Klimiuk Krzysztof Bartosz, Kot Amelia, Majcherek Ewa, Kubiak Katarzyna B, Balwicki Łukasz
Department of Public Health and Social Medicine, Faculty of Health Sciences, Medical University of Gdańsk, Gdańsk, Poland.
Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
J Med Internet Res. 2024 Dec 9;26:e59544. doi: 10.2196/59544.
Abortion is one of the most common medical procedures worldwide. Despite this, access to abortion on demand remains restricted in many countries, including Poland. As a result, many women resort to undergoing the procedure without medical supervision, putting themselves at risk of serious health consequences such as drug poisoning, excessive bleeding, and hypovolemia. Unfortunately, some abortions also lead to severe infections.
This study aims to qualitatively identify key themes in abortion forums to analyze the issues faced by individuals. The forums were then quantitatively analyzed to determine which problems were most prevalent.
The most popular abortion forums were identified. A preliminary thematic analysis was conducted for the qualitative phase, followed by a manual quantitative analysis. Two independent researchers reviewed forum posts, categorizing them into specific themes.
An analysis of 13,397 responses from 370 threads across 4 forums revealed "Abortion Process Progression" as the most discussed theme, highlighting a strong demand for information, emotional support, and medical guidance. The highest percentage of threads (162/886, 18.3%) focused on the need for mental support and the desire to have someone in contact during the abortion process. Concerns about the effectiveness of the termination also emerged as a significant topic, accounting for 83 of the 886 (9.4%) discussions. "Emotional and Psychological Aspects" and "Medical and Pharmacological Aspects" were also significant, highlighting the need for holistic care. Anxiety and fear related to the process were frequently discussed, accounting for 60 of the 886 (6.8%) responses. The issue of isolation and lack of support was also a common topic, appearing in 30 of the 886 (3.4%) threads. Notably, "Social and Ethical Perception" accounted for only 13 of the 886 (1.5%) responses and appeared in just 13 threads.
This study highlights the critical need for information and support for women navigating abortion, particularly in regions where access is restricted. It emphasizes the importance of addressing the multifaceted challenges women face and calls for policy changes and strengthened support networks to improve the health and rights of women, as well as all those seeking gynecological care in abortion contexts. Further research is encouraged to refine and expand support strategies.
堕胎是全球最常见的医疗程序之一。尽管如此，在包括波兰在内的许多国家，按需堕胎的途径仍然受到限制。因此，许多女性在没有医疗监督的情况下进行堕胎手术，使自己面临药物中毒、大出血和低血容量等严重健康后果的风险。不幸的是，一些堕胎手术还会导致严重感染。
本研究旨在定性识别堕胎论坛中的关键主题，以分析个人所面临的问题。然后对这些论坛进行定量分析，以确定哪些问题最为普遍。
确定了最受欢迎的堕胎论坛。在定性阶段进行了初步的主题分析，随后进行了人工定量分析。两名独立研究人员审查论坛帖子，并将其归类为特定主题。
对来自4个论坛的370个主题帖中的13397条回复进行分析后发现，“堕胎过程进展”是讨论最多的主题，凸显了对信息、情感支持和医疗指导的强烈需求。最高比例的主题帖（162/886，18.3%）关注心理支持的需求以及在堕胎过程中希望有人能联系的愿望。对堕胎有效性的担忧也成为一个重要话题，在886条讨论中占83条（9.4%）。“情感和心理方面”以及“医疗和药理学方面”也很重要，凸显了整体护理的必要性。与堕胎过程相关的焦虑和恐惧经常被讨论，在886条回复中占60条（6.8%）。孤立和缺乏支持的问题也是一个常见话题，出现在886条主题帖中的30条（3.4%）中。值得注意的是，“社会和伦理观念”在886条回复中仅占13条（1.5%），且仅出现在13个主题帖中。
本研究强调了为经历堕胎的女性提供信息和支持的迫切需求，特别是在堕胎途径受限的地区。它强调了应对女性所面临的多方面挑战的重要性，并呼吁政策变革和加强支持网络，以改善女性以及所有在堕胎情况下寻求妇科护理的人的健康和权利。鼓励进一步研究以完善和扩大支持策略。
