“It's not a seven-headed beast”: abortion experience among women that received support from helplines for medication abortion in restrictive settings

Baum, Sarah E.; Ramírez, Adrián; Larrea, Sara; Filippa, Sofía; Egwuatu, Ijeoma; Wydrzynska, Justyna; Piasecka, M; Nmezi, Sybil; Jelinska, Kinga

doi:10.1080/07399332.2020.1823981

Cited by 35 publications

(51 citation statements)

References 38 publications

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“…We found that women’s trajectories to the WHW service and their experiences with self-managed abortion were determined by illegality, stigma, expectations around motherhood and abortion, as well as by personal circumstances. In line with previous analysis about self-managed abortion trajectories in the region, 26–28 including previous studies in Chile, 10 , 11 our results demonstrate that illegality and stigma do not deter women from deciding to interrupt a pregnancy, but make their abortion trajectories and experiences harder and more demanding. WHW’s work in Chile inserts itself into the Latin American feminist tradition of supporting self-care to enable reproductive autonomy and improve abortion access, 29 and has outcomes similar to those of other feminist initiatives in the region.…”

Section: Discussionsupporting

confidence: 91%

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“No one should be alone in living this process”: trajectories, experiences and user’s perceptions about quality of abortion care in a telehealth service in Chile

Larrea

Hidalgo

Jacques-Aviñó

et al. 2021

Sexual and Reproductive Health Matters

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Section: Discussionsupporting

confidence: 91%

“… 14 , 28 , 30 For example, our results confirm that information, accompaniment and ready access to abortion pills improve self-managed abortion experiences. 10 , 11 , 26 , 30 …”

Section: Discussionmentioning

confidence: 99%

“No one should be alone in living this process”: trajectories, experiences and user’s perceptions about quality of abortion care in a telehealth service in Chile

Larrea

Hidalgo

Jacques-Aviñó

et al. 2021

Sexual and Reproductive Health Matters

Self Cite

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“…The desire for privacy and confidentiality in this study supports an increasing body of evidence documenting people's preferences in abortion care, and that different models of out of clinic care are safe, acceptable, and sometimes preferable for abortion seekers [20][21][22]. This aligns with the World Health Organization Guidelines on Self-care Interventions for Health [23] which confirms that self-managed abortion is medically safe if pregnant individuals have information on effective protocols and access to follow up health care if needed [23].…”

Section: Discussionsupporting

confidence: 69%

Understanding abortion seeking care outside of formal health care settings in Cape Town, South Africa: a qualitative study

et al. 2021

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Background Although abortion was legalized in South Africa in 1996, barriers to safe, legal abortion services remain, and women continue to seek abortions outside of the formal healthcare sector. This study explored the decision-making processes that women undertake when faced with an unintended pregnancy, the sources of information used to make their decisions and the factors that contribute to their seeking of informal sector abortion in Cape Town, South Africa. Methods We conducted 15 semi-structured in-depth interviews in English with women who had accessed an abortion outside of the formal health care sector. Women were recruited with the assistance of a community-based key informant. Data was analyzed using a thematic analysis approach. Results Participants were aware that abortions were legal and accessible in public clinics, however they were concerned that others would find out about their unintended pregnancy and abortion if they went to legal providers. Women were also concerned about judgment and mistreatment from providers during their care. Rather than seek care in the formal sector, women looked past concerns around the safety and effectiveness of informal sector abortions and often relied on their social networks for referrals to informal providers. Conclusions The findings highlight the decision-making processes employed by women when seeking abortion services in a setting where abortion is legal and demonstrate the role of institutional and societal barriers to safe abortion access. Abortion service delivery models should adapt to women’s needs to enhance the preferences and priorities of those seeking abortion care-including those who prefer facility-based care as well as those who might prefer self-managed medical abortions.

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“…In regions with highly restrictive pregnancy termination laws, independent organizations could complement the information provided through governmental channels. Currently, there are good experiences with providing third-party help through telephone hotlines [ 38 ]. As some of the interviewed physicians fear that many women do not approach them for prenatal tests due to prejudices and stigmatization, it is important to provide information and establish communication channels that can be accessed anonymously to serve vulnerable groups.…”

Section: Discussionmentioning

confidence: 99%

Access to Prenatal Testing and Ethically Informed Counselling in Germany, Poland and Russia

Orzechowski

Timmermann

Woniak

et al. 2021

JPM

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The development of new methods in the field of prenatal testing leads to an expansion of information that needs to be provided to expectant mothers. The aim of this research is to explore opinions and attitudes of gynecologists in Germany, Poland and Russia towards access to prenatal testing and diagnostics in these countries. Semi-structured interviews were conducted with n = 18 gynecologists in Germany, Poland and Russia. The interviews were analyzed using the methods of content analysis and thematic analysis. Visible in all three countries is a connection of prenatal medicine with the politically and socially contentious issue of pregnancy termination. Respondents in Poland and Russia concentrated on the topic of inadequate resources. Quality of information for expectant mothers is an important point in all three countries. Only in Germany was the issue of language barriers in communication raised. With regard to non-invasive prenatal testing (NIPT) respondents in Germany focused on the ethical issues of routinization of testing; in Poland and Russia they concentrated on fair access to NIPT. Challenges in all three countries arise from structural factors such as imprecise and prohibitive regulations, lack of resources or organization of healthcare services. These should be addressed on a political and medico-ethical level.

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“It's not a seven-headed beast”: abortion experience among women that received support from helplines for medication abortion in restrictive settings

Cited by 35 publications

References 38 publications

“No one should be alone in living this process”: trajectories, experiences and user’s perceptions about quality of abortion care in a telehealth service in Chile

“No one should be alone in living this process”: trajectories, experiences and user’s perceptions about quality of abortion care in a telehealth service in Chile

Understanding abortion seeking care outside of formal health care settings in Cape Town, South Africa: a qualitative study

Access to Prenatal Testing and Ethically Informed Counselling in Germany, Poland and Russia

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