☆ 4.1 Article

Travel for abortion care: implications for clinical practice

CURRENT OPINION IN OBSTETRICS & GYNECOLOGY (2023)

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Assessing psychosocial costs: Ohio patients? experiences seeking abortion care

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Summary: This study analyzed the experiences of abortion patients in Ohio from 2018 to 2019, finding that seeking abortion care in restrictive states resulted in psychosocial costs. Patients faced fear of judgment, interpersonal strain, and stress due to financial, geographic, and timing challenges. The psychosocial costs were higher for those who needed financial assistance or traveled long distances.

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Unwanted abortion disclosure and social support in the abortion decision and mental health symptoms: A cross-sectional survey

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Summary: This study aimed to assess the extent of unwanted abortion disclosure and levels of social support in the abortion decision and their association with depression, anxiety, and stress. The findings suggested that being forced to disclose the abortion decision due to logistical and cost constraints may have negative implications for people's mental health.

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Article Obstetrics & Gynecology

Abortion Access and Medically Complex Pregnancies Before and After Texas Senate Bill 8

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Summary: This study aims to evaluate how Texas health care professionals navigate abortion restrictions for patients with medically complex pregnancies. Qualitative in-depth interviews were conducted with health care professionals in Texas. The study found that abortion restrictions have a negative impact on the practice of health care professionals and the health of patients.

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Sarah C. M. Roberts et al.

Summary: Reporting of patients who may have attempted SMA may occur due to provider perception of a need to report abortion complications and fetal demises, particularly at later gestations, and other reporting requirements (e.g. substance use, domestic violence, child maltreatment, suicide/self-harm).

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'To be vigilant to leave no trace': secrecy, invisibility and abortion travel from the Republic of Ireland

Joanna Mishtal et al.

Summary: This paper examines the hardships faced by Irish residents while waiting for abortion care and the continued need for secrecy when traveling abroad for care. Despite the expansion of abortion access in Ireland in 2018, many women still have to travel for care. The need for secrecy perpetuates the invisibility of this important phenomenon.

CULTURE HEALTH & SEXUALITY (2023)

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Letter Pediatrics

Accuracyof Self-assessment ofGestational Duration AmongAdolescents SeekingAbortion Using Information inAddition toDate of LastMenstrualPeriod

Lauren Ralph et al.

JAMA PEDIATRICS (2023)

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Exploring the emotional costs of abortion travel in the United States due to legal restriction

Katrina Kimport et al.

Summary: This study investigates the emotional costs of abortion travel among women in the United States who had to cross state borders for abortion care due to legal restrictions and service unavailability. The findings suggest that traveling for abortion care is emotionally burdensome, causing distress, stress, anxiety, and shame. The study highlights the importance of understanding and addressing the emotional experiences of patients seeking abortion care.

CONTRACEPTION (2023)

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Article Obstetrics & Gynecology

Mailing abortion pills does not delay care: A cohort study comparing mailed to in-person dispensing of abortion medications in the United States

Leah R. Koenig et al.

Summary: This study examined the effect of mailing abortion medications on the time it took for patients to use the medications. The findings showed that mailing the medications did not significantly prolong the time it took for patients to ingest mifepristone or increase the duration of pregnancy at mifepristone ingestion. Thus, abortion providers should offer a variety of medication dispensing options, prioritizing patient preference.

CONTRACEPTION (2023)

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Clinical outcomes of medication abortion using misoprostol-only: A retrospective chart review at an abortion provider organization in the United States

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Summary: This study evaluated the effectiveness and safety of medication abortion with misoprostol-only among patients treated by an abortion provider organization during the COVID-19 pandemic in the United States. The results showed that the regimens studied were safe and effective for most patients, although the effectiveness may have been slightly underestimated due to high loss to follow-up.

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Self-diagnosing the end of pregnancy after medication abortion

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Summary: This qualitative study explores the experiences of 25 individuals who underwent medication abortion in the only abortion facility in Mississippi between November 2020 and March 2021. In-depth interviews were conducted until saturation was reached, and the content was analyzed using inductive and deductive analysis. The study examines how individuals utilize embodied knowledge and biomedical knowledge to identify the beginning and end of pregnancy. The findings have implications for areas with limited options for follow-up care after medication abortion.

CULTURE HEALTH & SEXUALITY (2023)

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Accuracy of Self-assessment of Gestational Duration Among Adolescents Seeking Abortion Using Information in Addition to Date of Last Menstrual Period

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Summary: This study examines whether incorporating additional information other than the date of the last menstrual period can enhance the accuracy of self-assessed gestational duration among adolescents seeking abortion.

JAMA PEDIATRICS (2023)

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Accuracy of self-assessment of gestational duration among people seeking abortion

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Summary: This study aimed to establish the screening performance of a broader set of questions for self-assessment of gestational duration among people seeking abortion at different gestations. The results showed that using more questions to assess gestational duration improved the accuracy and sensitivity of screening.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2022)

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Reducing the burdens of forced abortion travel: Referrals, financial and emotional support, and opportunities for positive experiences in traveling for third-trimester abortion care

Katrina Kimport

Summary: The study finds that although forced abortion travel comes with many burdens, prompt referrals, financial and practical support for travel, and emotional support can help mitigate these burdens. Some individuals may even prefer to travel for abortion care due to the emotional support they receive.

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Effectiveness of self-managed medication abortion with accompaniment support in Argentina and Nigeria (SAFE): a prospective, observational cohort study and non-inferiority analysis with historical controls

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It just seemed like a perfect storm: A multi-methods feasibility study on the use of Facebook, Google Ads, and Reddit to collect data on abortion-seeking experiences from people who considered but did not obtain abortion care in the United States

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Summary: By recruiting participants from online platforms, this study aimed to gather data on the experiences of individuals who had considered but failed to obtain an abortion. The findings revealed multiple barriers to abortion care, including legal restrictions, logistical and informational barriers, as well as a preference for medication abortion.

PLOS ONE (2022)

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CURRENT OPINION IN OBSTETRICS & GYNECOLOGY (2022)

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Sociodemographic and Service Use Characteristics of Abortion Fund Cases from Six States in the US Southeast

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Distance traveled for Medicaid-covered abortion care in California

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