as well as a counselor can
  work with the father of the child as well as both of your families
After the choice…
 After you have made your choice it is important to not be too hard
  on yourself and whichever route you eventually take it is
  important to understand that it is only naturally to mourn the path
  you choose not to follow

 But this should be only taken as a loss, not a sign that you made
  the wrong decision

 It is very important to have support during this time of potential
  grief

 In general, the more informed you are about your feelings and
  the options you have, the more likely you are to feel satisfied not
  only with your decision but also with your life to come
Discussion Question and Quote
 Question:
   If a woman decides that she does not want to keep her
    baby, what do you think is the best option available to her
    and why? Is it the best option for the child as well?

 Quote:
   “About half of the pregnancies in women over forty years
    old are unintended, a higher rate than for all other age
    groups except teenagers/young women; for these
    pregnancies, women over forty have the highest rate of
    abortion of any age group” (p. 382)

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Chapter 19 teachback

  • 1. Chapter 19: Unexpected Pregnancy Teachback by Logan Caligaris
  • 2. The Statistics  In the US, over 3,000,000 unintended pregnancies happen every year  47% of the 3,000,000 unintended pregnancies result from 3,000,000 American women who use no contraception  53% of the 3,000,000 unintended pregnancies result from 39,000,000 American women who use birth control  The vast majority of unintended pregnancies among women who use birth control are as a result of inconsistent or incorrect use
  • 3. Pregnancy signs  Varies from woman to woman  Common signs:  Lighter, shorter, or missed menstrual period  Tenderness or enlargement of breasts  Sensitivity of nipples  Urinating frequently  Feeling more tired than usual  Feeling nauseas and/or vomiting  Feeling bloated  Cramps  Decreased or increased appetite  Heightened emotions (more than usual)  Feeling some of these symptoms doesn‟t automatically mean that you‟re pregnant  If you don‟t want to be pregnant, don‟t assume that you are pregnant  Continue to take birth control until you take the test
  • 4. Many women can become pregnant  Any woman who has had intercourse with a man, has begun her period, and has not yet reached menopause, can become pregnant at any moment (no matter how young or how old)  Every method of birth control can fail, even seemingly perfect methods such as tubal ligation  And even though rare, it is also possible to become pregnant without intercourse if the man‟s sperm gets close enough to the vagina  If you think you may be pregnant now, take a pregnancy test within the next 24 hours
  • 5. Pregnancy testing  Simplest way to find out if you are pregnant is through a home pregnancy test using your first urination of the day  Home pregnancy tests cost between $6 and $12, are easily available, and can be taken at the time of your missed period (which is typically two weeks after ovulation)  A blood test can also be used to detect pregnancy and can be taken as early as 6 to 8 days after ovulation  Medical offices, women‟s health centers and family planning clinics offer both urine and blood tests  Both blood and urine tests detect human chorionic gonadotropin (hCG)  hCG is a hormone present during pregnancy that first shows up in the bloodstream and then in urine  Be cautious with negative results from urine tests as tests can be negative due to errors in performing the test or simply because you tested too early  Be aware that there are a variety of opinions about pregnancy and abortion and if you become pregnant some people may try to push their opinions on you  In the end you need to choose what‟s right for you and separating others opinions from how you feel is incredibly important
  • 6. And the verdict is… NOT PREGNANT  RELIEF  Some tips to avoid the scare of being pregnant if you are not ready or do not want to have children:  Learn about other contraception methods better suited for you so you can avoid a pregnancy scare in the future  If you are a victim of sexual abuse, get help!  National Domestic Violence Hotline – 1-800-799-7233  Rape, Abuse & Incest National Network – 1-800-656-HOPE  Learn where to get emergency contraception (maybe even keep some on hand just in case)  Go to a women‟s health or family planning clinic and talk to a counselor  REGRET  If you turn out to not be pregnant but realize that you wish you were, there is now plenty of time to plan!
  • 7. And the verdict is… PREGNANT  When you first learn that you are pregnant it takes a while for both you and your partner to adjust (emotionally, spiritually, economically etc.), no matter how ready you thought you were  No matter how long it takes to adjust it‟s important to remember to trust yourself  By doing so you can learn what is best for you  Take the time to think through possibilities through things such as quiet reflection, talking with family and friends, counseling, writing or anything else that works best for you
  • 8. When most women find out  Finding out that you are pregnant two months into pregnancy is not uncommon:  Many women take signs of pregnancy as stress, digestive problems, and even sickness such as the flu  Some women believe themselves to be infertile due to either long periods of time with failed attempts or by continually taking risks without results of pregnancy  Other women are reluctant to make decisions about pregnancy and they wait so long that their options become very limited  And for some pregnancy is simply unthinkable and as a result they do not accept the signs
