Postcoital Contraception: Awareness of the Existence of Postcoital Contraception among Students who have had a Therapeutic Abortion

Abstract

A two-semester survey was conducted to obtain information about the underutilization of postcoital contraception (PCC) in terms of fear about using it or ignorance of its existence. Among 437 students attending the women's health clinic at California State University/Fresno, 41% had had a therapeutic abortion. One hundred fifty-two, or 84.9%, of those who had had terminations were not aware of PCC. Some were not aware that they had taken a chance of becoming pregnant. It is concluded that students who have had a therapeutic abortion either were unaware of the existence of PCC or were unaware they were risking pregnancy and therefore unable to utilize PCC to avoid the need for a surgical procedure. It would appear that ignorance about the existence of PCC is a major reason for its underutilization.

“Treatment of First Episodes of Genital Herpes Simples Virus Infection with Oral Acyclovir,” YVONNE J. BRYSON, MARYANNE DILLON, MICHAEL LOVETT, GUILLERMO ACUNA, STEPHEN TAYLOR, JAMES D. CHERRY, B. LAMAR JOHNSON, EDWARD WIESMEIER, WILLIAM GROWDON, TERRI CREAGH-KIRK, RONALD KENNEY. We performed a double-blind placebo-controlled trial of oral acyclovir in the treatment of first episodes of genital herpes simplex virus infections in 48 young adults (31 women and 17 men). Subjects were randomized to receive either placebo or acyclovir (200 mg per dose) five times daily for 10 days; they were examined on at least eight visits until healed and at monthly visits thereafter. Acyclovir treatment, as compared with placebo, significantly reduced virus shedding, new lesion formation after 48 hours, and the duration of genital lesions in both men and women. The total duration and severity of clinical symptoms (such as pain, adenopathy, dysuria, and malaise) were significantly reduced by acyclovir in both men and women by the third and fourth day, respectively (P ≤ 0.025), as compared with placebo. No toxicity was observed. Recurrence rates have so far been similar in placebo and acyclovir recipients. Oral acyclovir treatment of first-episode genital herpes simplex virus infections is clincially effective, but it does not seem to prevent virus latency or associated recurrent disease. (New England Journal of Medicine 1983;308:916–21)

“Cesarean Section: Risk and Benefits for Mother and Fetus,” BEN P. SACHS, BRIAN J. McCARTHY, GEORGE RUBIN, ANTHONY BURTON, JULES TERRY, CARL W. TYLER. We studied the effects of cesarean section on neonatal mortality for breech infants and low-birth weight vertex infants using data from the Georgia neonatal surveillance network on 392,241 singleton deliveries between 1974 and 1978. The risk of neonatal death for breech infants weighing 4,000 g or less delivered vaginally was significantly higher than the risk for those delivered by cesarean section. The lower the birthweight, the higher the risk for a vaginal breech delivery. For breech infants weighing 1,000 to 2,500 g, the risk was almost 2½ times greater for a vaginal delivery v a cesarean delivery. The best outcome for high-risk vertex infants weighing 1,000 to 1,500 g was for those delivered by cesarean section in a tertiary perinatal center. An increase in the cesarean section rate may be associated with increased neonatal survival; however, the benefits must be weighed against the costs of an increased maternal mortality and morbidity. (Journal of the American Medical Association 1983;250:2157–2159)     

Student Ratings and Teacher Effectiveness: A Reappraisal

A new conceptualization of the student rating method, incorporating the degree of discrepancy between the students' ratings of the characteristics of their ideal (desired) as well as of their real (actual) course instructor, was developed for the purpose of exploring the validity of using student ratings in assessing teacher effectiveness. Movement scores derived from a pre and post testing of course-related content were used to operationalize teaching effectiveness. The study found that the ideal or desired teacher characteristics reflected in the students' ratings were largely consistent with previous research findings. No significant correlations, however, were found between discrepancy scores and movement scores. Additionally, all correlations were positive. Both findings suggest caution in how student ratings are used.     

Avoid falling for a jerk(ette): Effectiveness of the Premarital Interpersonal Choices and Knowledge Program among Emerging Adults

Premarital education may help emerging adults form healthy relationships, but evaluation research is needed, particularly with community samples. We studied emerging adults in the Premarital Interpersonal Choices and Knowledge (PICK) program, using a pre‐ to post‐ and a posttest‐then‐retrospective‐pretest design to examine change in perceived relationship skills, partner selection, relational patterns, and relationship behaviors and attitudes. Mixed models analyses showed that scores for the treatment group (n = 682) increased from pre to post on all four outcomes. Changes in scores for the nonequivalent comparison group (n = 462) were nonsignificant. In addition, significant differences between pre‐ and retrospective prescores demonstrated evidence for response shift bias. The results suggest that the PICK program helps participants increase their knowledge regarding the components of healthy relationship formation.     

