Women's experiences of more than one termination of pregnancy within two years: a mixed-methods study.

Autor:	Purcell, C, Riddell, J, Brown, A, Cameron, ST, Melville, C, Flett, G, Bhushan, Y, McDaid, L, Cameron, S T
Předmět:	ABORTION WOMEN'S health services WOMEN'S health PREGNANCY complications DOMESTIC violence ABORTION & psychology ABORTION statistics CONTRACEPTION HEALTH attitudes RESEARCH funding SOCIAL stigma SUBSTANCE abuse SURVEYS QUALITATIVE research SOCIOECONOMIC factors INTIMATE partner violence FAMILY planning PATIENTS' attitudes ECONOMICS
Zdroj:	BJOG: An International Journal of Obstetrics & Gynaecology; Dec2017, Vol. 124 Issue 13, p1983-1992, 10p
Abstrakt:	Objective: To examine the experiences of women seeking more than one termination of pregnancy (TOP) within 2 years.Design: Mixed methods study.Setting: Six TOP services across Scotland.Sample: Women presenting for TOP between July and December 2015.Methods: Descriptive and inferential analysis of quantitative survey data, thematic analysis of qualitative interview data and integrative analysis. In quantitative analysis, multinomial logistic regression was used to compare three groups: previous TOP within 2 years, previous TOP beyond 2 years and no previous TOP.Main Outcome Measures: Characteristics and experiences of women seeking TOP.Results: Of 1662 questionnaire respondents, 14.6% (n = 242) and 19.8% (n = 329) reported previous TOP within and beyond 2 years, respectively. The previous TOP within 2 years group was significantly less likely to own their accommodation than the no previous TOP group (adjusted odds ratio [aOR] 0.34, 95% CI: 0.18-0.62) and previous TOP beyond 2 years group (aOR: 0.44, 95% CI: 0.23-0.85); and more likely to report inconsistent (aOR: 1.63, 95% CI: 1.04-2.57; aOR: 1.95, 95% CI: 1.16-3.28) and consistent (aOR: 2.13, 95% CI: 1.39-3.26; aOR: 1.71, 95% CI: 1.07-2.76) contraceptive use than the no previous TOP and previous TOP within 2 years groups, respectively. Twenty-three women from the previous TOP within 2 years group were interviewed. Qualitative and integrative analyses highlight issues relating to contraceptive challenges, intimate partner violence, life aspirations and socio-economic disadvantage.Conclusions: Women undergoing more than one TOP within 2 years may experience particular challenges and vulnerabilities. Service provision should recognise this and move away from stigmatising discourses of 'repeat abortion'.Funding: Scottish Government.Tweetable Abstract: Women having two or more terminations of pregnancy in 2 years may face key challenges/vulnerabilities including intimate partner violence and socio-economic disadvantage. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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