  • 9. What‟s the next step?  Once you find out that you‟re pregnant, the next step is to decide whether to continue on with the pregnancy or have an abortion  If you choose to continue on with the pregnancy the next step is to decide whether you plan on raising the child yourself or having the child raised through a closed or open adoption or foster care  It is not uncommon to take a long time to decide what the next step it as your body is going through many hormonal changes that affect how you feel  It is extremely responsible and moral to take as long as you need to figure out what the right choice is for you as long as you continue the pregnancy with medical care until you make your decision  Additionally, it is important to know that teenagers, who are still in the process of physically maturing, are four times more likely to die as a result of pregnancy-related causes than an older woman
  • 10. Who to turn to  The best support during pregnancy is from a partner who is both loving and nurturing and can offer you support throughout the process, especially important during an unexpected pregnancy  But not everyone has someone like this in their life  During pregnancy women face a variety of pressures  Pressure from their family:  Family members who think they knows what‟s best for everyone  Family members who have strong beliefs about abortion  Family members‟ religious beliefs, identity as a caretaker, mourning over the loss of a child etc.  Parents who are ashamed of their children and have concerns about the effects of a child on them  Pressure from their partner:  Partners who feel strongly one way or the other without consideration for what would be best for you  Partners who believe a child will fix everything  Partners who want a child in order to control your life  In either case, if your loved ones have strong opinions about what you should do it is important to find support in order to stand up against what they believe or you could wait until you are concrete in your decision before telling anyone the news  The most important thing is that you follow your heart and do what you believe is best for you
  • 12. Abortion  Abortion is a safe and legal option in the US but can be stressful as a result of your age, financial situation, or where you live  The first three months of pregnancy (calculated from your last period) is the easiest, safest, and most affordable time to have an abortion  After 12 weeks having an abortion becomes incredibly difficult
  • 13. Parenting  With an emotionally nurturing and consistent caretaker babies are incredibly adaptable and resilient as long as they are comfortable, safe, and properly fed  More and more children are growing up without a father around, but as women become more economically independent and empowered it is much more socially acceptable for them to parent on their own or with the father of the child
  • 14. Foster Care  Shared child rearing among friends and extended families in order to give every child a chance to flourish is a very common system throughout the US and around the world  Important steps in choosing Foster Care:  Obtain a lawyer in order to negotiate informal or government (formal) foster care  Ensure that the guardian can make educational and medial decisions while you are gone  Learn the process for regaining custody, especially with formal care, so that you don‟t end up permanently losing your parental rights
  • 15. Adoption (Part 1)  Due to middle-class mothers using adoption as a method of hiding children of „unacceptable‟ (p. 387) relationships dating back to the 1970s, the secretive nature of closed adoptions is now considered to be psychologically unhealthy for both the mother and her child  Today the number of mothers who choose open adoptions for their children is increasing  Open adoptions allow mothers to have some level of contact with their children  Considerations in a closed adoption  Consider choosing an agency that will keep information about you on hand to give to the child if the adoptive family requests it  Consider choosing an agency that can update you late on how things are going in case you change your mind about never wanting to know
  • 16. Adoption (Part 2)  A good adoption agency will treat you like a client, will pay for your legal and counseling services , will not offer you money for your child, and will prioritize matching the child‟s background with that of the adoptive parents  Standard practice allows mothers to choose an appropriate adoptive family for her child from a pool of applicants  Adoptive parents don‟t always have to be found through agencies, they can also be found through a medical practitioner, a lawyer, a newspaper ad or an independent adoption facilitator  In these situations an adoption plan would be made directly with the adoptive parents and/or lawyer instead of through an adoption agency  In any adoption situation, whether it‟s through an agency or it‟s a private adoption, it is recommended that you have not only your own lawyer but your own counselor as well as a counselor can work with the father of the child as well as both of your families
  • 17. After the choice…  After you have made your choice it is important to not be too hard on yourself and whichever route you eventually take it is important to understand that it is only naturally to mourn the path you choose not to follow  But this should be only taken as a loss, not a sign that you made the wrong decision  It is very important to have support during this time of potential grief  In general, the more informed you are about your feelings and the options you have, the more likely you are to feel satisfied not only with your decision but also with your life to come
  • 18. Discussion Question and Quote  Question:  If a woman decides that she does not want to keep her baby, what do you think is the best option available to her and why? Is it the best option for the child as well?  Quote:  “About half of the pregnancies in women over forty years old are unintended, a higher rate than for all other age groups except teenagers/young women; for these pregnancies, women over forty have the highest rate of abortion of any age group” (p. 382)