比利时产科医生对延长12周堕胎期限的看法：一项定性研究。
Obstetricians' views on extending the 12-week abortion limit in Belgium: A qualitative study.
作者信息
De Meyer Fien, Beernaert Kim, Van de Velde Sarah, Sterckx Sigrid, Van Assche Kristof
机构信息
Research Group Personal Rights and Property Rights, Faculty of Law, University of Antwerp, Antwerp, Belgium.
End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Ghent, Belgium.
出版信息
PLoS One. 2025 Jun 18;20(6):e0325434. doi: 10.1371/journal.pone.0325434. eCollection 2025.
AIM
This study explores the views of obstetricians on a potential extension of the 12-week limit on elective abortion in Belgium. It aims to investigate perspectives from a distinct group of providers who already have experience with later abortion, albeit provided on medical grounds. These insights could help identify and navigate perceived challenges and opportunities of extending the abortion time limit.
METHODS
We conducted semi-structured qualitative interviews with 23 hospital obstetricians who are involved in abortion on medical grounds in Flanders, Belgium. We coded and thematically analyzed interview transcripts with NVivo software.
RESULTS
We discerned three major themes in obstetricians' views: 1) Concerns about later abortion techniques; 2) Psychosocial hardships justifying later abortion; and 3) Fetal viability and feticide considerations. Minor themes are: 4) Limited impact on abortion for fetal anomaly; 5) Abortion travel and associated harms; and 6) Sex-selective abortion.
CONCLUSION
Flemish hospital obstetricians highlight both moral and technical challenges associated with extending the abortion time limit, primarily relating to surgical abortion methods and the organization of care. This study finds that, if an extended limit were to be adopted, additional policies and safeguards would facilitate implementation and foster interest among obstetricians in providing services. These include education and technical training of providers in later abortion care, centralization of provision, appropriate facilities, prepared teams, value workshops, and adequate state financing.
目的
本研究探讨了比利时产科医生对于延长人工流产12周时限可能性的看法。旨在调查一类特殊医疗服务提供者的观点，这类人员虽有晚期流产（基于医疗原因）的经验，但本研究有助于识别并应对延长流产时限所面临的挑战与机遇。
方法
我们对比利时弗拉芒地区23名涉及基于医疗原因进行流产手术的医院产科医生进行了半结构化定性访谈。我们使用NVivo软件对访谈记录进行编码和主题分析。
结果
我们在产科医生的观点中识别出三个主要主题：1）对晚期流产技术的担忧；2）晚期流产合理的心理社会困境；3）胎儿存活能力及杀胎考量。次要主题为：4）胎儿异常对流产影响有限；5）流产就医及相关危害；6）性别选择性流产。
结论
弗拉芒地区医院产科医生强调了延长流产时限所带来的道德和技术挑战，主要涉及手术流产方法和护理组织。本研究发现，如果采用延长时限的做法，额外的政策和保障措施将有助于实施，并提高产科医生提供服务的积极性。这些措施包括对晚期流产护理服务提供者的教育和技术培训、服务集中化、适当的设施、准备充分的团队、价值观研讨会以及充足的国家资金支持。
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