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Experiences of working with induced abortion: focus group discussions with gynaecologists and midwives/nurses
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
Umeå University, Faculty of Social Sciences, Department of Sociology.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
2011 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, 542-548 p.Article in journal (Refereed) Published
Abstract [en]

Background:  While there exists an extensive amount of research regarding the medical aspects of abortion, there is a great lack of studies investigating staff's views and experiences of working in abortion services.

Aims:  To elucidate gynaecologists' and midwives'/nurses' experiences, perceptions and interactions working in abortion services, their experiences of medical abortions and abortions performed at the woman's home. An additional aim was to illustrate gynaecologists', midwives' and nurses' visions of their future professional roles within the abortion services.

Method:  Three focus group discussions within each profession were carried out in 1-hour sessions with a total of 25 gynaecologists and 15 midwives/nurses from three different hospitals.

Results:  The content analysis reflected that gynaecologists and midwives/nurses had no doubts about participating in abortions despite the fact that they had experienced complex and difficult situations, such as repeat and late-term abortions. They experienced their work as paradoxical and frustrating but also as challenging and rewarding. However, they were rarely offered ongoing guidance and continuously professional development education. For gynaecologists, as well as midwives/nurses, their experiences and perceptions were strongly linked to the concurrent development of abortion methods. The interaction between the professions was found to be based on great trust in each other's skills.

Conclusions:  In order to promote women's health, gynaecologists' and midwives'/nurses' need for a forum for reflection and ongoing guidance should be acted on. With a higher number of abortions done medically and a higher proportion of home abortions, midwives/nurses will get increased, responsibilities in the abortion services in the future.

Place, publisher, year, edition, pages
Wiley , 2011. Vol. 25, no 3, 542-548 p.
Keyword [en]
abortion care, ethical considerations, experience, gynaecologist, focus group discussion, home abortion, interaction, midwife, nurse
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Medicine
Identifiers
URN: urn:nbn:se:umu:diva-42138DOI: 10.1111/j.1471-6712.2010.00862.xPubMedID: 21251034OAI: oai:DiVA.org:umu-42138DiVA: diva2:408721
Available from: 2011-04-06 Created: 2011-04-06 Last updated: 2017-12-11Bibliographically approved

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Lindström, MetaWulff, MarianneDahlgren, LarsLalos, Ann
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Obstetrics and GynaecologyDepartment of Sociology
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