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Published in: BMC Health Services Research 1/2008

Open Access 01-12-2008 | Review

Experiences of abortion: A narrative review of qualitative studies

Authors: Mabel LS Lie, Stephen C Robson, Carl R May

Published in: BMC Health Services Research | Issue 1/2008

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Abstract

Background

Although abortion or termination of pregnancy (TOP) has become an increasingly normalized component of women's health care over the past forty years, insufficient attention has been paid to women's experiences of surgical or medical methods of TOP.

Objective

To undertake a narrative review of qualitative studies of women's experiences of TOP and their perspectives on surgical or medical methods.

Methods

Keyword searches of Medline, CINAHL, ISI, and IBSS databases. Manual searches of other relevant journals and reference lists of primary articles.

Results

Qualitative studies (n = 18) on women's experiences of abortion were identified. Analysis of the results of studies reviewed revealed three main themes: experiential factors that promote or inhibit the choice to seek TOP; experiences of TOP; and experiential aspects of the environment in which TOP takes place.

Conclusion

Women's choices about TOP are mainly pragmatic ones that are related to negotiating finite personal and family and emotional resources. Women who are well informed and supported in their choices experience good psychosocial outcomes from TOP. Home TOP using mifepristone appears attractive to women who are concerned about professionals' negative attitudes and lack of privacy in formal healthcare settings but also leads to concerns about management and safety.
Literature
1.
go back to reference May C: A rational model for assessing and evaluating complex interventions in health care. BMC Health Service Research. 2006, 6: 86-10.1186/1472-6963-6-86.CrossRef May C: A rational model for assessing and evaluating complex interventions in health care. BMC Health Service Research. 2006, 6: 86-10.1186/1472-6963-6-86.CrossRef
2.
go back to reference Berer M: Medical abortion: issues of choice and acceptability. Reproductive Health Matters. 2005, 13 (26): 25-34. 10.1016/S0968-8080(05)26199-2.CrossRefPubMed Berer M: Medical abortion: issues of choice and acceptability. Reproductive Health Matters. 2005, 13 (26): 25-34. 10.1016/S0968-8080(05)26199-2.CrossRefPubMed
3.
go back to reference Wiebe E, Dunn S, Guilbert E, Jacot F, Lugtig L: Comparison of abortions induced by methotrexate or mifepristone followed by misoprostol. Obstet Gynecol. 2002, 99 (5 part 1): 813-819. 10.1016/S0029-7844(02)01944-0.PubMed Wiebe E, Dunn S, Guilbert E, Jacot F, Lugtig L: Comparison of abortions induced by methotrexate or mifepristone followed by misoprostol. Obstet Gynecol. 2002, 99 (5 part 1): 813-819. 10.1016/S0029-7844(02)01944-0.PubMed
4.
go back to reference Ashok PW, Hamoda H, Flett GMM, Kidd A, Fitzmaurice A, Templeton A: Patient preference in a randomised study comparing medical and surgical abortion at 10-13 weeks gestation. Contraception. 2005, 71: 143-148. 10.1016/j.contraception.2004.08.013.CrossRefPubMed Ashok PW, Hamoda H, Flett GMM, Kidd A, Fitzmaurice A, Templeton A: Patient preference in a randomised study comparing medical and surgical abortion at 10-13 weeks gestation. Contraception. 2005, 71: 143-148. 10.1016/j.contraception.2004.08.013.CrossRefPubMed
5.
go back to reference Ashok PW, Kidd A, Flett GMM, Fitzmaurice A, Graham W, Templeton A: A randomized comparison of medical abortion and surgical vacuum aspiration at 10-13 weeks gestation. Human Reproduction. 2002, 17: 92-98. 10.1093/humrep/17.1.92.CrossRefPubMed Ashok PW, Kidd A, Flett GMM, Fitzmaurice A, Graham W, Templeton A: A randomized comparison of medical abortion and surgical vacuum aspiration at 10-13 weeks gestation. Human Reproduction. 2002, 17: 92-98. 10.1093/humrep/17.1.92.CrossRefPubMed
