Understanding Women's Communication with Their Providers During Medication Abortion and Abortion Pill Reversal: An Exploratory Analysis
K Rafferty, T Longbons - The Linacre Quarterly, 2023 - journals.sagepub.com
K Rafferty, T Longbons
The Linacre Quarterly, 2023•journals.sagepub.comIntroduction/Objective: Medication abortion is a common experience for women in the United
States, now totaling over 50% of all abortions. The purpose of this exploratory analysis is to
understand women's medication abortion and abortion pill reversal decision-making
experiences, with a particular focus on their communication with their medical providers.
Methods: We surveyed women who contacted Heartbeat International to inquire about
abortion pill reversal. Eligible women had to complete a minimum of the 2-week …
States, now totaling over 50% of all abortions. The purpose of this exploratory analysis is to
understand women's medication abortion and abortion pill reversal decision-making
experiences, with a particular focus on their communication with their medical providers.
Methods: We surveyed women who contacted Heartbeat International to inquire about
abortion pill reversal. Eligible women had to complete a minimum of the 2-week …
Introduction/Objective
Medication abortion is a common experience for women in the United States, now totaling over 50% of all abortions. The purpose of this exploratory analysis is to understand women's medication abortion and abortion pill reversal decision-making experiences, with a particular focus on their communication with their medical providers. Methods
We surveyed women who contacted Heartbeat International to inquire about abortion pill reversal. Eligible women had to complete a minimum of the 2-week progesterone protocol in order to answer the questions on the electronic survey about their medication abortion and abortion pill reversal decisions. We assessed decision difficulty using a Likert scale and provider communication using the Questionnaire on the Quality of Physician–Patient (QQPPI) and analyzed women's narratives about their experiences using thematic analysis. Results
Thirty-three respondents met the eligibility criteria and filled out the QQPPI and decision-difficulty scales. Using the QQPPI scale, women scored their communication with their APR providers as significantly better than their communication with their abortion providers (p < 0.0001). Women reported that choosing medication abortion was significantly more difficult than choosing abortion pill reversal (p < 0.0001). White women, women with college degrees, and women who were not in a relationship with the father of the child reported more difficulty in choosing APR. Conclusion
As the number of women who contact the national hotline to inquire about abortion pill reversal increases, the need to understand the experiences of this growing population of women becomes more salient. This need is particularly important for health care providers who prescribe medication abortion and abortion pill reversal. The quality of the physician-patient interaction is essential to providing effective medical care to pregnant women.![](/scholar/images/qa_favicons/sagepub.com.png)
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