Certainty and intention in pregnancy decision-making: An exploratory study

Rowland, Brenly; Rocca, Corinne H.; Ralph, Lauren

doi:10.1016/j.contraception.2020.11.003

Cited by 11 publications

(2 citation statements)

References 19 publications

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“…Decision-making about pregnancy requires people to assess their existing financial, spiritual, emotional or social context and resources and weigh multiple risks and benefits as they choose the option that is best for them. A recent cross-sectional study of pregnant people found that people choosing abortion and people choosing to continue the pregnancy reported similar levels of decision conflict [ 49 ]. Thus, we find that just as people may experience some difficulty making other healthcare decisions, abortion is similar.…”

Section: Discussionmentioning

confidence: 99%

Developing and validating the Psychosocial Burden among people Seeking Abortion Scale (PB-SAS)

Biggs¹,

Neilands

Kaller³

et al. 2020

PLoS ONE

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While there is a large body of research demonstrating that having an abortion is not associated with adverse mental health outcomes, less research has examined which factors may contribute to elevated levels of mental health symptoms at the time of abortion seeking. This study aims to develop and validate a new tool to measure dimensions of psychosocial burden experienced by people seeking abortion in the United States. To develop scale items, we reviewed the literature including existing measures of stress and anxiety and conducted interviews with experts in abortion care and with patients seeking abortion. Thirty-five items were administered to 784 people seeking abortion at four facilities located in three U.S. states. We used exploratory factor analysis (EFA) to reduce items and identify key domains of psychosocial burden. We assessed the predictive validity of the overall scale and each sub-scale, by assessing their associations with validated measures of perceived stress, anxiety, and depression using multivariable linear regression models. Factor analyses revealed a 12-item factor solution measuring psychosocial burden seeking abortion, with four subdomains: structural challenges, pregnancy decision-making, lack of autonomy, and others’ reactions to the pregnancy. The alpha reliability coefficients were acceptable for the overall scale (α = 0.83) and each subscale (ranging from α = 0.82–0.85). In adjusted analyses, the overall scale was significantly associated with stress, anxiety and depression; each subscale was also significantly associated with each mental health outcome. This new scale offers a practical tool for providers and researchers to empirically document the factors associated with people’s psychological well-being at the time of seeking an abortion. Findings suggest that the same restrictions that claim to protect people from mental health harm may be increasing people’s psychosocial burden and contributing to adverse psychological outcomes at the time of seeking abortion.

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Section: Discussionmentioning

confidence: 99%

Developing and validating the Psychosocial Burden among people Seeking Abortion Scale (PB-SAS)

Biggs¹,

Neilands

Kaller³

et al. 2020

PLoS ONE

Self Cite

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“…Assuming that, for the sake of illustration, this number remains relatively constant and 25% of these patients reside in states that ban abortion, over 150,000 people would have an unmet need for care. We cannot be sure how many would turn to self-managed medication abortion, but research has repeatedly demonstrated that patients who want an abortion will ultimately obtain one, 19,20 and medication abortion is certainly safer than more invasive unregulated alternatives. If half opt for selfmanaged medication abortion (assuming a 5% failure rate in the context of total self-management), the procedure will fail for nearly 4000 individuals.…”

Section: How Many Patients?mentioning

confidence: 99%

Medication abortion: A perfect solution?

Austin

2022

Health Services Research

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The United States is on the cusp of eradicating nearly 50 years of reproductive health care precedent. If the Supreme Court's official ruling aligns with its leaked draft opinion, the consequences for people seeking abortion in many parts of the United States would be severe as abortion inevitably becomes illegal in many states (indeed, over 20 states are poised to ban abortion swiftly, given the opportunity). 1,2

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Supporting Maternal Autonomy in Medical Abortion Pathways

Turner,

Chaku

2024

Integrated Science

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Certainty and intention in pregnancy decision-making: An exploratory study

Cited by 11 publications

References 19 publications

Developing and validating the Psychosocial Burden among people Seeking Abortion Scale (PB-SAS)

Developing and validating the Psychosocial Burden among people Seeking Abortion Scale (PB-SAS)

Medication abortion: A perfect solution?

Supporting Maternal Autonomy in Medical Abortion Pathways

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