6.
go back to reference Creinin MD: Randomized comparison of efficacy, acceptability and cost of medical versus surgical abortion. Contraception. 2000, 62: 117-124. 10.1016/S0010-7824(00)00151-7.CrossRefPubMed Creinin MD: Randomized comparison of efficacy, acceptability and cost of medical versus surgical abortion. Contraception. 2000, 62: 117-124. 10.1016/S0010-7824(00)00151-7.CrossRefPubMed
7.
go back to reference Harvey SM, Beckman LJ, Satre SJ: Choice of and Satisfaction with Methods of Medical and Surgical Abortion among U.S. Clinic Patients. Family Planning Perspectives. 2001, 33 (5): 212-216. 10.2307/2673784.CrossRefPubMed Harvey SM, Beckman LJ, Satre SJ: Choice of and Satisfaction with Methods of Medical and Surgical Abortion among U.S. Clinic Patients. Family Planning Perspectives. 2001, 33 (5): 212-216. 10.2307/2673784.CrossRefPubMed
8.
go back to reference Henshaw R, Naji SA, Russell IT, Templeton A: Comparison of medical abortion with vacuum aspiration: women's preferences and acceptability of treatment. British Medical Journal. 1993, 307 ((6906)): 714-717.CrossRefPubMedPubMedCentral Henshaw R, Naji SA, Russell IT, Templeton A: Comparison of medical abortion with vacuum aspiration: women's preferences and acceptability of treatment. British Medical Journal. 1993, 307 ((6906)): 714-717.CrossRefPubMedPubMedCentral
9.
go back to reference Say L, Kulier R, Gulmezoglu M, Campana A: Medical versus surgical methods for first trimester termination of pregnancy. Cochrane Database Syst Rev. 2002, CD003037-[update in Cochrane Database Syst Rev. 2005;(1):CD003037], 4 Say L, Kulier R, Gulmezoglu M, Campana A: Medical versus surgical methods for first trimester termination of pregnancy. Cochrane Database Syst Rev. 2002, CD003037-[update in Cochrane Database Syst Rev. 2005;(1):CD003037], 4
10.
go back to reference Zou Y, Li Y, Lei Z, Lu L, Jiang S, Li Q: Side effect of mifepristone in combination with misoprostol for medical abortion. [Chinese]. Chung-Hua Fu Chan Ko Tsa Chih [Chinese Journal of Obstetrics & Gynecology]. 2004, 39 (1): 39-42. Zou Y, Li Y, Lei Z, Lu L, Jiang S, Li Q: Side effect of mifepristone in combination with misoprostol for medical abortion. [Chinese]. Chung-Hua Fu Chan Ko Tsa Chih [Chinese Journal of Obstetrics & Gynecology]. 2004, 39 (1): 39-42.
11.
go back to reference Jones RK, Henshaw SK: Mifepristone for Early Medical Abortion: Experiences in France, Great Britain and Sweden. Perspectives on Sexual and Reproductive Health. 2002, 34 (3): 154-161. 10.2307/3097714.CrossRefPubMed Jones RK, Henshaw SK: Mifepristone for Early Medical Abortion: Experiences in France, Great Britain and Sweden. Perspectives on Sexual and Reproductive Health. 2002, 34 (3): 154-161. 10.2307/3097714.CrossRefPubMed
12.
go back to reference Dixon-Woods M, Fitzpatrick R, Roberts K: Including qualitative research in systematic reviews: opportunities and problems. Journal of Evaluation in Clinical Practice. 2001, 7 (2): 125-133. 10.1046/j.1365-2753.2001.00257.x.CrossRefPubMed Dixon-Woods M, Fitzpatrick R, Roberts K: Including qualitative research in systematic reviews: opportunities and problems. Journal of Evaluation in Clinical Practice. 2001, 7 (2): 125-133. 10.1046/j.1365-2753.2001.00257.x.CrossRefPubMed
13.
go back to reference Sandelowski M, Docherty S, Emden C: Qualitative metasynthesis: Issues and techniques. Research in Nursing & Health. 1997, 20 (4): 365-371. 10.1002/(SICI)1098-240X(199708)20:4<365::AID-NUR9>3.0.CO;2-E.CrossRef Sandelowski M, Docherty S, Emden C: Qualitative metasynthesis: Issues and techniques. Research in Nursing & Health. 1997, 20 (4): 365-371. 10.1002/(SICI)1098-240X(199708)20:4<365::AID-NUR9>3.0.CO;2-E.CrossRef
