得克萨斯州参议院第8号法案实施后自主外包药物流产选择的视角。

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-07-11 DOI:10.1016/j.contraception.2025.111017

Whitney Arey , Klaira Lerma , Anna Chatillon , Kari White

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引用次数: 0

摘要

目的：研究2021年9月德克萨斯州参议院第8号法案实施后考虑自行采购药物流产的怀孕德克萨斯人的经历，该法案禁止在可检测到的胚胎心脏活动后堕胎。研究设计：本定性研究采用深度电话访谈的方法，在2021年10月至2022年8月期间对怀孕和最近怀孕的16岁以上考虑堕胎的德克萨斯州居民进行了深入的电话访谈。我们从两个渠道招募参与者：附近各州堕胎机构张贴的传单，以及对寻求堕胎护理的德克萨斯人的在线调查。我们采访了获得州外流产护理的参与者，或报告自己流产、流产或异位妊娠或继续妊娠的参与者。我们在我们的专题分析中使用归纳和演绎编码，研究了对自我采购药物流产的看法和假设的远程医疗流产模型的潜在使用。结果：在120名受访者中，50人研究或考虑自行采购药物流产，其中15人最终采购药物自行管理流产。与会者描述了其自行采购堕胎药物的选择的安全性和合法性的不确定性，大多数人更愿意在假设的法律政策背景下使用远程保健堕胎，包括那些自行管理堕胎的人。结论：在堕胎禁令的背景下，人们考虑自行采购堕胎药物，但担心这样做的合法性和安全性。在有限制性堕胎法的州，人们可以从有关如何从安全可靠的来源获得药物流产和减轻法律风险的信息中受益。含义：人们认为远程医疗和自我管理药物流产的合法性和安全性之间存在有意义的差异。需要制定战略，向处境受限的孕妇提供明确的信息，使她们能够根据自己的个人情况作出知情的选择。

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Perspectives on options for self-sourcing medication abortion after implementation of Texas Senate Bill 8

Objectives

To examine experiences of pregnant Texans who considered self-sourcing medication abortion following the September 2021 implementation of Texas Senate Bill 8, which prohibited abortions after detectable embryonic cardiac activity.

Study design

This qualitative research study used in-depth telephone interviews conducted between October 2021 and August 2022 with pregnant and recently pregnant Texas residents ≥16 years of age who considered abortion. We recruited participants from two sources: flyers posted at abortion facilities in nearby states and an online survey of Texans seeking abortion care. We interviewed participants who obtained out-of-state abortion care or who reported self-managing their abortion, having a miscarriage or an ectopic pregnancy, or continuing their pregnancy. We used inductive and deductive coding in our thematic analysis examining perceptions of self-sourcing medication abortion and potential use of a hypothetical telehealth abortion model.

Results

Of the 120 participants interviewed, 50 researched or considered self-sourcing medication abortion, including 15 who ultimately sourced medications to self-manage their abortion. Participants described uncertainty about the safety and legality of their options for self-sourcing abortion medications, and most would have preferred to use telehealth abortion in a hypothetical legal policy context, including those who self-managed their abortion.

Conclusions

In the context of an abortion ban, people considered self-sourcing abortion medications, but had concerns about the legality and safety of doing so. People in states with restrictive abortion laws may benefit from information about how to access medication abortion from safe and reliable sources and mitigate their legal risks.

Implications

People perceive meaningful differences between the legality and safety of telehealth and self-managed medication abortion. Strategies are needed to provide pregnant people in restricted settings with clear information so they can make an informed choice for their personal circumstances.

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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.