Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico, Mexico.
Curr Opin Obstet Gynecol. 2022 Dec 1;34(6):367-372. doi: 10.1097/GCO.0000000000000833.
The current review discusses the overarching role of advocacy as a primary component of access to abortion care. Abortion is viewed differently from any other form of health care, resulting in a marginalized, but essential healthcare component: without ongoing effective and strategic advocacy, abortion will not become or remain available. Lack of access to abortion care disproportionately affects historically excluded communities.
Advocacy is core to the provision of sexual and reproductive health. The antiabortion community has effectively used policy to achieve long-term goals of severely restricting access to abortion. Crisis pregnancy centers, the COVID-19 pandemic, and the antiabortion legislation of 2022 have exacerbated existing health inequities. Community engagement and advocacy skills assist providers to support access and combat inequities. Provider and trainee education, interprofessional collaboration, and leadership are critical in the effort to support comprehensive reproductive health care.
Through this literature review and our lived experiences as abortion providers, we assert the importance of healthcare professionals as advocates for abortion rights and services. The need for advocacy crosses specialties and communities; together we are stronger advocates as we continue to support and fight for access to safe legal and equitable abortion care.
综述目的： 本篇综述讨论了倡导作为获得堕胎护理的主要组成部分的首要作用。堕胎与任何其他形式的医疗保健不同，它是边缘化的，但也是必不可少的医疗保健组成部分：如果没有持续有效的和战略性的倡导，堕胎将不会变得或仍然可用。无法获得堕胎护理的情况不成比例地影响到历史上被排斥的社区。
最新发现：倡导是提供性健康和生殖健康的核心。反堕胎团体有效地利用政策实现了长期目标，即严重限制堕胎的获取。危机怀孕中心、COVID-19 大流行以及 2022 年的反堕胎立法加剧了现有的健康不平等。社区参与和倡导技能有助于提供者支持获取并解决不平等问题。提供者和学员的教育、跨专业合作以及领导力对于支持全面的生殖健康护理至关重要。
总结： 通过文献回顾和我们作为堕胎提供者的实际经验，我们断言医疗保健专业人员作为堕胎权利和服务的倡导者的重要性。倡导的需求跨越专业和社区；我们共同作为倡导者更强大，因为我们继续支持和争取获得安全、合法和公平的堕胎护理。
