Experiences with and unmet needs for medication abortion support: A qualitative study with US abortion support providers.

IF 3.4 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2024-04-26 DOI:10.1111/psrh.12263

Jane W. Seymour, S. Ruggiero, Lynsie R. Ranker, T. Thompson

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引用次数: 0

Abstract

INTRODUCTION Quality abortion care must be person-centered. Although academic literature has focused on full-spectrum and abortion doulas supporting instrumentation abortion (also referred to as procedural abortion) clients, clients undergoing medication abortion remain understudied and may have unique needs. We aimed to understand United States (US) abortion support providers' perceptions of medication abortion clients' support needs by exploring which needs they address, which needs remain unmet, and how remote support provision might help address client needs. METHODOLOGY Between April and October 2018, we conducted 60- to 90-min semi-structured, in-depth interviews by telephone with medication abortion support providers. The interviews focused on their experiences providing support to medication abortion clients in the US. We used a deductive thematic analysis approach. RESULTS We interviewed 16 abortion support providers affiliated with nine US-based organizations. Six participants provided in-person support to medication abortion clients, five provided remote support, and five provided both remote and in-person support. Both in-person and remote providers described offering support that addressed clients' informational, emotional, physical, spiritual, and logistical needs. Through participant narratives, we identified interwoven benefits and challenges to remote support care provision. Participants highlighted that most medication abortion clients did not have a support provider. DISCUSSION Participants revealed that abortion support providers, including remote support providers, can be a critical component of high-quality abortion care provision. More work is needed to ensure all abortion clients have access to support services as the abortion landscape in the US continues to evolve.

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药物流产支持的经验和未满足的需求：对美国人工流产支持服务提供者的定性研究。

引言优质的人工流产护理必须以人为本。尽管学术文献主要关注为器械流产（也称为程序性流产）客户提供支持的全套服务和流产陪护，但对药物流产客户的研究仍然不足，他们可能有独特的需求。我们旨在了解美国（US）人工流产支持提供者对药物流产客户支持需求的看法，探讨他们满足了哪些需求，哪些需求仍未得到满足，以及远程支持的提供可如何帮助满足客户需求。方法在 2018 年 4 月至 10 月期间，我们通过电话对药物流产支持提供者进行了 60 至 90 分钟的半结构化深度访谈。访谈的重点是他们在美国为药物流产客户提供支持的经验。我们采用了演绎式主题分析方法。结果我们采访了隶属于九家美国组织的 16 名人工流产支持提供者。六名参与者为药物流产客户提供了现场支持，五名提供了远程支持，五名同时提供了远程和现场支持。无论是面对面还是远程服务提供者，他们所提供的支持都能满足客户在信息、情感、身体、精神和后勤方面的需求。通过参与者的叙述，我们发现了远程支持护理服务的优势与挑战交织在一起。与会者强调，大多数药物流产客户都没有支持服务提供者。随着美国人工流产领域的不断发展，需要做更多的工作来确保所有人工流产客户都能获得支持服务。

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.