Women's experiences after an induced second trimester abortion

Mukkavaara, Iris; Öhrling, Kerstin; Lindberg, Inger

doi:10.1016/j.midw.2011.07.011

Cited by 19 publications

(18 citation statements)

References 27 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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“…Nonjudgmental and respectful attitudes are indicators of quality abortion care [20], and are highly desired by women who seek abortions [17,41]. Many women who terminate a pregnancy regard the decision as emotionally painful [16,17,42] and are at risk of significant psychological consequences [43]. Contact with unsuitable and disrespectful information could potentially increase these difficulties and aggravate psychological morbidity.…”

Section: Discussionmentioning

confidence: 99%

Patient Information Websites About Medically Induced Second-Trimester Abortions: A Descriptive Study of Quality, Suitability, and Issues

Carlsson

Axelssön

2017

J Med Internet Res

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BackgroundPatients undergoing medically induced second-trimester abortions feel insufficiently informed and use the Web for supplemental information. However, it is still unclear how people who have experience with pregnancy termination appraise the quality of patient information websites about medically induced second-trimester abortions, whether they consider the websites suitable for patients, and what issues they experience with the websites.ObjectiveOur objective was to investigate the quality of, suitability of, and issues with patient information websites about medically induced second-trimester abortions and potential differences between websites affiliated with the health care system and private organizations.MethodsWe set out to answer the objective by using 4 laypeople who had experience with pregnancy termination as quality assessors. The first 50 hits of 26 systematic searches were screened (N=1300 hits) using search terms reported by the assessors. Of these hits, 48% (628/1300) were irrelevant and 51% (667/1300) led to websites about medically induced second-trimester abortions. After correcting for duplicate hits, 42 patient information websites were included, 18 of which were affiliated with the health care system and 24 with private organizations. The 4 assessors systematically assessed the websites with the DISCERN instrument (total score range 16-80), the Ensuring Quality Information for Patients (EQIP) tool (total score range 0-100), as well as questions concerning website suitability and perceived issues.ResultsThe interrater reliability was 0.8 for DISCERN and EQIP, indicating substantial agreement between the assessors. The total mean score was 36 for DISCERN and 40 for EQIP, indicating poor overall quality. Websites from the health care system had greater total EQIP (45 vs 37, P>.05) and reliability scores (22 vs 20, P>.05). Only 1 website was recommended by all assessors and 57% (24/42) were rated as very unsuitable by at least one assessor. The most reported issues with the websites involved lack of information (76%, 32/42), and poor design (36%, 15/42).ConclusionsThe high number of irrelevant hits and poor quality of patient information websites are considerable issues that must be addressed and considered when consulting patients awaiting medically induced second-trimester abortions. In clinical encounters, health professionals should initiate discussions concerning websites about medically induced second-trimester abortions and inform patients about the issues and quality deficits associated with these websites.

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“…Anxiety and depression are among the psychological problems experienced by women after elective abortion and are the most common symptoms. The importance of activating the coping mechanisms of women during the abortion period and of reducing their depression and anxiety is emphasized in two studies …”

Section: Introductionmentioning

confidence: 99%

Assessment of depression, anxiety, and social support in the context of therapeutic abortion

Topal

Terzioğlu

2019

Perspect Psychiatr Care

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Purpose The purpose of this study is to determine the levels of anxiety, depression, social support, and nursing care needed by women undergoing therapeutic abortion. Designs and Methods Sixty women were administered a sociodemographic form, the Hospital Anxiety Depression Scale and the Multidimensional Perceived Social Support Scale. Results More than half of the women experienced anxiety (61.7%). Anxiety scores were high (10.8 ± 3.7), and most of the women had depression (85.0%). Social support from family and friends of the women decreased the women's anxiety and depression levels significantly; social support from their partners also decreased the women's anxiety levels (P < 0.05). Practice Implications Support from family and friends after therapeutic abortion is a fundamental affective variable on anxiety scores.

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Women's experiences after an induced second trimester abortion

Cited by 19 publications

References 27 publications

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

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

Patient Information Websites About Medically Induced Second-Trimester Abortions: A Descriptive Study of Quality, Suitability, and Issues

Assessment of depression, anxiety, and social support in the context of therapeutic abortion

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