Veldhuis Suzanne, Sánchez-Ramírez Georgina, Darney Blair G
El Colegio de la Frontera Sur, San Cristóbal de las Casas, México.
Oregon Health & Science University, Portland, U.S.A.
Cad Saude Publica. 2022 Apr 29;38(4):ES124221. doi: 10.1590/0102-311XES124221. eCollection 2022.
The study aimed to identify the most frequent barriers in access to abortions in both clandestine and legal clinical contexts, from the perspective of accompanying persons, namely feminist activists who accompanied women that opted for voluntary abortions with medication. We performed 14 semi-structured interviews with accompanying persons in three regions of Mexico: Baja California and Chiapas, both of which are restrictive contexts, and Mexico City, where elective abortion is legal up to 12 weeks' gestational age. We identified four categories in which the social vulnerabilities of women who elect to undergo abortion intersect, namely lack of information, persistence of stigma, influence of the legal framework, and flaws in abortion care, including in clinics for legal termination of pregnancy (in Mexico City), and poor quality of the services provided, with verbal abuse, conscientious objection, and healthcare provider complaints, and finally the antichoice groups and their strategies. In the three regions, access to abortion clinics is still a privilege reserved for women with the necessary economic, logistic, and socials resources for the procedure in these settings. The existence of a program for legal termination of pregnancy (Interrupción Legal de Embarazo) in only one entity reveals the existence of a legal and health inequality. The study's findings on accompanying persons for women undergoing abortions provide backing for the Mexican government to improve access to safe abortions for all women, especially now that the country's Supreme Court has decreed the procedure's decriminalization and its imminent nationwide legalization.
该研究旨在从陪同人员的角度，即陪同选择药物流产的女性的女权主义活动家的角度，确定在秘密和合法临床环境中获取堕胎服务时最常见的障碍。我们对墨西哥三个地区的陪同人员进行了14次半结构化访谈：下加利福尼亚州和恰帕斯州，这两个地区对堕胎限制严格，以及墨西哥城，在那里妊娠12周内的选择性堕胎是合法的。我们确定了选择堕胎的女性的社会脆弱性相互交叉的四个类别，即信息缺乏、耻辱感持续存在、法律框架的影响以及堕胎护理中的缺陷，包括合法终止妊娠诊所（在墨西哥城）的缺陷、所提供服务质量差、言语虐待、出于良心拒诊以及医疗服务提供者的投诉，最后是反堕胎团体及其策略。在这三个地区，进入堕胎诊所仍然是那些在这些环境中有必要的经济、后勤和社会资源进行堕胎手术的女性的特权。仅在一个实体中存在合法终止妊娠计划（Interrupción Legal de Embarazo）就揭示了法律和健康方面的不平等。该研究关于陪同堕胎女性的人员的调查结果为墨西哥政府改善所有女性获得安全堕胎服务的机会提供了支持，特别是现在该国最高法院已裁定该手术合法化且即将在全国范围内合法化。
