Reducing the burdens of forced abortion travel: Referrals, financial and emotional support, and opportunities for positive experiences in traveling for third-trimester abortion care

Kimport, Katrina

doi:10.1016/j.socscimed.2021.114667

Cited by 14 publications

(15 citation statements)

References 24 publications

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“…Traveling for abortion is expensive and logistically challenging. Abortion funds and practical support funds are, often grassroots, organizations that provide financial and tangible assistance to support access to abortion [12,[50][51][52][53][54][55][56]. This can look like paying for some or the total cost of the facility-based abortion care or arranging childcare and travel.…”

Section: Abortion Funds and Practical Support Fundsmentioning

confidence: 99%

“…Traveling for abortion care, without the comforts of home and community, is an isolating experience [12]. People accessing abortion often conceal their choice to terminate their pregnancy from their partner, friends, or family.…”

Section: Social Support Considerations and Resourcesmentioning

confidence: 99%

“…family, and co-workers [2,5 & , 12,58,59]. In many reports, it was this disclosure and compromise of one's privacy that facilitated abortion access for those who needed to travel for services.…”

Section: Social Support Considerations and Resourcesmentioning

confidence: 99%

“…People who travel for abortion care are more likely to be from rural communities, require more acute care, and be at more advanced gestations upon presentation for care [10]. Traveling for care is seldom a preference but has become a necessity to access needed healthcare given the numerous politically motivated abortion restrictions [11,12]. Not surprisingly, those living far from facility-based care have a lower probability of having an abortion [13].…”

Section: Introductionmentioning

confidence: 99%

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Travel for abortion care: implications for clinical practice

Lerma,

Coplon,

Goyal

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Traveling long distances to obtain abortion care due to restrictions and scarce availability is associated with significant obstacles. We review clinical strategies that can facilitate abortion access and outline considerations to ensure person-centered and equitable care. Recent findings Establishing a patient's gestational duration prior to travel may be beneficial to ensure they are eligible for their desired abortion method at the preferred facility or to determine if a multiday procedure is required. If a local ultrasound cannot be obtained prior to travel, evidence demonstrates people can generally estimate their gestational duration accurately. If unable to provide care, clinicians should make timely referrals for abortion. Integration of telemedicine into abortion care is safe and well regarded by patients and should be implemented into service delivery where possible to reduce obstacles to care. Routine in-person follow-up care is not necessary. However, for those who want reassurance, formalized pathways to care should be established to ensure people have access to care in their community. To further minimize travel-related burdens, facilities should routinely offer information about funding and practical support, emotional support, and legal resources. Summary There are many opportunities to optimize clinical practice to support those traveling for abortion care.

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Section: Abortion Funds and Practical Support Fundsmentioning

confidence: 99%

Section: Social Support Considerations and Resourcesmentioning

confidence: 99%

Section: Social Support Considerations and Resourcesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Travel for abortion care: implications for clinical practice

Lerma,

Coplon,

Goyal

2023

Current Opinion in Obstetrics &Amp; Gynecology

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“…Abortion bans force women to travel long distances to receive services outside their country1 or state2 of residence. Studies on abortion travel have focused on the context of countries with restrictive abortion laws, such as the USA3 4 or Ireland,5–7 and related information barriers,8 along with the financial and social burdens,9 and support structures 10. Less is known about countries with relatively liberal abortion laws 11–13.…”

Section: Introductionmentioning

confidence: 99%

French women’s experiences and opinions with in-country versus cross-border abortion travel: a mixed-methods paper

Rahm

Zordo

Mishtal

et al. 2023

BMJ Sex Reprod Health

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ObjectivesThis is the first study contrasting the experience of women residing in France and travelling for abortion services inside and outside their country of residence. We compare travel reasons and costs as well as our study participants’ opinions of abortion legislation. The article documents legal and procedural barriers related to accessing local and timely abortions and provides policy recommendations to broaden care options.MethodsThe study is based on a mixed-methods research design. Quantitative data were descriptively analysed using Stata and drawn from 100 surveys with in-country abortion seekers collected from 3 Parisian hospitals, and 57 surveys with French residents seeking abortion care in the Netherlands (42), Spain (10) and the UK (5). Qualitative data were thematically analysed using ATLAS.ti and drawn from 36 interviews with French residents (23 in-country abortion seekers and 13 cross-border abortion travellers).FindingsGestational age (GA) limits were the key reason for cross-border travel, while lack of close-by, timely and good quality abortion care was the main driver for in-country abortion travel. Unlike in-country travellers, cross-border abortion seekers faced significant financial costs and burdens related to such travel. Partners, family members and service providers offered important support structures to both cross-border and in-country travellers.ConclusionsLegal time limits appeared to be the key driver for abortion-related travel of French residents. Having passed or being at risk of exceeding the GA limit caused women to travel outside their country or department of residence for abortion care.

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Exploring the emotional costs of abortion travel in the United States due to legal restriction

Kimport¹,

Rasidjan²

2023

Contraception

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Reducing the burdens of forced abortion travel: Referrals, financial and emotional support, and opportunities for positive experiences in traveling for third-trimester abortion care

Cited by 14 publications

References 24 publications

Travel for abortion care: implications for clinical practice

Travel for abortion care: implications for clinical practice

French women’s experiences and opinions with in-country versus cross-border abortion travel: a mixed-methods paper

Exploring the emotional costs of abortion travel in the United States due to legal restriction

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