14.
go back to reference Collins JA, Fauser BCJM: Balancing the strengths of systematic and narrative reviews. Hum Reprod Update. 2005, 11 (2): 103-104. 10.1093/humupd/dmh058.CrossRefPubMed Collins JA, Fauser BCJM: Balancing the strengths of systematic and narrative reviews. Hum Reprod Update. 2005, 11 (2): 103-104. 10.1093/humupd/dmh058.CrossRefPubMed
15.
go back to reference Simonds W, Ellertson C, Springer K, Winikoff B: Abortion, revised: participants in the U.S. clinical trials evaluate mifepristone. Social Science and Medicine. 1998, 46 (10): 1313-1323. 10.1016/S0277-9536(97)10063-6.CrossRefPubMed Simonds W, Ellertson C, Springer K, Winikoff B: Abortion, revised: participants in the U.S. clinical trials evaluate mifepristone. Social Science and Medicine. 1998, 46 (10): 1313-1323. 10.1016/S0277-9536(97)10063-6.CrossRefPubMed
16.
go back to reference Elul B, Pearlman E, Sorhaindo A, Simonds W, Westhoff C: In-depth Interviews with Medical Abortion Clients: Thoughts on the Method and Home Administration of Misoprostol. J Am Med Womens Assoc. 2000, 55 (3 Suppl): 169-172.PubMed Elul B, Pearlman E, Sorhaindo A, Simonds W, Westhoff C: In-depth Interviews with Medical Abortion Clients: Thoughts on the Method and Home Administration of Misoprostol. J Am Med Womens Assoc. 2000, 55 (3 Suppl): 169-172.PubMed
17.
go back to reference Fielding SL, Edmunds E, Schaff EA: Having an Abortion Using Mifepristone and Home Misoprostol: A Qualitative Analysis of Women's Experiences. Perspectives on Sexual and Reproductive Health. 2002, 34 (1): 34-40. 10.2307/3030230.CrossRefPubMed Fielding SL, Edmunds E, Schaff EA: Having an Abortion Using Mifepristone and Home Misoprostol: A Qualitative Analysis of Women's Experiences. Perspectives on Sexual and Reproductive Health. 2002, 34 (1): 34-40. 10.2307/3030230.CrossRefPubMed
18.
go back to reference Lafaurie MM, Grossman D, Troncoso E, Billings DL, Cháveze S: Women's Perspectives on Medical Abortion in Mexico, Colombia, Ecuador and Peru: A Qualitative Study . Reproductive Health Matters. 2005, 13 (26): 75-83. 10.1016/S0968-8080(05)26199-2.CrossRefPubMed Lafaurie MM, Grossman D, Troncoso E, Billings DL, Cháveze S: Women's Perspectives on Medical Abortion in Mexico, Colombia, Ecuador and Peru: A Qualitative Study . Reproductive Health Matters. 2005, 13 (26): 75-83. 10.1016/S0968-8080(05)26199-2.CrossRefPubMed
19.
go back to reference Harden A, Ogden J: Young women's experiences of arranging and having abortions. Sociology of Health and Illness. 1999, 21 (4): 426-444. 10.1111/1467-9566.00165.CrossRef Harden A, Ogden J: Young women's experiences of arranging and having abortions. Sociology of Health and Illness. 1999, 21 (4): 426-444. 10.1111/1467-9566.00165.CrossRef
20.
go back to reference Törnbom M, Möller A: Repeat abortion: a qualitative study. Journal of Psychosomatic Obstetrics and Gynecology. 1999, 20 (1): 21-30. 10.3109/01674829909075573.CrossRefPubMed Törnbom M, Möller A: Repeat abortion: a qualitative study. Journal of Psychosomatic Obstetrics and Gynecology. 1999, 20 (1): 21-30. 10.3109/01674829909075573.CrossRefPubMed
21.
go back to reference McIntyre M, Anderson B, McDonald C: The Intersection of Relational and Cultural Narratives: Women's Abortion Experiences. Canadian Journal of Nursing Research. 2001, 33 (3): 47-62.PubMed McIntyre M, Anderson B, McDonald C: The Intersection of Relational and Cultural Narratives: Women's Abortion Experiences. Canadian Journal of Nursing Research. 2001, 33 (3): 47-62.PubMed
22.
