Existential experiences and needs related to induced abortion in a group of Swedish women: a quantitative investigation

Stålhandske, Maria Liljas; Makenzius, Marlene; Tydén, Tanja; Larsson, Margareta

doi:10.3109/0167482x.2012.677877

Cited by 17 publications

(12 citation statements)

References 38 publications

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“…Psychological aspects are acknowledged as central components in abortion care (Andersson et al, ; Mukkavaara, Öhrling, & Lindberg, ; Stålhandske, Makenzius, Tydén, & Larsson, ) and are highly entwined with the pain experience (Jones et al, ). Indeed, significant psychological distress and a need for psychosocial support to cope with the pain were described.…”

Section: Discussionmentioning

confidence: 99%

Pain and pain management during induced abortions: A web‐based exploratory study of recollections from previous patients

Georgsson

Carlsson

2019

Journal of Advanced Nursing

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Aims To explore recollections of pain and pain management during induced abortions. Design Mixed‐methods exploratory study in Sweden. Methods A web‐based survey was distributed between October 2017 ‐ July 2018 via Swedish discussion boards and social media. Open‐ended questions were asked about recollection of pain and pain management, followed by self‐reported ratings. The survey was answered by 185 participants, responses were analysed with qualitative content analysis. Findings Recollections of pain intensity illustrated considerable pain and a traumatic event, described in temporal aspects and likened to other painful conditions such as dysmenorrhoea and childbirth. Recollections of pain management illustrated experiences of insufficient treatment of pain and dissatisfaction with pain management, including inefficient treatment and lack of professional attendance. Psychological aspects and consequences illustrated that participants related psychological distress to physical pain, felt unprepared for the physical pain and emphasized the importance of psychological support. Those who experienced intense pain described long‐term psychological consequences, including fear of childbirth. Conclusion Physical pain and psychological distress can manifest as considerable challenges during induced abortion. Abortion‐related pain is a multidimensional phenomenon involving physical and psychological components that needs to be rigorously treated. When physical pain is unsuccessfully treated, women may experience long‐term psychological consequences after an abortion. Impact The results illustrate the importance of holistic abortion care where the multidimensional components of abortion‐related pain are considered. Patients need to be offered sufficient preparatory information about potential physical pain and psychological distress. This study indicates that there is room for improvement in pain management. Larger studies are needed.

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Section: Discussionmentioning

confidence: 99%

Pain and pain management during induced abortions: A web‐based exploratory study of recollections from previous patients

Georgsson

Carlsson

2019

Journal of Advanced Nursing

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“…On the other hand, this counselling seems to be different from contraceptive consultations in general. Contraceptive counselling at the time of abortion often includes multifaceted and existential abortion decisions for women and their partners [16,55], and hence women seem to have a limited receptivity to information about contraceptives [14].…”

Section: Informational Communication Concerning Effectiveness and Sidmentioning

confidence: 99%

“…Contraceptive counselling following an abortion seems to differ from contraceptive counselling in general, as the abortion often involves complex decisions [14][15][16]. There is still limited knowledge regarding how to design contraceptive counselling in the context of an abortion, in order to help women to avoid repeat UPs [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Moreover, it is important to strengthen women's control over their reproduction and prevent repeat UPs, since an UP is often a stressful event in a woman's life [16,[55][56][57]. Emotional distress is common when discovering an UP, as well as desperate feelings when being denied an abortion [16,55,58]. There is still an inadequate understanding of how contraceptive counselling and services should be designed to facilitate women's individual needs for support and contraception at the time of an abortion in order to prevent repeat UPs [19,59].…”

Section: Introductionmentioning

confidence: 99%

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Contraceptive counselling in abortion care

Kilander

2018

Linköping University Medical Dissertations

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Introduction Improving women's knowledge about contraception, and their access to contraceptive methods, is central in order to strengthen their sexual and reproductive rights at the time of an abortion. Contraceptive counselling aims to support women's reproductive control and prevent unintended pregnancies (UPs). It is unclear, however, how to provide contraceptive counselling and how to organise services at the time of an abortion, in order to achieve this.

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