| Learning Objective #1: Identify nursing strategies to influence pain relief in women experiencing medical abortion | |||
| Learning Objective #2: Discuss reproductive concerns in women choosing medical abortion |
Objective: In the US approximately three million unplanned pregnancies occur each year. Subsequently, at least 1.4 million elective terminations are performed. Although surgical abortion has been the standard of practice, medical termination has altered the complexion of abortion services by minimizing the risks, providing privacy, and addressing side effects. The purpose of this study was to determine if there was a difference in the perception of pain and the method of knowledge seeking in women undergoing medical abortion. Other aims were to explore a woman’s feelings about the experience of abortion, and to determine what birth control methods were most commonly employed in women choosing termination.
Design: A retrospective chart review was conducted. Institutional approval was obtained.
Population/Sample/Setting: During an 18-month period, 650 patients of diverse ethnic and cultural backgrounds presented for abortion services in Northern California. The patient’s ages ranged from 15-45 years. Financial status included private pay and third party reimbursement. Women receiving public assistance are treated on a limited basis.
Concepts or Variables Studied: Variables included the method by which the woman was informed of the option, pain rating, hours to expulsion, whether the woman would choose this procedure again, and birth control methods. Qualitative data included open-ended questions addressing why the method was chosen, fears about the procedure, and the woman’s perception of the experience.
Methods: Chart review was done using data from intake and exit interviews. Statistical analysis was done utilizing descriptive and inferential methods.
Findings: Results indicated that method of referral was significant to the perception and experience of pain. Qualitative issues included future childbearing and pain.
Conclusions/Implications: There is great need for human interaction and counseling women about abortion. Women need provisions for pain relief and the preparation for the experience of pain. Future childbearing concerns and contraception issues need attention.
Back to Women at Risk
Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003