“I WORK WITH WHAT I HAVE”: MANAGING MEDICATION ABORTION AND MISCARRIAGE IN THE UNHOUSED COMMUNITY

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110588

LE Adams, MJ Arzate, KR Barnes, J Karlin

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引用次数: 0

Abstract

Objectives

We sought to provide better support to houseless individuals’ experiences with medication abortion.

Methods

We recruited pregnancy-capable persons from Sacramento between the ages of 18-55 who had experienced an abortion or miscarriage, were currently or previously unhoused, and spoke English. Fifteen, 30-minute interviews were conducted where participants were asked about their medication abortion or miscarriage experience, and how they would manage a medication abortion while unhoused given their experience. Inductive and deductive coding were utilized for theme development.

Results

Unmet needs fell into three main categories: (1) lack of access to a safe location to complete a medication abortion including hygiene facilities; (2) lack of social support including childcare and communication from their provider throughout and after the medication abortion; and (3) a lack of access to appropriate supplies including pain and bleeding management supplies.

Conclusions

Houseless individuals have specific experiences with medication abortion which lead to unique, and unmet, needs when compared with the general population of pregnancy-capable people. Public health providers can ensure patient-centered care by providing them with appropriate resources, such as social services and material goods, to navigate their abortion plan beyond the clinic. Next steps include offering these services and supplies to this population and assessing if the medication abortion experience is improved.

查看原文本刊更多论文

"我尽我所能"：无房社区的药物流产和流产管理

方法我们从萨克拉门托招募了 18-55 岁之间有怀孕能力的人，他们都有过堕胎或流产经历，目前或以前没有住房，会讲英语。我们对参与者进行了 15 次 30 分钟的访谈，询问他们药物流产或流产的经历，以及根据他们的经历，在没有住房的情况下如何处理药物流产。结果未满足的需求主要分为三类：(1) 缺乏完成药物流产的安全地点，包括卫生设施；(2) 缺乏社会支持，包括儿童保育以及在药物流产的整个过程中和之后与医疗服务提供者的沟通；(3) 缺乏适当的用品，包括止痛和止血用品。公共卫生服务提供者可以通过向他们提供适当的资源（如社会服务和物质产品）来确保以患者为中心的护理，使他们能够在诊所之外完成流产计划。接下来的步骤包括向这些人群提供这些服务和用品，并评估药物流产的体验是否得到改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.