What women seek from a pregnancy resource center

Kimport, Katrina; Dockray, J. Parker; Dodson, Shelly

doi:10.1016/j.contraception.2016.04.003

Cited by 15 publications

(13 citation statements)

References 11 publications

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“…CPCs, in name, are intended to fulfill the needs of pregnancy; however, the scope of their services are limited to parenting needs over pregnancy needs. 31 For pregnancy-related visits, poor medical care described in our study has potential dire consequences. Prior studies have advocated for CPCs as an ideal option for those living in poverty 31 ; however, low-income discussants reported unmet material and medical needs for pregnancy continuation.…”

Section: Implications For Practice and Policymentioning

confidence: 85%

Patient Experiences at California Crisis Pregnancy Centers: A Mixed-Methods Analysis of Online Crowd-Sourced Reviews, 2010–2019

Chan¹,

Korotkaya²,

Osadchiy³

et al. 2022

Southern Medical Journal

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Objectives: Crisis pregnancy centers (CPCs) are nonprofit antiabortion organizations that claim provision of pregnancy resources. With the Reproduction Freedom, Accountability, Comprehensive Care, and Transparency Act repealed, CPCs are no longer mandated to share information on state-funded family planning and abortion services. As patients increasingly seek healthcare guidance online, we evaluated crowdsourced reviews of CPCs using the social networking site Yelp.Methods: CPCs were identified with the CPC Map, a geo-based location resource. Of California's 145 CPCs, 84% had Yelp pages, and 619 reviews (2010-2019) were extracted. Thematic codes were individually applied to 220 excerpts and then analyzed in detail using thematic analysis to capture emergent themes related to motivations for and experiences of CPCs. To ensure thematic saturation, we applied a natural language-processing technique called the meaning extraction method to computationally derive themes of discussion from all of the extracted posts.Results: Motivations to seek care from CPCs included pregnancy confirmation, gaps in healthcare coverage, parenting and emotional support, and abortion care. A review of experiences reveal that CPC faith-based practice garnered both positive-and negative-based experiences. Reviewers also articulated inaccurate medical information, lack of transparency, and reduced options at CPCs.Conclusions: This is the first study to analyze California CPCs using a social media platform. Pregnant patients turn to social media to share experiences about pregnancy resources, to find healthcare providers, and to increase transparency of services. This content provides valuable insight into the concerns of pregnant patients and offers an intimate view of California CPCs at a time when no federal regulations are in place.

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Section: Implications For Practice and Policymentioning

confidence: 85%

Patient Experiences at California Crisis Pregnancy Centers: A Mixed-Methods Analysis of Online Crowd-Sourced Reviews, 2010–2019

Chan¹,

Korotkaya²,

Osadchiy³

et al. 2022

Southern Medical Journal

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“…As qualitative studies have explored [34], pregnant people have obtained material resources and emotional support at CPCs, which may have played a role in encouraging them to continue the pregnancy. People at later gestations may also be realizing that abortion is no longer a realistic option for them due to costs constraints and lack of geographic access to facilities that provide abortions after the first trimester and instead, may be seeking information and resources regarding pregnancy or other material goods, such as baby clothes and supplies [34,35]. Alternately, as noted above, people living far…”

Section: Plos Onementioning

confidence: 99%

Pregnancy outcomes after exposure to crisis pregnancy centers among an abortion-seeking sample recruited online

2021

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Introduction More than 2,500 crisis pregnancy centers (CPCs), which seek to convince people considering abortion to continue their pregnancies, exist in the United States. However, the characteristics of people who visit CPCs and their pregnancy outcomes are largely unknown. This study sought to describe the characteristics of people considering abortion who report visiting CPCs, and whether CPC visit is associated with abortion or continuing the pregnancy 4 weeks later. Methods Between August 2017 to May 2018, we recruited pregnant people searching for abortion services online, and 857 participants completed baseline and 4-week follow-up surveys. We described characteristics associated with visiting a CPC and compared pregnancy and abortion outcomes for those who reported CPC visit to those who did not using mixed-effects multivariable logistic regression. Results Overall, 13.1% of respondents visited a confirmed CPC. Living further away from a CPC was associated with lower odds of a CPC visit. At follow-up, respondents who had visited a CPC were significantly less likely to have had an abortion (29.5%) than those who had not visited a CPC (50.5%). In the adjusted models, respondents who had visited a CPC had higher odds of being pregnant and still seeking abortion (aOR: 2.26, 95% CI: 1.37–3.73) or continuing the pregnancy (aOR: 2.35, 95% CI: 1.33–4.15) (versus having had an abortion), than those who had not visited a CPC. Conclusions CPCs may be providing resources to people who are considering continuing their pregnancy and/or they may be misleading people about the care and referrals they provide related to abortion. Pregnant people need access to accurate information, decision support, and resources to make the pregnancy or abortion decision that is best for them.

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“…Despite the potentially coercive nature of CPC services and resources, many clients report needing and valuing them. The availability of free material resources is the primary reason some clients engage with CPCs [12], perhaps suggesting a need for greater access to social services and resources in and through settings that provide safe, evidence-based care to people with low or no income. Many CPCs also teach sexuality education in public schools and youth-serving organizations using an abstinence-only-until-marriage approach [3,4,13].…”

Section: Cpcs: Prevalence Objectives and Types Of Servicesmentioning

confidence: 99%

Crisis Pregnancy Centers in the U.S.: Lack of Adherence to Medical and Ethical Practice Standards

2019

Journal of Adolescent Health

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Crisis pregnancy centers (CPCs) attempt to dissuade pregnant people from considering abortion, often using misinformation and unethical practices. While mimicking health care clinics, CPCs provide biased, limited, and inaccurate health information, including incomplete pregnancy options counseling and unscientific sexual and reproductive health information. The centers do not provide or refer for abortion or contraception but often advertise in ways that give the appearance that they do provide these services without disclosing the biased nature and marked limitations of their services. Although individuals working in CPCs in the U.S. have First Amendment rights to free speech, their provision of misinformation may be harmful to young people and adults. The Society for Adolescent Health and Medicine and North American Society for Pediatric and Adolescent Gynecology support the following positions: (1) CPCs pose risk by failing to adhere to medical and ethical practice standards, (2) governments should only support health programs that provide accurate, comprehensive information, (3) CPCs and individuals who provide CPC services should be held to established standards of ethics and medical care, (4) schools should not outsource sexual education to CPCs or other entities that do not provide accurate and complete health information, (5) search engines and digital platforms should enforce policies against misleading advertising by CPCs, and (6) health professionals should educate themselves, and young people about CPCs and help young people identify safe, quality sources of sexual and reproductive health information and care.

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What women seek from a pregnancy resource center

Cited by 15 publications

References 11 publications

Patient Experiences at California Crisis Pregnancy Centers: A Mixed-Methods Analysis of Online Crowd-Sourced Reviews, 2010–2019

Patient Experiences at California Crisis Pregnancy Centers: A Mixed-Methods Analysis of Online Crowd-Sourced Reviews, 2010–2019

Pregnancy outcomes after exposure to crisis pregnancy centers among an abortion-seeking sample recruited online

Crisis Pregnancy Centers in the U.S.: Lack of Adherence to Medical and Ethical Practice Standards

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