Lie Mabel L S, Robson Stephen C, May Carl R
Institute of Health and Society, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
BMC Health Serv Res. 2008 Jul 17;8:150. doi: 10.1186/1472-6963-8-150.
Although abortion or termination of pregnancy (TOP) has become an increasingly normalized component of women's health care over the past forty years, insufficient attention has been paid to women's experiences of surgical or medical methods of TOP.
To undertake a narrative review of qualitative studies of women's experiences of TOP and their perspectives on surgical or medical methods.
Keyword searches of Medline, CINAHL, ISI, and IBSS databases. Manual searches of other relevant journals and reference lists of primary articles.
Qualitative studies (n = 18) on women's experiences of abortion were identified. Analysis of the results of studies reviewed revealed three main themes: experiential factors that promote or inhibit the choice to seek TOP; experiences of TOP; and experiential aspects of the environment in which TOP takes place.
Women's choices about TOP are mainly pragmatic ones that are related to negotiating finite personal and family and emotional resources. Women who are well informed and supported in their choices experience good psychosocial outcomes from TOP. Home TOP using mifepristone appears attractive to women who are concerned about professionals' negative attitudes and lack of privacy in formal healthcare settings but also leads to concerns about management and safety.
尽管在过去四十年里，人工流产或终止妊娠已日益成为女性医疗保健中常态化的一部分，但对于女性接受手术或药物终止妊娠的经历关注不足。
对关于女性终止妊娠经历及其对手术或药物方法看法的定性研究进行叙述性综述。
对Medline、CINAHL、ISI和IBSS数据库进行关键词检索。人工检索其他相关期刊及原始文章的参考文献列表。
确定了18项关于女性人工流产经历的定性研究。对所综述研究结果的分析揭示了三个主要主题：促进或抑制寻求终止妊娠选择的体验因素；终止妊娠的经历；以及终止妊娠发生环境的体验方面。
女性对终止妊娠的选择主要是务实的，与协商有限的个人、家庭和情感资源有关。在选择过程中得到充分信息和支持的女性，人工流产后心理社会结局良好。对于担心在正规医疗环境中受到专业人员负面态度和缺乏隐私影响的女性来说，使用米非司酮在家中进行终止妊娠似乎很有吸引力，但也引发了对管理和安全的担忧。
