1 Section and Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
2 Finohta (Finnish Office for Health Technology Assessment) at THL (National Institute for Health and Welfare), Helsinki, Finland.
Scand J Public Health. 2018 Dec;46(8):835-845. doi: 10.1177/1403494817717555. Epub 2017 Jul 9.
We aim to describe and classify reasons behind women's choice between medical and surgical abortion.
A systematic literature review was conducted in PubMed and PsycINFO in October 2015. The subjects were women in early pregnancy opting for abortion at clinics or hospitals in high-income countries. We extracted women's reasons for choice of abortion method and analysed these qualitatively, looking at main reasons for choosing either medical or surgical abortion.
Reasons for choice of method were classified to five main groups: technical nature of the intervention, fear of complications, fear of surgery or anaesthesia, timing and sedation. Reasons for selecting medical abortion were often based on the perception of the method being 'more natural' and the wish to have abortion in one's home in addition to fear of complications. Women who opted for surgical abortion appreciated the quicker process, viewed it as the safer option, and wished to avoid pain and excess bleeding. Reasons were often based on emotional reactions, previous experiences and a lack of knowledge about the procedures. Some topics such as pain or excess bleeding received little attention. Overall the quality of the studies was low, most studies were published more than 10 years ago, and the generalisability of the findings was poor.
Women did not base their choice of abortion method only on rational information from professionals but also on emotions and especially fears. Support techniques for a more informed choice are needed. Recent high-quality studies in this area are lacking.
我们旨在描述并分类女性选择药物流产和手术流产的原因。
我们于 2015 年 10 月在 PubMed 和 PsycINFO 上进行了系统的文献回顾。研究对象为在高收入国家的诊所或医院选择堕胎的早期妊娠妇女。我们提取了女性选择堕胎方法的原因，并对这些原因进行了定性分析，主要关注选择药物流产或手术流产的原因。
方法选择的原因可分为五个主要类别：干预的技术性质、对并发症的恐惧、对手术或麻醉的恐惧、时间和镇静。选择药物流产的原因通常基于对该方法的“更自然”的感知，以及希望在自己家中进行流产，同时还担心并发症。选择手术流产的女性则欣赏其更快的过程，认为它更安全，并希望避免疼痛和过多出血。原因通常基于情绪反应、先前的经验和对程序的缺乏了解。有些主题，如疼痛或过多出血，受到的关注较少。总体而言，研究质量较低，大多数研究发表于 10 多年前，研究结果的普遍性较差。
女性选择堕胎方法不仅基于专业人士提供的理性信息，还基于情感，尤其是恐惧。需要支持更知情的选择的技术。该领域缺乏最近的高质量研究。
