Arey Whitney, Lerma Klaira, White Kari
Population Research Center, University of Texas at Austin, Austin, TX, USA.
Department of Sociology, The University of Texas at Austin, Austin, TX, USA.
Cult Health Sex. 2024 Mar;26(3):405-420. doi: 10.1080/13691058.2023.2212298. Epub 2023 May 22.
This qualitative study conducted between November 2020 and March 2021 in the US state of Mississippi examines the experiences of 25 people who obtained medication abortion at the state's only abortion facility. We conducted in-depth interviews with participants after their abortions until concept saturation was reached, and then analysed the content using inductive and deductive analysis. We assessed how people use embodied knowledge about their individual physical experiences such as pregnancy symptoms, a missed period, bleeding, and visual examinations of pregnancy tissue to identify the beginning and end of pregnancy. We compared this to how people use biomedical knowledge such as pregnancy tests, ultrasounds, and clinical examinations to confirm their self-diagnoses. We found that most people felt confident that they could identify the beginning and end of pregnancy through embodied knowledge, especially when combined with the use of home pregnancy tests that confirmed their symptoms, experiences, and visual evidence. All participants concerned about symptoms sought follow-up care at a medical facility, whereas people who felt confident of the successful end of the pregnancy did so less often. These findings have implications for settings of restricted abortion access that have limited options for follow-up care after medication abortion.
这项定性研究于2020年11月至2021年3月在美国密西西比州开展，调查了在该州唯一一家堕胎机构接受药物流产的25人的经历。我们在参与者流产后对他们进行了深入访谈，直至达到概念饱和，然后采用归纳和演绎分析方法对内容进行分析。我们评估了人们如何利用关于自身身体体验的具体知识，如怀孕症状、月经推迟、出血以及对妊娠组织的视觉检查，来确定怀孕的开始和结束。我们将此与人们如何利用生物医学知识，如妊娠试验、超声检查和临床检查，来确认自我诊断进行了比较。我们发现，大多数人相信他们能够通过具体知识确定怀孕的开始和结束，尤其是当结合使用家用妊娠试验来确认他们的症状、经历和视觉证据时。所有担心症状的参与者都在医疗机构寻求后续护理，而那些对妊娠成功结束有信心的人这样做的频率较低。这些发现对堕胎途径受限且药物流产后后续护理选择有限的情况具有启示意义。