Reconfiguring Child and Parental Rights: A Case for Coerced Contraception

Flagrant child abuse and neglect touches community sensibilities and suggests the option of coerced contraception in dealing with irresponsible contraception. This idea is resisted by the notion that the right to reproduce is fundamental. Law and ethics uphold this right, seeing it grounded in privacy and bodily integrity. Gender, race and class issues also argue against the idea of coerced contraception. This essay challenges these traditional positions by constructing a case for coerced contraception from several viewpoints. On balance, the right to reproduce has considerably less legal and moral weight compared to the birthright of the child not to be harmed and to have an open future. Examined critically, coerced contraception does not represent an unusual or excessive burden. Strict scrutiny and due process issues are addressed in allowing coerced contraception to become public policy. Various objections to this thesis are anticipated and answered. These include, but are not limited to, the ideas that personal dignity and the physician patient relationship are endangered and that a slippery slope would lead to greater restrictions on personal freedom. Charles F. Thurber is Clinical Assistant Professor, University of Virginia School of Medicine, Virginia.     

Teenagers,Contraception, and Pregnancy*

A cooperative program is reported which makes available to the school a series of group discussions on boy-girl relations, sexual physiology, venereal disease, and contraception. Girls attending these sessions, if they so desire, may attend the University Hospital Teen Clinic for physical examination and contraceptive supplies. One hundred and seventy students attended groups, of whom 74 attended teen clinics, and 61 became contraceptors. A second city high school has been added to the program. Staff believes that as young women learn that pregnancy is their choice, they will move into responsible relationships with ability to handle adequately planned motherhood.     

We Have Choices: globalisation and welfare user movements

This article connects and juxtaposes two important contemporary discourses in social policy: those of globalisation and of the 'welfare users' movements, particularly the movements of disabled people. It questions the widespread use of the globalisation process as a rationale for accepting that social policies should be subordinated to narrow economic constraints. It discusses the implications of social policies associated with globalisation for disabled people and other welfare service users, and their response to these. In particular the movements' emphasis on asserting choice in policy and their ability to influence the policy process is noted. The article concludes that there is much to be gained from a closer dialogue between the users' movements and social policy as a discipline, although there still seems to be some resistance to this from the latter.     

Choices and rights: eugenics, genetics and disability equality

Pre-natal screening is a highly contentious ethical and political issue. The paper discusses aspects of the debate, and focuses on the context in which reproductive decisions are taken and the lack of a disabled voice in genetic policy. Eugenic aspects of the practice of genetics, particularly surrounding the role of professionals and the notion of consent, are explored. The paper concludes with recommendations on a disability equality approach to genetics and obstetrics.     

Choices,Challenges, and Tensions

ABSTRACT

No research has examined the challenges faced by lesbian women seeking to adopt from the perspective of lesbian couples themselves. The current qualitative study utilized data from 70 women (from 35 same-sex couples) who were in the process of adopting to explore how lesbian women experience and navigate the challenges they encounter during this critical life transition. Ecological, minority stress, and feminist perspectives informed our analysis. Results indicated that many women experienced tensions between their desire to be “out” in the adoption process and the legal and social realities of adoption. Based on their reports, women in this sample faced numerous barriers to adopting but engaged in multiple forms of resistance to legal and social inequities. Women also identified supportive practices by agencies that facilitated the adoption process. Findings suggest the importance of considering lesbian women's experiences as a starting point in understanding how heteronormative social practices shape the experiences of same-sex couples striving to adopt.     

Readiness for Career Choices: Planning,Exploring, and Deciding

One of Super's most important contributions has been in explicating those developmental tasks that involve planning, exploring, and deciding, processes known collectively as readiness for career choices. The authors review existing means of conceptualizing and operationalizing the various aspects of readiness, as well as innovative practice applications that have emerged from this work. Next, selected elaborations and extensions of the readiness construct are described. Finally, future directions for theory and research on readiness are presented with a particular emphasis on the promise of considering contextual issues, motivational factors, and an expanded measurement perspective in subsequent inquiry and practice.     

Values in Life Role Choices and Outcomes: A Conceptual Model

Values are widely viewed as central to the selection of, and subsequent satisfaction with, life roles. But because no conceptual framework has been advanced to guide the work of practitioners and researchers, values are widely ignored by both groups. This article sets forth several propositions aimed at remedying this oversight by clarifying the importance of values in both decision making and life satisfaction.     

Taking Tough Choices Seriously: Public Administration and Individual Moral Agency

Using the concepts of thick and thin relationships as the basisfor ethical behavior, this paper critiques the emphasis on discretionin the mainstream administrative ethics literature and arguesthat moral and other dilemmas facing public administrators providea more useful frame. Two examples drawn from the UK Hutton Investigationinto the death of David Kelly are used to demonstrate the relevanceand usefulness of this approach.     

Choices and life chances: feminism and the politics of generational change

The perception that young women are disengaged from feminist politics has provoked a great deal of tension between feminist generations. Recent feminist research into generational change has largely avoided this tension by focusing on the shifting meanings of feminism and the discrepancy between young women's reluctance to identify as “feminists” and their general acceptance of feminist attitudes toward gender issues. Nevertheless, in an era when gender equity goals seem to be if not slipping backwards then lacking urgency, young women are less likely to identify with a collective feminist politics than are older women. Underpinned by the findings of a major study of the attitudes toward work, family, and retirement of three generations of Australian women, this paper develops an approach that helps explain this reluctance. Drawing on the work of Karl Mannheim, the paper suggests that the cultural currents shaping the consciousness of different generations of women impact significantly on gender identity. The implications of this cultural shift are considered in the context of feminist politics and the contemporary “culture wars.”