Objective: The value of mandatory pre-abortion counselling for women seeking abortions has been repeatedly questioned. The aim of this study was to explore the perspectives and feelings of almost 1000 women regarding pre-abortion counselling in Flanders.
Methods: Participating women (N = 971) - all requesting an abortion at one of the five Flemish abortion centres - were offered a questionnaire prior to the counselling session and immediately afterwards. Both questionnaires measured their emotional and cognitive state as well as aspects of the content and the perceived value of the counselling session.
Results: Prior to the counselling, women are hesitant regarding the value of the sessions, feel distressed, yet decisive about their abortion. After the counselling session, women assign an increased value to the counselling, are very satisfied, and experience less distress and greater decisiveness. During counselling the abortion procedure (89%), the use of contraceptives (83%) and the individual decision-making process (81%) are nearly always addressed. The sessions are tailored to each woman and to the needs they expressed with regard to the content of the counselling.
Conclusions: Pre-abortion counselling in Flanders is standardised as well as personalised. The women in this study positively valued it.
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http://dx.doi.org/10.3109/13625187.2013.796586 | DOI Listing |
BMJ Sex Reprod Health
January 2025
Centre for Reproductive Health, Institute for Regeneration and Repair, The University of Edinburgh, Edinburgh, UK.
Background: Most abortions in Scotland are conducted at home before 12 weeks' gestation using telemedicine. The volume of information given at a pre-abortion consultation may feel overwhelming and contraception may not be prioritised. Telemedicine limits immediate provision of some methods.
View Article and Find Full Text PDFBMJ Sex Reprod Health
December 2024
Usher Institute, Centre for Population Health Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Background: Access to post-abortion contraception (PAC) is critical for reducing unintended pregnancies and supporting reproductive decision-making. Patients often face challenges in identifying, accessing and initiating their preferred contraceptive methods post-abortion. This may be particularly so with telemedicine models of care with absence of in-person appointments, and reduced opportunities to provide some contraceptive methods.
View Article and Find Full Text PDFBMJ Sex Reprod Health
October 2024
Critical Studies in Sexualities and Reproduction, Rhodes University, Makhanda, South Africa
Background: Research on abortion counselling generally uses retrospective interviewing regarding providers' and users' experiences. In this article we explore how requests for abortion are made and received in real time in (officially non-mandatory) pre-abortion counselling conducted by nurses and counsellors in South African public abortion clinics.
Methods: To capture turn-by-turn interactions, we recorded, using consecutive sampling, 28 sessions at three abortion clinics in 2017/2018.
Contraception
January 2024
Department of Obstetrics and Gynecology, University of Helsinki, Helsinki, Finland; Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland. Electronic address:
Objectives: To examine the types of hormonal contraceptive methods chosen at the time of the abortion, and how they correspond to post-abortion hormonal contraceptive purchase.
Study Design: This was a prospective register-based study. We identified the present cohort of 8428 women undergoing induced abortion between July 1, 2017 and December 31, 2018, using the Prescription Centre, Social Insurance Institution database and the Finnish National Register of Induced Abortions.
Eur J Contracept Reprod Health Care
October 2023
Women on Waves International Foundation, Amsterdam, Netherlands.
Purpose: To explore women's perception of the need for an ultrasound scan before medical abortion provided by telemedicine services.
Methods: We have analysed women's requests for medical abortion through the website www.womenonweb.
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