van den Dungen Romy Frances, Gomperts Rebecca
Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Women on Waves, Amsterdam, Netherlands.
Cult Health Sex. 2025 Sep;27(9):1085-1096. doi: 10.1080/13691058.2024.2408337. Epub 2024 Sep 29.
Approximately 753 million women (38%) of reproductive age live in countries with restrictive abortion laws. To overcome these legal constraints, women access safe self-managed medication abortions through telemedicine abortion services. This study aimed to explore the long-term impact of accessing a self-managed medication abortion through telemedicine service on women's lives in countries with restrictive abortion laws. We conducted interviews with eleven women (from eleven different countries) who accessed a self-managed medication abortion through online telemedicine between 2014 and 2018 in a legally restricted country. We analysed interviews thematically. Three key themes were developed: (1) access to abortion positively impacted life plans; (2) the negative influence of the legally restricted environment wore off and their well-being improved; (3) participants are now using their own experiences to help others by either sharing information or facilitating access to abortion. In summary, our findings highlight the positive impact of access to self-managed medication abortion and underline the importance of ensuring access to abortion for everyone.
约7.53亿育龄妇女（占38%）生活在堕胎法律严格限制的国家。为克服这些法律限制，女性通过远程医疗堕胎服务获得安全的自我管理药物流产。本研究旨在探讨在堕胎法律严格限制的国家，通过远程医疗服务进行自我管理药物流产对女性生活的长期影响。我们采访了11名女性（来自11个不同国家），她们于2014年至2018年期间在一个法律严格限制的国家通过在线远程医疗进行了自我管理药物流产。我们对访谈进行了主题分析。形成了三个关键主题：（1）获得堕胎服务对生活计划产生了积极影响；（2）法律严格限制环境的负面影响逐渐消除，她们的幸福感得到改善；（3）参与者现在利用自己的经历，通过分享信息或帮助他人获得堕胎服务来帮助他人。总之，我们的研究结果凸显了获得自我管理药物流产的积极影响，并强调了确保每个人都能获得堕胎服务的重要性。
