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Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context
OBJECTIVE: To examine experiences of contraceptive care from the perspective of health professionals and women seeking abortion, in the contexts of hospital gynaecology departments and a specialist sexual and reproductive health centre (SRHC). MATERIALS AND METHODS: We conducted in-depth semistructu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4712046/ https://www.ncbi.nlm.nih.gov/pubmed/26434646 http://dx.doi.org/10.1016/j.contraception.2015.09.016 |
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author | Purcell, Carrie Cameron, Sharon Lawton, Julia Glasier, Anna Harden, Jeni |
author_facet | Purcell, Carrie Cameron, Sharon Lawton, Julia Glasier, Anna Harden, Jeni |
author_sort | Purcell, Carrie |
collection | PubMed |
description | OBJECTIVE: To examine experiences of contraceptive care from the perspective of health professionals and women seeking abortion, in the contexts of hospital gynaecology departments and a specialist sexual and reproductive health centre (SRHC). MATERIALS AND METHODS: We conducted in-depth semistructured interviews with 46 women who had received contraceptive care at the time of medical abortion (gestation≤9 weeks) from one SRHC and two hospital gynaecology-department-based abortion clinics in Scotland. We also interviewed 25 health professionals (nurses and doctors) involved in abortion and contraceptive care at the same research sites. We analysed interview data thematically using an approach informed by the Framework method, and comparison was made between the two clinical contexts. RESULTS: Most women and health professionals felt that contraceptive counselling at abortion was acceptable and appropriate, if provided in a sensitive, nonjudgemental way. Participants framed contraceptive provision at abortion as significant primarily as a means of preventing subsequent unintended conceptions. Accounts of contraceptive decision making also presented tensions between the priorities of women and health professionals, around ‘manoeuvring’ women towards contraceptive uptake. Comparison between clinical contexts suggests that women's experiences may have been more positive in the SRHC setting. CONCLUSIONS: Whilst abortion may be a theoretically and practically convenient time to address contraception, it is by no means an easy time to do so and requires considerable effort and expertise to be managed effectively. Training for those providing contraceptive care at abortion should explicitly address potential conflicts between the priorities of health professionals and women seeking abortion. IMPLICATIONS: This paper offers unique insight into the detail of women and health professionals' experiences of addressing contraception at the time of medical abortion. The comparison between hospital and community SRHC contexts highlights best practise and areas for improvement relevant to a range of settings. |
format | Online Article Text |
id | pubmed-4712046 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-47120462016-02-11 Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context Purcell, Carrie Cameron, Sharon Lawton, Julia Glasier, Anna Harden, Jeni Contraception Original Research Article OBJECTIVE: To examine experiences of contraceptive care from the perspective of health professionals and women seeking abortion, in the contexts of hospital gynaecology departments and a specialist sexual and reproductive health centre (SRHC). MATERIALS AND METHODS: We conducted in-depth semistructured interviews with 46 women who had received contraceptive care at the time of medical abortion (gestation≤9 weeks) from one SRHC and two hospital gynaecology-department-based abortion clinics in Scotland. We also interviewed 25 health professionals (nurses and doctors) involved in abortion and contraceptive care at the same research sites. We analysed interview data thematically using an approach informed by the Framework method, and comparison was made between the two clinical contexts. RESULTS: Most women and health professionals felt that contraceptive counselling at abortion was acceptable and appropriate, if provided in a sensitive, nonjudgemental way. Participants framed contraceptive provision at abortion as significant primarily as a means of preventing subsequent unintended conceptions. Accounts of contraceptive decision making also presented tensions between the priorities of women and health professionals, around ‘manoeuvring’ women towards contraceptive uptake. Comparison between clinical contexts suggests that women's experiences may have been more positive in the SRHC setting. CONCLUSIONS: Whilst abortion may be a theoretically and practically convenient time to address contraception, it is by no means an easy time to do so and requires considerable effort and expertise to be managed effectively. Training for those providing contraceptive care at abortion should explicitly address potential conflicts between the priorities of health professionals and women seeking abortion. IMPLICATIONS: This paper offers unique insight into the detail of women and health professionals' experiences of addressing contraception at the time of medical abortion. The comparison between hospital and community SRHC contexts highlights best practise and areas for improvement relevant to a range of settings. Elsevier 2016-02 /pmc/articles/PMC4712046/ /pubmed/26434646 http://dx.doi.org/10.1016/j.contraception.2015.09.016 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Article Purcell, Carrie Cameron, Sharon Lawton, Julia Glasier, Anna Harden, Jeni Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
title | Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
title_full | Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
title_fullStr | Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
title_full_unstemmed | Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
title_short | Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
title_sort | contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4712046/ https://www.ncbi.nlm.nih.gov/pubmed/26434646 http://dx.doi.org/10.1016/j.contraception.2015.09.016 |
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