go back to reference Bennett LR: Single women's experiences of premarital pregnancy and induced abortion in Lombok, Eastern Indonesia. Reproductive Health Matters. 2001, 9 (17): 37-43. 10.1016/S0968-8080(01)90006-0.CrossRefPubMed Bennett LR: Single women's experiences of premarital pregnancy and induced abortion in Lombok, Eastern Indonesia. Reproductive Health Matters. 2001, 9 (17): 37-43. 10.1016/S0968-8080(01)90006-0.CrossRefPubMed
23.
go back to reference Reminnick L, Segal R: Socio-cultural context and women's experiences of abortion: Israeli women and Russian immigrants compared. Culture, Health and Sexuality. 2001, 3 (1): 49-66. 10.1080/136910501750035671.CrossRef Reminnick L, Segal R: Socio-cultural context and women's experiences of abortion: Israeli women and Russian immigrants compared. Culture, Health and Sexuality. 2001, 3 (1): 49-66. 10.1080/136910501750035671.CrossRef
24.
go back to reference Andrews J, Boyle J: African American Adolescents' Experiences with Unplanned Pregnancy and Elective Abortion. Health Care for Women International. 2003, 24 (5): 414-433.PubMed Andrews J, Boyle J: African American Adolescents' Experiences with Unplanned Pregnancy and Elective Abortion. Health Care for Women International. 2003, 24 (5): 414-433.PubMed
25.
go back to reference Fielding SL, Schaff EA: Social Context and the Experience of a Sample of U.S. Women Taking RU-486 (Mifepristone) for Early Abortion. Qual Health Res. 2004, 14 (5): 612-627. 10.1177/1049732304263677.CrossRefPubMed Fielding SL, Schaff EA: Social Context and the Experience of a Sample of U.S. Women Taking RU-486 (Mifepristone) for Early Abortion. Qual Health Res. 2004, 14 (5): 612-627. 10.1177/1049732304263677.CrossRefPubMed
26.
go back to reference Aléx L, Hammarström A: Women's experiences in connection with induced abortion - a feminist perspective. Scandinavian Journal of Caring Services. 2004, 18 (2): 160-168. 10.1111/j.1471-6712.2004.00257.x.CrossRef Aléx L, Hammarström A: Women's experiences in connection with induced abortion - a feminist perspective. Scandinavian Journal of Caring Services. 2004, 18 (2): 160-168. 10.1111/j.1471-6712.2004.00257.x.CrossRef
27.
go back to reference Kero A, Högberg U, Lalos A: Wellbeing and mental growth—long-term effects of legal abortion. Soc Sci Med. 2004, 58 (12): 2559-2569. 10.1016/j.socscimed.2003.09.004.CrossRefPubMed Kero A, Högberg U, Lalos A: Wellbeing and mental growth—long-term effects of legal abortion. Soc Sci Med. 2004, 58 (12): 2559-2569. 10.1016/j.socscimed.2003.09.004.CrossRefPubMed
28.
go back to reference Kumar U, Baraitser P, Morton S, Massil H: Decision making and referral prior to abortion: a qualitative study of women's experiences. Journal of Family Planning and Reproductive Health Care. 2004, 30 (1): 51-54. 10.1783/147118904322702009.CrossRefPubMed Kumar U, Baraitser P, Morton S, Massil H: Decision making and referral prior to abortion: a qualitative study of women's experiences. Journal of Family Planning and Reproductive Health Care. 2004, 30 (1): 51-54. 10.1783/147118904322702009.CrossRefPubMed
29.
go back to reference Lee E, Clements S, Ingham R, Stone N: A matter of choice? Explaining national variations in teenage abortion and motherhood. 2004, York , Joseph Rowntree Foundation Lee E, Clements S, Ingham R, Stone N: A matter of choice? Explaining national variations in teenage abortion and motherhood. 2004, York , Joseph Rowntree Foundation
30.
go back to reference Halldén BM, Christensson K, Olsson P: Meanings of Being Pregnant and Having Decided on Abortion: Young Swedish Women's Experiences. Health Care for Women International. 2005, 26 (9): 788-806. 10.1080/07399330500230961.CrossRefPubMed Halldén BM, Christensson K, Olsson P: Meanings of Being Pregnant and Having Decided on Abortion: Young Swedish Women's Experiences. Health Care for Women International. 2005, 26 (9): 788-806. 10.1080/07399330500230961.CrossRefPubMed
