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Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border

BACKGROUND: Following self-managed abortion (SMA), or a pregnancy termination attempt outside of the formal health system, some patients may seek care in an emergency department. Information about provider experiences treating these patients in hospital settings on the Texas-Mexico border is lacking...

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Autores principales: Raifman, Sarah, Baum, Sarah E., White, Kari, Hopkins, Kristine, Ogburn, Tony, Grossman, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008213/
https://www.ncbi.nlm.nih.gov/pubmed/33784993
http://dx.doi.org/10.1186/s12905-021-01281-w
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author Raifman, Sarah
Baum, Sarah E.
White, Kari
Hopkins, Kristine
Ogburn, Tony
Grossman, Daniel
author_facet Raifman, Sarah
Baum, Sarah E.
White, Kari
Hopkins, Kristine
Ogburn, Tony
Grossman, Daniel
author_sort Raifman, Sarah
collection PubMed
description BACKGROUND: Following self-managed abortion (SMA), or a pregnancy termination attempt outside of the formal health system, some patients may seek care in an emergency department. Information about provider experiences treating these patients in hospital settings on the Texas-Mexico border is lacking. METHODS: The study team conducted semi-structured interviews with physicians, advanced practice clinicians, and nurses who had experience with patients presenting with early pregnancy complications in emergency and/or labor and delivery departments in five hospitals near the Texas-Mexico border. Interview questions focused on respondents’ roles at the hospital, knowledge of abortion services and laws, perspectives on SMA trends, experiences treating patients presenting after SMA, and potential gaps in training related to abortion. Researchers conducted interviews in person between October 2017 and January 2018, and analyzed transcripts using a thematic analysis approach. RESULTS: Most of the 54 participants interviewed said that the care provided to SMA patients was, and should be, the same as for patients presenting after miscarriage. The majority had treated a patient they suspected or confirmed had attempted SMA; typically, these cases required only expectant management and confirmation of pregnancy termination, or treatment for incomplete abortion. In rare cases, further clinical intervention was required. Many providers lacked clinical and legal knowledge about abortion, including local resources available. CONCLUSIONS: Treatment provided to SMA patients is similar to that provided to patients presenting after early pregnancy loss. Lack of provider knowledge about abortion and SMA, despite their involvement with SMA patients, highlights a need for improved training.
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spelling pubmed-80082132021-03-30 Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border Raifman, Sarah Baum, Sarah E. White, Kari Hopkins, Kristine Ogburn, Tony Grossman, Daniel BMC Womens Health Research Article BACKGROUND: Following self-managed abortion (SMA), or a pregnancy termination attempt outside of the formal health system, some patients may seek care in an emergency department. Information about provider experiences treating these patients in hospital settings on the Texas-Mexico border is lacking. METHODS: The study team conducted semi-structured interviews with physicians, advanced practice clinicians, and nurses who had experience with patients presenting with early pregnancy complications in emergency and/or labor and delivery departments in five hospitals near the Texas-Mexico border. Interview questions focused on respondents’ roles at the hospital, knowledge of abortion services and laws, perspectives on SMA trends, experiences treating patients presenting after SMA, and potential gaps in training related to abortion. Researchers conducted interviews in person between October 2017 and January 2018, and analyzed transcripts using a thematic analysis approach. RESULTS: Most of the 54 participants interviewed said that the care provided to SMA patients was, and should be, the same as for patients presenting after miscarriage. The majority had treated a patient they suspected or confirmed had attempted SMA; typically, these cases required only expectant management and confirmation of pregnancy termination, or treatment for incomplete abortion. In rare cases, further clinical intervention was required. Many providers lacked clinical and legal knowledge about abortion, including local resources available. CONCLUSIONS: Treatment provided to SMA patients is similar to that provided to patients presenting after early pregnancy loss. Lack of provider knowledge about abortion and SMA, despite their involvement with SMA patients, highlights a need for improved training. BioMed Central 2021-03-30 /pmc/articles/PMC8008213/ /pubmed/33784993 http://dx.doi.org/10.1186/s12905-021-01281-w Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Raifman, Sarah
Baum, Sarah E.
White, Kari
Hopkins, Kristine
Ogburn, Tony
Grossman, Daniel
Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border
title Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border
title_full Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border
title_fullStr Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border
title_full_unstemmed Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border
title_short Perspectives on self-managed abortion among providers in hospitals along the Texas–Mexico border
title_sort perspectives on self-managed abortion among providers in hospitals along the texas–mexico border
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008213/
https://www.ncbi.nlm.nih.gov/pubmed/33784993
http://dx.doi.org/10.1186/s12905-021-01281-w
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