{"title":"日本基于性健康和生殖健康及权利的堕胎护理过程：一项定性研究","authors":"Yuka Sato, Akiko Haga, Chitaru Tokutake, Atsuko Samejima, Makoto Kanai, Satoko Nakagomi","doi":"10.1111/jjns.70010","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>This study aimed to clarify the process of abortion care based on sexual and reproductive health and rights (SRHR) practiced by Japanese midwives.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The participants were 44 midwives with experience in abortion care. Data were collected based on the framework developed by the World Health Organization's <i>Clinical Practice Handbook for Safe Abortion</i> and through detailed interview sessions. The modified grounded theory approach was used for data analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The abortion care process was classified into five categories, 16 subcategories, and 49 concepts. The category “supporting women in making their own choices in life and leading their lives in the future” emerged as a foundational attitude toward abortion care. Midwives accompany pregnant women in the decision-making process with a neutral standpoint. They perform procedures to ensure that women experience comfort and safety throughout the abortion process. After a medical procedure, midwives attend to issues associated with SRHR, such as contraception and future pregnancies.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Abortion care based on SRHR is a care practice that respects women's bodily autonomy and supports women in a non-judgmental manner. Abortion care also aims to provide women with safe and comfortable medical treatment, thereby supporting them in progressing with hope to their post-abortion lives. The study results will help midwives reaffirm the significance of abortion care, improve care quality in clinical settings, and contribute to the advocacy of women's SRHR.</p>\n </section>\n </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":"22 2","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70010","citationCount":"0","resultStr":"{\"title\":\"Abortion care process based on sexual and reproductive health and rights in Japan: A qualitative study\",\"authors\":\"Yuka Sato, Akiko Haga, Chitaru Tokutake, Atsuko Samejima, Makoto Kanai, Satoko Nakagomi\",\"doi\":\"10.1111/jjns.70010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>This study aimed to clarify the process of abortion care based on sexual and reproductive health and rights (SRHR) practiced by Japanese midwives.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>The participants were 44 midwives with experience in abortion care. Data were collected based on the framework developed by the World Health Organization's <i>Clinical Practice Handbook for Safe Abortion</i> and through detailed interview sessions. The modified grounded theory approach was used for data analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The abortion care process was classified into five categories, 16 subcategories, and 49 concepts. The category “supporting women in making their own choices in life and leading their lives in the future” emerged as a foundational attitude toward abortion care. Midwives accompany pregnant women in the decision-making process with a neutral standpoint. They perform procedures to ensure that women experience comfort and safety throughout the abortion process. After a medical procedure, midwives attend to issues associated with SRHR, such as contraception and future pregnancies.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Abortion care based on SRHR is a care practice that respects women's bodily autonomy and supports women in a non-judgmental manner. Abortion care also aims to provide women with safe and comfortable medical treatment, thereby supporting them in progressing with hope to their post-abortion lives. The study results will help midwives reaffirm the significance of abortion care, improve care quality in clinical settings, and contribute to the advocacy of women's SRHR.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50265,\"journal\":{\"name\":\"Japan Journal of Nursing Science\",\"volume\":\"22 2\",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.70010\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japan Journal of Nursing Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jjns.70010\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japan Journal of Nursing Science","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jjns.70010","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Abortion care process based on sexual and reproductive health and rights in Japan: A qualitative study
Aim
This study aimed to clarify the process of abortion care based on sexual and reproductive health and rights (SRHR) practiced by Japanese midwives.
Methods
The participants were 44 midwives with experience in abortion care. Data were collected based on the framework developed by the World Health Organization's Clinical Practice Handbook for Safe Abortion and through detailed interview sessions. The modified grounded theory approach was used for data analysis.
Results
The abortion care process was classified into five categories, 16 subcategories, and 49 concepts. The category “supporting women in making their own choices in life and leading their lives in the future” emerged as a foundational attitude toward abortion care. Midwives accompany pregnant women in the decision-making process with a neutral standpoint. They perform procedures to ensure that women experience comfort and safety throughout the abortion process. After a medical procedure, midwives attend to issues associated with SRHR, such as contraception and future pregnancies.
Conclusions
Abortion care based on SRHR is a care practice that respects women's bodily autonomy and supports women in a non-judgmental manner. Abortion care also aims to provide women with safe and comfortable medical treatment, thereby supporting them in progressing with hope to their post-abortion lives. The study results will help midwives reaffirm the significance of abortion care, improve care quality in clinical settings, and contribute to the advocacy of women's SRHR.
期刊介绍：
The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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