31.
go back to reference Trybulski JA: Women and abortion: the past reaches into the present. Journal of Advanced Nursing. 2006, 54 (6): 683-10.1111/j.1365-2648.2006.03871.x.CrossRefPubMed Trybulski JA: Women and abortion: the past reaches into the present. Journal of Advanced Nursing. 2006, 54 (6): 683-10.1111/j.1365-2648.2006.03871.x.CrossRefPubMed
32.
go back to reference Goodwin P, Ogden J: Women's reflections upon their past abortions: An exploration of how and why emotional reactions change over time. Psychology and Health. 2007, 22 (2): 231-248. 10.1080/14768320600682384.CrossRef Goodwin P, Ogden J: Women's reflections upon their past abortions: An exploration of how and why emotional reactions change over time. Psychology and Health. 2007, 22 (2): 231-248. 10.1080/14768320600682384.CrossRef
33.
go back to reference Leys M: Healthcare policy: Qualitative evidence and health technology assessment. Health Policy. 2003, 65: 217-226. 10.1016/S0168-8510(02)00209-9.CrossRefPubMed Leys M: Healthcare policy: Qualitative evidence and health technology assessment. Health Policy. 2003, 65: 217-226. 10.1016/S0168-8510(02)00209-9.CrossRefPubMed
34.
go back to reference Mays N, Pope C: Qualitative research in health care. 1996, London , British Medical Journal Publishing Group Mays N, Pope C: Qualitative research in health care. 1996, London , British Medical Journal Publishing Group
35.
go back to reference Kero A, Lalos A: Reactions and reflections in men, 4 and 12 months post-abortion. Journal of Psychosomatic Obstetrics & Gynecology. 2004, 25 (2): 135-143. 10.1080/01674820400000463.CrossRef Kero A, Lalos A: Reactions and reflections in men, 4 and 12 months post-abortion. Journal of Psychosomatic Obstetrics & Gynecology. 2004, 25 (2): 135-143. 10.1080/01674820400000463.CrossRef
36.
go back to reference Kero A, Lalos A, Högberg U, Jacobsson L: The male partner involved in legal abortion. Human Reproduction. 1999, 14 (10): 2669-2675. 10.1093/humrep/14.10.2669.CrossRefPubMed Kero A, Lalos A, Högberg U, Jacobsson L: The male partner involved in legal abortion. Human Reproduction. 1999, 14 (10): 2669-2675. 10.1093/humrep/14.10.2669.CrossRefPubMed
37.
go back to reference Kumar U, Baraitser P, Morton S, Massil H: Peri-abortion contraception: a qualitative study of users' experiences. Journal of Family Planning and Reproductive Health Care. 2004, 30 (1): 55-56. 10.1783/147118904322702018.CrossRefPubMed Kumar U, Baraitser P, Morton S, Massil H: Peri-abortion contraception: a qualitative study of users' experiences. Journal of Family Planning and Reproductive Health Care. 2004, 30 (1): 55-56. 10.1783/147118904322702018.CrossRefPubMed
38.
go back to reference Oakley A: Telling the truth about Jerusalem. 1986, London , Basil Blackwell Ltd Oakley A: Telling the truth about Jerusalem. 1986, London , Basil Blackwell Ltd
39.
go back to reference Coleman P, Reardon DC, Strathan T, Cougle JR: The psychology of abortion: A review and suggestions for future research. Psychology and Health. 2005, 20 (2): 237-271. 10.1080/0887044042000272921.CrossRef Coleman P, Reardon DC, Strathan T, Cougle JR: The psychology of abortion: A review and suggestions for future research. Psychology and Health. 2005, 20 (2): 237-271. 10.1080/0887044042000272921.CrossRef
Metadata
Title
Experiences of abortion: A narrative review of qualitative studies
Authors
Mabel LS Lie
Stephen C Robson
Carl R May
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2008
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-8-150

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