The objective of this study is to understand the perceptions, beliefs, and influencing factors that may lead to different fertility outcomes among young women in Nicaragua, a country with one of the highest adolescent fertility rates in Latin America. The results are based on qualitative data collected in urban areas. Miriam Müller reveals that two structural constraints affect women’s choices and their capacity to actively participate in defining their life paths: poverty and traditional gender norms.This book contributes to the discussion of intergenerational transmission of poverty by disentangling the mechanisms behind decision-making around teenage motherhood and by describing the consequences of these decisions.

More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.

By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.

Decision-making pervades all aspects of midwifery practice across the world. Midwifery is informed by a number of decision-making theories, but it is sometimes difficult to marry these theories with practice. This book provides a comprehensive exploration of decision-making for midwives irrespective of where in the world they practice or in which model of care. The first part critically reviews decision-making theories, including the Enhancing Decision-making Assessment in Midwifery (EDAM) tool, and their relevance to midwifery. It explores the links between midwifery governance, including professional regulation and the law, risk and safety and decision-making as well as how critical thinking and reflection are essential elements of decision-making. It then goes on to present a number of diverse case studies, demonstrating how they interrelate to and impact upon optimal midwifery decision-making. Each chapter presents examples that show how the theory translates into practice and includes activities to reinforce learning points. Bringing together a diverse range of contributors, this volume will be essential reading for midwifery students, practising midwives and midwifery academics.

Interest in the role that decision making plays in adolescents' involvement in high-risk behaviors led the Office of the Assistant Secretary of Planning and Evaluation of the U.S. Department of Health and Human Services to request the Board on Children, Youth, and Families to convene a workshop on adolescent decision making. The Board on Children, Youth, and Families is a joint activity of the National Research Council (NRC) and the Institute of Medicine. A workshop was held on January 6-7, 1998, to examine what is known about adolescents' decision-making skills and the implications of that knowledge for programs to further their healthy development.

Social problems are endemic to all societies. The UK is no exception and is grappling with a plethora of issues including poverty, family breakdown, domestic violence, teenage pregnancy, child abuse and neglect, youth offending, alcohol and drug misuse, mental health issues, homelessness, and ethnic and religious discrimination. These problems have huge implications for the individual, the family unit and society at large and take their toll on health, wellbeing, and community resources. They place an enormous amount of strain on government finances and the welfare state, and add to the burden on social institutions, such as the National Health Service and the social work and criminal justice systems. Contemporary Social Problems in the UK explores a wide range of social problems in the UK. Each social problem has been explored using a range of psychosocial theories to generate an understanding of various causal factors and to examine the linkages between different social problems. Government policy and legislation, remedial measures, preventive approaches, and strategies of intervention are also considered for each social problem that has been dealt with. Each chapter deals with a particular social problem and has been penned by an expert in that topic. The endeavour has been to provide a multi-dimensional overview of the social problem in a manner that is engaging and easy to read. The end-of-chapter content includes supplementary reading, useful topic related websites besides a quiz and individual / group activities to generate discussion and stimulate learning. This informative yet accessible textbook will be an invaluable resource for instructors and students in the social sciences as well as professionals who work with people who experience some of these problems.