Purcell Carrie, Brown Audrey, Melville Catriona, McDaid Lisa M
MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, UK.
NHS (National Health Service), UK.
Fem Psychol. 2017 May;27(2):163-185. doi: 10.1177/0959353517692606. Epub 2017 Jan 1.
Abortions in general, and second trimester abortions in particular, are experiences which in many contexts have limited sociocultural visibility. Research on second trimester abortion worldwide has focused on a range of associated factors including risks and acceptability of abortion methods, and characteristics and decision-making of women seeking the procedure. Scholarship to date has not adequately addressed the embodied physicality of second trimester abortion, from the perspective of women's lived experiences, nor how these experiences might inform future framings of abortion. To progress understandings of women's embodied experiences of second trimester abortion, we draw on the accounts of 18 women who had recently sought second trimester abortion in Scotland. We address four aspects of their experiences: later recognition of pregnancy; experiences of a second trimester pregnancy which ended in abortion; the "labour" of second trimester abortion; and the subsequent bodily transition. The paper has two key aims: Firstly, to make visible these experiences, and to consider how they relate to dominant sociocultural narratives of pregnancy; and secondly, to explore the concept of "liminality" as one means for interpreting them. Our findings contribute to informing future research, policy and practice around second trimester abortion. They highlight the need to maintain efforts to reduce silences around abortion and improve equity of access.
一般而言,堕胎,尤其是孕中期堕胎,在许多情况下在社会文化层面的可见度有限。全球范围内关于孕中期堕胎的研究主要集中在一系列相关因素上,包括堕胎方法的风险与可接受性,以及寻求堕胎手术的女性的特征和决策过程。迄今为止的学术研究尚未从女性的生活经历角度充分探讨孕中期堕胎的身体体验,也未涉及这些体验如何为未来的堕胎框架提供参考。为了增进对女性孕中期堕胎身体体验的理解,我们借鉴了18位近期在苏格兰寻求孕中期堕胎的女性的叙述。我们探讨了她们经历的四个方面:对怀孕的较晚认知;以堕胎告终的孕中期怀孕经历;孕中期堕胎的“过程”;以及随后的身体转变。本文有两个关键目标:其一,展现这些经历,并思考它们与关于怀孕的主流社会文化叙事之间的关系;其二,探讨“阈限性”概念,将其作为解读这些经历的一种方式。我们的研究结果有助于为未来围绕孕中期堕胎的研究、政策和实践提供参考。它们凸显了需要持续努力减少围绕堕胎的沉默现象,并改善堕胎服务的可及性公平性。