McLeod C, Javlekar A, Flink-Bochacki R. Exploring the Relationship between Abortion Provision and Providers' Personal Pregnancy and Parenting Experiences.
Womens Health Issues 2020;
31:171-176. [PMID:
33127219 DOI:
10.1016/j.whi.2020.09.006]
[Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 09/14/2020] [Accepted: 09/25/2020] [Indexed: 11/19/2022]
Abstract
OBJECTIVE
Support for abortion rights is often portrayed as antithetical to valuing family. With abortion provider demographics trending toward younger and female physicians, we sought to understand the influence of personal experiences with parenthood and pregnancy on abortion provision.
STUDY DESIGN
We surveyed U.S. physicians who have provided abortions, recruited from listservs and online groups. We calculated descriptive statistics using Stata SE. We used an inductive editing approach in coding free-text responses to questions about the emotional and experiential interplay between pregnancy, parenthood, and abortion provision, iteratively developing and refining a codebook, and ultimately identifying common themes.
RESULTS
We collected qualitative data from 227 participants, the majority of whom were under age 40 (51.1%), female (93.0%), and OB/GYN physicians (75.8%). Qualitative analysis yielded four main themes. 1) Providers feel dissonance between the societal expectation of conflict between abortion provision and parenthood and their lived experiences. 2) Abortion providers' personal experiences with pregnancy and parenthood increase compassion and stimulate a stronger therapeutic bond. 3) Pregnant abortion providers are sometimes affected by the contrast between ending one pregnancy while advancing another; however, most providers are able to contextualize their patients' need for abortion separately from their feelings about their own pregnancies and children. 4) Providers feel their abortion work positively impacts their parenting.
CONCLUSIONS
Our research demonstrates multiple effects of the interplay between abortion providers' personal reproductive experiences and their abortion provision, with a mutually positive overall relationship between parenting and abortion provision. Exploring this interaction could help to decrease stigma toward both abortion and abortion providers.
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