Skelly Niamh
Lecturer in Mental Health, Division of Mental Health, Midwifery and Health, University of the West of Scotland, Paisley, UK.
Sex Reprod Health Matters. 2025 Dec;33(1):2481761. doi: 10.1080/26410397.2025.2481761. Epub 2025 May 16.
Restricted abortion access impinges on the human rights and health of a significant number of women globally. The reproductive justice framework, as well as recent calls for the normalisation of abortion, encourage examination of the deleterious effects of abortion restrictions. This study explores the self-generated, online narratives of women who experienced crises in pregnancy while living in a restrictive context, namely pre-2019 Ireland, and who did not travel for abortion care. Mental health and emotional experiences are a specific focus. From an archived version of posts to the Facebook page made in 2018-2019 ( = 728), 96 personal narratives were sampled. Narratives that did not feature travel for abortion care ( = 25) were selected for thematic analysis, which was completed by a single researcher in 2024. Themes that emerged included waiting for intervention as a form of mental torture, fear during self-managed abortion, attempts to self-induce abortion driven by despair, and variation in the extent to which proceeding with the pregnancy was a choice. Most women who stayed in place had been constrained by circumstances in deciding to do so. These results enrich our understanding of the negative effects of restrictive contexts on women's emotional wellbeing. They also draw attention to those who are effectively trapped in restricted contexts and overlooked when the literature narrowly focuses on outward travel from restrictive contexts for abortion care.
全球范围内,堕胎受限侵犯了大量女性的人权和健康。生殖正义框架以及近期呼吁堕胎正常化的声音,促使人们审视堕胎限制的有害影响。本研究探讨了在限制堕胎的环境中(即2019年前的爱尔兰)经历妊娠危机且未前往外地寻求堕胎护理的女性的自发在线叙述。心理健康和情感体验是具体关注点。从2018 - 2019年发布到脸书页面的存档帖子(共728篇)中,抽取了96篇个人叙述。选取了未提及前往外地寻求堕胎护理的叙述(共25篇)进行主题分析,由一名研究人员于2024年完成。出现的主题包括等待干预如同精神折磨、自行堕胎时的恐惧、绝望驱使下自行引产的尝试,以及继续妊娠在多大程度上是一种选择。大多数留在当地的女性在决定这样做时受到了各种情况的限制。这些结果丰富了我们对限制堕胎环境对女性情感幸福负面影响的理解。它们还让人们关注到那些实际上被困在限制堕胎环境中、而当文献狭隘地聚焦于从限制堕胎环境前往外地寻求堕胎护理时被忽视的人。