Chor Julie, Lyman Phoebe, Tusken Megan, Patel Ashlesha, Gilliam Melissa
Department of Obstetrics and Gynecology, The University of Chicago, USA.
Department of Obstetrics and Gynecology, The University of Chicago, USA.
Contraception. 2016 Mar;93(3):244-8. doi: 10.1016/j.contraception.2015.10.006. Epub 2015 Oct 19.
To explore how doula support influences women's experiences with first-trimester surgical abortion.
We conducted semistructured interviews with women given the option to receive doula support during first-trimester surgical abortion in a clinic that uses local anesthesia and does not routinely allow support people to be present during procedures. Dimensions explored included (a) reasons women did or did not choose doula support; (b) key aspects of the doula interaction; and (c) future directions for doula support in abortion care. Interviews were transcribed, and computer-assisted content analysis was performed; salient themes are presented.
Thirty women were interviewed: 19 received and 11 did not receive doula support. Reasons to accept doula support included (a) wanting companionship during the procedure and (b) being concerned about the procedure. Reasons to decline doula support included (a) a sense of stoicism and desiring privacy or (b) not wanting to add emotion to this event. Women who received doula support universally reported positive experiences with the verbal and physical techniques used by doulas during the procedure, and most women who declined doula support subsequently regretted not having a doula. Many women endorsed additional roles for doulas in abortion care, including addressing informational and emotional needs before and after the procedure.
Women receiving first-trimester surgical abortion in this setting value doula support at the time of the procedure. This intervention has the potential to be further developed to help women address pre- and postabortion informational and emotional needs.
In a setting that does not allow family or friends to be present during the abortion procedure, women highly valued the presence of trained abortion doulas. This study speaks to the importance of providing support to women during abortion care. Developing a volunteer doula service is one approach to addressing this need, especially in clinics that otherwise do not permit support people in the procedure room or for women who do not have a support person and desire one.
探讨导乐支持如何影响女性早期人工流产的体验。
我们对在一家使用局部麻醉且通常不允许陪产人员在手术过程中在场的诊所接受早期人工流产的女性进行了半结构化访谈。探讨的维度包括：（a）女性选择或不选择导乐支持的原因；（b）导乐互动的关键方面；（c）堕胎护理中导乐支持的未来方向。访谈进行了转录，并进行了计算机辅助内容分析；呈现了突出的主题。
对30名女性进行了访谈：19名接受了导乐支持，11名未接受。接受导乐支持的原因包括：（a）手术过程中希望有人陪伴；（b）对手术感到担忧。拒绝导乐支持的原因包括：（a）坚忍的性格以及渴望隐私；（b）不想给这件事增添情感因素。接受导乐支持的女性普遍报告称，对导乐在手术过程中使用的言语和身体技巧有积极的体验，而大多数拒绝导乐支持的女性后来都后悔没有导乐陪伴。许多女性认可导乐在堕胎护理中的其他角色，包括在手术前后满足信息和情感需求。
在这种情况下接受早期人工流产的女性重视手术时的导乐支持。这种干预措施有进一步发展的潜力，以帮助女性满足堕胎前后的信息和情感需求。
在堕胎手术过程中不允许家人或朋友在场的情况下，女性非常重视受过培训的堕胎导乐的陪伴。这项研究表明了在堕胎护理期间为女性提供支持的重要性。开展志愿者导乐服务是满足这一需求的一种方式，特别是在那些否则不允许陪产人员进入手术室的诊所，或者对于那些没有陪产人员但希望有陪产人员的女性来说。
