Medical abortion is fundamental to women's health care

Black, Kirsten; Bateson, Deborah

doi:10.1111/ajo.12642

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…) . This finding is encouraging because these communities are underserved by abortion clinics and constitute a priority population group for health interventions in Australia . Notably, whereas most registrants from major cities discovered the service from internet websites, fewer than half of non‐urban women did so; for the latter group, referrals from medical providers were relatively more important.…”

Section: Discussionmentioning

confidence: 86%

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A direct‐to‐patient telemedicine abortion service in Australia: Retrospective analysis of the first 18 months

Hyland

Raymond

Chong

2018

Aust NZ J Obst Gynaeco

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Section: Discussionmentioning

confidence: 86%

“…In 2013 mifepristone and misoprostol were added to the Pharmaceutical Benefits Scheme, which subsidises the cost of the drugs. Nevertheless, by 2016 use of medical abortion was substantially less than anticipated, and obtaining medical abortion remains difficult for many Australian women …”

Section: Introductionmentioning

confidence: 99%

A direct‐to‐patient telemedicine abortion service in Australia: Retrospective analysis of the first 18 months

Hyland

Raymond

Chong

2018

Aust NZ J Obst Gynaeco

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“…Whilst decentralization holds potential for improving abortion access, it is just one option for scaling up availability of MToP. It is unlikely that MToP will ever be provided by all GPs [ 47 ]. In Australia, as well as internationally, there needs to be greater focus on scalability through various direct and supportive options including telemedicine, abortion information hotlines [ 31 ], and task-shifting service provision to utilise different models of care, such as nurse-led models [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Medical termination of pregnancy service delivery in the context of decentralization: social and structural influences

Chambers

Clune

Tomnay

2018

Int J Equity Health

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BackgroundMedical termination of pregnancy (MToP) is a safe and acceptable abortion option. Depending on country context, MToP can be administered by general practitioners and mid-level healthcare providers in the first and second trimesters of pregnancy. Like other high-income countries, a range of social and structural barriers to MToP service provision exist in Australia. To counter some of these barriers, geographic decentralization of MToP was undertaken in rural Victoria, Australia, through training service providers about MToP to increase service delivery opportunities. The aim of this study was to investigate the factors that enabled and challenged the decentralization process.MethodsFace-to-face and telephone interviews were undertaken between April and June 2016 with a purposeful sample of six training providers and 13 general practitioners (GP) and nurse training participants. Study participants were asked about their perceptions of motivations, enablers and challenges to MToP provision. A published conceptual framework of synergies between decentralization and service delivery was used to analyse the study findings.ResultsThree key themes emerged from the study findings. First, the effort to decentralize MToP was primarily supported by motivations related to making service access more equitable as well as the willingness of training providers to devolve their informal power, in the form of MToP medical expertise, to training participants. Next, the enablers for MToP decentralization included changes in the regulatory environment relating to decriminalization of abortion and availability of required medication, formation of partnerships to deliver training, provision of MToP clinical resources and local collegial support. Finally, challenges to MToP decentralization were few but significant. These included a lack of a state-wide strategy for service provision, provider concerns about coping with service demand, and provider stigma in the form of perceived negative community or collegial attitudes. These were significant enough to create caution for GPs and nurses considering service provision.ConclusionsDecentralization concepts offer an innovative way for reframing and tackling issues associated with improving MToP service delivery. There is scope for more research about MToP decentralization in other country contexts. These findings are important for informing future rural MToP service expansion efforts that improve equity in service access.

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“…The increased medical oversight of later abortions, and the attachment of professional sanctions (and in Western Australia, criminal sanctions) to doctors who perform later abortions outside of the grounds permitted by law, lend themselves to the use of termination review panels and help produce the shortage of services that offer later abortion, particularly for ‘psychosocial’ indications. The normative effects of gestational limits – which associate abortion with killing and separate abortion from mainstream medical care – uphold the systemic absence of abortion education and training amongst medical professionals (including future and present doctors, nurses, pharmacists and sonographers), leading to a shortage of abortion providers in Australia, especially at later gestations (Black and Bateson, 2017).…”

Section: Maintaining Exceptionalitymentioning

confidence: 99%

Maintaining exceptionality: Interrogating gestational limits for abortion

Millar

2021

Social & Legal Studies

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Gestational limits on abortion are often seen as a condition for decriminalisation. Focusing on the final reports of three institutional law reform inquiries into abortion in Australia, this article argues that gestational limits were recommended through foreclosing the subject position of the unwillingly pregnant woman who experiences gestational time as a threat to her bodily integrity and imagined future. Structural features of law reform commissions tethered models of decriminalisation to the era of criminalisation. Abortion was also rendered meaningful in the reports through discursive tropes that centred foetal viability and constructed later abortion in terms of a delay that required explanation, with the medico-judicial categories used to explain this delay – which distinguished between ‘medical’ and ‘psychosocial’ abortions – recentring the decision-making authority of doctors. Gestational limits on abortion rearticulate the exceptionality of abortion, reinscribing the illegitimacy of abortion and the people who have them, at least at later stages of pregnancy.

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Medical abortion is fundamental to women's health care

Cited by 5 publications

References 18 publications

A direct‐to‐patient telemedicine abortion service in Australia: Retrospective analysis of the first 18 months

A direct‐to‐patient telemedicine abortion service in Australia: Retrospective analysis of the first 18 months

Medical termination of pregnancy service delivery in the context of decentralization: social and structural influences

Maintaining exceptionality: Interrogating gestational limits for abortion

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