The patient perspective: perceptions of the quality of the abortion experience

  title={The patient perspective: perceptions of the quality of the abortion experience},
  author={Anna L. Altshuler and Natalie S. Whaley},
  journal={Current Opinion in Obstetrics and Gynecology},
Purpose of review Abortion services are essential in sexual and reproductive health and should be held to the same standards as other health services. Patient (or person)-centeredness is a key dimension of healthcare quality that incorporates the perspectives of patients in care provision. The purpose of this review is to summarize studies published in the last year examining women's experiences with abortion care and to describe facilitators and barriers to person-centered care. Recent… 
Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya
When women received clear communication and personalised comprehensive information on abortion and post-abortion care from their healthcare providers, they reported more positive experiences overall and higher reproductive autonomy.
Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya
The developed and validated person-centered abortion care scale had high content, construct, criterion validity, and reliability, and will facilitate measurement and further research to better understand women’s experiences during abortion care and to improve the quality of women's overall reproductive health experiences to improve health outcomes.
Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services
A cross-sectional study of 353 women undergoing abortions at one of six family planning clinics in Nairobi County, Kenya in 2018 finds that the MVA sample had a 92% greater likelihood of reporting higher person-centered abortion care scores compared to MA clients, and suggests that more efforts are needed to improve the domain of Communication and Autonomy, particularly for MA clients.
Perspectives on high-quality interpersonal care among people obtaining abortions in Argentina
Introduction Little is known about how people who have abortions describe high-quality interpersonal care in Argentina. This qualitative study aimed to understand preferences and priorities in their
A Constructivist Vision of the First-Trimester Abortion Experience
This paper critically assesses the evidence about how a high-quality abortion experience might be achieved in the first trimester and highlights the broader environment and framework of state obligations necessary to underpin the lived experience of abortion.
“It's not a seven-headed beast”: abortion experience among women that received support from helplines for medication abortion in restrictive settings
Helpline models can provide high-quality, person-centered abortion care to people seeking abortions in legally restrictive contexts and improve service within the formal healthcare systems and expand access to high- quality, safe abortion by redefining what it means to provide care.
Factors influencing abortion decisions, delays, and experiences with abortion accompaniment in Mexico among women living outside Mexico City: results from a cross-sectional study
Abstract Access to abortion throughout much of Mexico has been restricted. Fondo Maria is an abortion accompaniment fund that provides informational, logistical, financial, and emotional support to
Improving experience of medical abortion at home in a changing therapeutic, technological and regulatory landscape: a realist review
The synthesis suggests that having a choice of abortion location remains essential as some people are unable to have a medical abortion at home and that strategies that reduce surprise or anxiety and enable preparation and a sense of control support the transition of this complex intervention outside healthcare environments.
Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons
The decision to terminate a pregnancy is made by mature women with a stable life situation—supported by their partner and close family, who do not expect systemic support, as they believe it is marginal, and only seek emotional support from their closest family.


Exploring Canadian Women's Multiple Abortion Experiences: Implications for Reducing Stigma and Improving Patient-Centered Care.
  • K. LaRoche, A. Foster
  • Medicine
    Women's health issues : official publication of the Jacobs Institute of Women's Health
  • 2018
Experiences of abortion: A narrative review of qualitative studies
A narrative review of qualitative studies of women's experiences of TOP and their perspectives on surgical or medical methods revealed women's choices about TOP are mainly pragmatic ones that are related to negotiating finite personal and family and emotional resources.
"I Don't Want to Go Anywhere Else": Patient Experiences of Abortion in Family Medicine.
The authors' results indicate that connection to the clinic setting and to the provider who performed the abortion created a context of trust and comfort, and women in the study reported high levels of satisfaction with care and would recommend this setting to others.
Abortion Knowledge and Experiences Among U.S. Servicewomen: A Qualitative Study
Policy recommendations to better meet the needs of servicewomen include wider dissemination of the military's abortion policy, establishing abortion referral and support guidelines, and improving confidentiality in military health services.
Abortion as agentive action: reproductive agency among young women seeking post-abortion care in Uganda
It was found that reproductive agency was constrained by gender norms and power imbalances and strongly influenced by stigma, which resulted in harmful abortion practices and delayed care-seeking among young women seeking post-abortion care in Uganda.
Barriers to Abortion Care and Their Consequences For Patients Traveling for Services: Qualitative Findings from Two States
The amalgamation of barriers to abortion care experienced simultaneously can have significant consequences for patients, including delays in care, negative mental health impacts and considering self-induction.
Factors Influencing Abortion Decision-Making Processes among Young Women
The study found determinants at different levels, including the low degree of autonomy for women, the limited availability of health facilities providing abortion services and a lack of patient-centeredness of health services.
Motivations and Experiences of People Seeking Medication Abortion Online in the United States
There is a public health justification to reduce clinic access barriers and to make medication abortion that is sourced online and managed at home as safe and supported as possible.
Advancing a conceptual model to improve maternal health quality: The Person-Centered Care Framework for Reproductive Health Equity
The Person-Centered Care Framework for Reproductive Health Equity is proposed, which describes three levels of interdependent contexts for women's reproductive health: societal and community determinants of health equity, women’s health-seeking behaviors, and the quality of care within the walls of the facility.