Zurbriggen Ruth, Keefe-Oates Brianna, Gerdts Caitlin
La Revuelta, Neuquén, Patagonia, Argentina.
Ibis Reproductive Health, 1330 Broadway Street, Suite 1100, Oakland, CA 94612, USA.
Contraception. 2018 Feb;97(2):108-115. doi: 10.1016/j.contraception.2017.07.170. Epub 2017 Aug 8.
Legal restrictions on abortion access impact the safety and timing of abortion. Women affected by these laws face barriers to safe care that often result in abortion being delayed. Second-trimester abortion affects vulnerable groups of women disproportionately and is often more difficult to access. In Argentina, where abortion is legally restricted except in cases of rape or threat to the health of the woman, the Socorristas en Red, a feminist network, offers a model of accompaniment wherein they provide information and support to women seeking second-trimester abortions. This qualitative analysis aimed to understand Socorristas' experiences supporting women who have second-trimester medication abortion outside the formal health care system.
We conducted 2 focus groups with 16 Socorristas in total to understand experiences accompanying women having second-trimester medication abortion who were at 14-24 weeks' gestational age. We performed a thematic analysis of the data and present key themes in this article.
The Socorristas strived to ensure that women had the power of choice in every step of their abortion. These cases required more attention and logistical, legal and medical risks than first-trimester care. The Socorristas learned how to help women manage the possibility of these risks and were comfortable providing this support. They understood their work as activism through which they aim to destigmatize abortion and advocate against patriarchal systems denying the right to abortion.
Socorrista groups have shown that they can provide supportive, women-centered accompaniment during second-trimester medication abortions outside the formal health care system in a setting where abortion access is legally restricted.
Second-trimester self-use of medication abortion outside of the formal health system supported by feminist activist groups could provide an alternative model for second-trimester care worldwide. More research is needed to document the safety and effectiveness of this accompaniment service-provision model.
对堕胎的法律限制会影响堕胎的安全性和时机。受这些法律影响的女性在获得安全护理方面面临障碍，这往往导致堕胎被推迟。孕中期堕胎对弱势群体女性的影响尤为严重，而且往往更难获得。在阿根廷，除强奸或危及女性健康的情况外，堕胎在法律上受到限制，一个女权主义网络“红衫救助者”提供了一种陪伴模式，为寻求孕中期堕胎的女性提供信息和支持。这项定性分析旨在了解“红衫救助者”在正规医疗系统之外支持进行孕中期药物流产的女性的经历。
我们总共与16名“红衫救助者”进行了2次焦点小组讨论，以了解陪伴孕14 - 24周的孕中期药物流产女性的经历。我们对数据进行了主题分析，并在本文中呈现关键主题。
“红衫救助者”努力确保女性在堕胎的每一步都拥有选择权。这些案例比孕早期护理需要更多关注以及后勤、法律和医疗风险。“红衫救助者”学会了如何帮助女性应对这些风险的可能性，并乐于提供这种支持。他们将自己的工作理解为一种行动主义，旨在消除堕胎的污名化，并反对否认堕胎权的父权制体系。
“红衫救助者”团体表明，在堕胎受到法律限制的环境中，他们可以在正规医疗系统之外为孕中期药物流产提供以女性为中心的支持陪伴。
在女权主义激进组织支持下，在正规医疗系统之外自行使用孕中期药物流产可为全球孕中期护理提供一种替代模式。需要更多研究来记录这种陪伴服务提供模式的安全性和有效性。
