Pre-abortion mandatory counseling, what women feel about it?
ESC Congress Library. Dikke G. 05/28/14; 50437; A-019
Prof. Galina Dikke
Prof. Galina Dikke
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Abstract
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Objective: quality of the pre-abortion counseling and evaluation of its impact on the psycho-emotional state of women.


Material and methods: 161 questionnaires received in 2013 from women in Yekaterinburg clinics prior to obtaining an abortion on request. The 40 questions tool was developed in order to measure the impact of new abortion related legislative changes in Russia. Respondents’ average age was 30 years.
Results: 98 women had an abortion previously, for 63 it was the first time. 104 were informed by the doctor about obligatory visit for psychologist or a social worker counseling. A visit to pre-abortion consultations was found useful by 23%, in some way useful - 53%, not useful - 18% and it was not useful for 6%. For 71% of women it was easy to get to the clinic, some woman “lost” 1 day and 45% of women have “lost” 2080 rubles (100$).
Prior to the counseling 69% were confident on their decision, only 28% - after, were not sure - 9%, after - 20%. Those who hesitated about abortion before and after counseling were 3%; no one thought to give the baby up for adoption. 71% of women believed abortion was a better outcome than the childbirth. This confidence retained 70% of the respondents after the consultation. Ultrasonic embryo picture was showed to 28 women, despite their request anyway it was shown to 18 and 12 reported that they did not feel anything about it, 4 felt sorrows, 12 were upset. Women noted that in 20% cases information given put pressure on them. Such counseling forced 70% of women to doubt their decision, 9% - fear an abortion. For 81% the «waiting period» did not impact their emotional state, 18% reported very negative effect.


The degree of satisfaction with the counseling: very satisfied - 7%, satisfied - 43%, were not satisfied - 35%, no answer - 15%.


The first notion and the abortion procedure took 14 days on average. The date for abortion was given in compliance with the records on a turn to 92, for 44 at the nearest available date, other conditions indicated 9, did not answer 16 patients.


Conclusions: only half of women were satisfied with the pre-abortion counseling, every fifth woman was pressured to renounce their decision, ⅔ of women were forced to doubt it, and 9% felt fear; for 18% the «waiting period» had a negative effect on their psycho-emotional state.


 

 


 


Objective: quality of the pre-abortion counseling and evaluation of its impact on the psycho-emotional state of women.


Material and methods: 161 questionnaires received in 2013 from women in Yekaterinburg clinics prior to obtaining an abortion on request. The 40 questions tool was developed in order to measure the impact of new abortion related legislative changes in Russia. Respondents’ average age was 30 years.
Results: 98 women had an abortion previously, for 63 it was the first time. 104 were informed by the doctor about obligatory visit for psychologist or a social worker counseling. A visit to pre-abortion consultations was found useful by 23%, in some way useful - 53%, not useful - 18% and it was not useful for 6%. For 71% of women it was easy to get to the clinic, some woman “lost” 1 day and 45% of women have “lost” 2080 rubles (100$).
Prior to the counseling 69% were confident on their decision, only 28% - after, were not sure - 9%, after - 20%. Those who hesitated about abortion before and after counseling were 3%; no one thought to give the baby up for adoption. 71% of women believed abortion was a better outcome than the childbirth. This confidence retained 70% of the respondents after the consultation. Ultrasonic embryo picture was showed to 28 women, despite their request anyway it was shown to 18 and 12 reported that they did not feel anything about it, 4 felt sorrows, 12 were upset. Women noted that in 20% cases information given put pressure on them. Such counseling forced 70% of women to doubt their decision, 9% - fear an abortion. For 81% the «waiting period» did not impact their emotional state, 18% reported very negative effect.


The degree of satisfaction with the counseling: very satisfied - 7%, satisfied - 43%, were not satisfied - 35%, no answer - 15%.


The first notion and the abortion procedure took 14 days on average. The date for abortion was given in compliance with the records on a turn to 92, for 44 at the nearest available date, other conditions indicated 9, did not answer 16 patients.


Conclusions: only half of women were satisfied with the pre-abortion counseling, every fifth woman was pressured to renounce their decision, ⅔ of women were forced to doubt it, and 9% felt fear; for 18% the «waiting period» had a negative effect on their psycho-emotional state.


 

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