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How women perceive abortion care: A study focusing on healthy women and those with mental and posttraumatic stress
Uppsala University, Sweden; Karolinska Institute, Sweden.
Karolinska Institute, Sweden.
Uppsala University, Sweden.
Uppsala University, Sweden.
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2015 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 20, no 3, 211-222 p.Article in journal (Refereed) Published
Abstract [en]

Objectives To identify perceived deficiencies in the quality of abortion care among healthy women and those with mental stress. Methods This multi-centre cohort study included six obstetrics and gynaecology departments in Sweden. Posttraumatic stress (PTSD/PTSS) was assessed using the Screen Questionnaire-Posttraumatic Stress Disorder; anxiety and depressive symptoms, using the Hospital Anxiety Depression Scale; and abortion quality perceptions, using a modified version of the Quality from the Patients Perspective questionnaire. Pain during medical abortion was assessed in a subsample using a visual analogue scale. Results Overall, 16% of the participants assessed the abortion care as being deficient, and 22% experienced intense pain during medical abortion. Women with PTSD/PTSS more often perceived the abortion care as deficient overall and differed from healthy women in reports of deficiencies in support, respectful treatment, opportunities for privacy and rest, and availability of support from a significant person during the procedure. There was a marginally significant difference between PTSD/PTSS and the comparison group for insufficient pain alleviation. Conclusions Women with PTSD/PTSS perceived abortion care to be deficient more often than did healthy women. These women do require extra support, relatively simple efforts to provide adequate pain alleviation, support and privacy during abortion may improve abortion care.

Place, publisher, year, edition, pages
Informa Healthcare , 2015. Vol. 20, no 3, 211-222 p.
Keyword [en]
Abortion; Ambulatory care facilities; Stress disorders; Posttraumatic stress disorders; Anxiety; Depression
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-120060DOI: 10.3109/13625187.2014.1002032ISI: 000355981900007PubMedID: 25666812OAI: diva2:839962

Funding Agencies|Marianne and Marcus Wallenberg Foundation; Medical Faculty of Uppsala Universities; Family Planning Foundation at Uppsala University; Regional Research Committees of Uppsala and Orebro Counties Councils; Sophiahemmet Foundation

Available from: 2015-07-06 Created: 2015-07-06 Last updated: 2015-08-27

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Sydsjö, Gunilla
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Division of Clinical SciencesFaculty of Medicine and Health SciencesDepartment of Gynaecology and Obstetrics in Linköping
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