Barriers to accessing termination of pregnancy in a remote and rural setting: a qualitative study. BJOG: An International Journal of Obstetrics and Gynaecology, 123(10), pp. 1684-1691. (doi:10.1111/1471 This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/119417/ Methods: Sixteen semi-structured, audio-recorded telephone interviews were conducted by a researcher with women who had consented to be interviewed at their initial assessment. Six stages of thematic analysis were followed to explore themes in and across participant accounts.
Main outcome measures: Themes derived from interview transcripts.Results: Four themes emerged relating to barriers to access and experience: (i) the impact of travel for TOP, (ii) temporal factors unique to this population and how they affected women, (iii) the attitude of health professionals, notably general practitioners, as a result of local culture, and (iv) stigma surrounding TOP and the expectation that abortion will be traumatizing.
Conclusions:Women in remote and rural areas experience barriers to accessing TOP.Prompt referrals, more providers of TOP and tackling stigma associated with TOP could make delivery of this service more equitable and improve women's journey through TOP.Tweetable abstract: Women in remote and rural areas of Scotland face multiple barriers to accessing termination of pregnancy.