Experiences and characteristics of women seeking and completing at-home medical termination of pregnancy through online telemedicine in Ireland and Northern Ireland: a population-based analysis.
Experiences and characteristics of women seeking and completing at-home medical termination of pregnancy through online telemedicine in Ireland and Northern Ireland: a population-based analysis.
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DOI：
10.1111/1471-0528.14401
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发表时间：
2017-07
期刊：
影响因子：
--
通讯作者：
Trussell J
中科院分区：
文献类型：
--
作者：
Aiken A;Gomperts R;Trussell J
完成家庭医疗 TOP 的爱尔兰和北爱尔兰女性报告对健康、福祉和自主权的益处 调查爱尔兰和北爱尔兰使用在线远程医疗寻求家庭医疗终止妊娠 (TOP) 的女性的特征和经历。基于人群的研究。爱尔兰和北爱尔兰。 2010 年 1 月 1 日至 2015 年 12 月 31 日期间，5,650 名女性通过在线远程医疗计划 Women on Web (WoW) 请求家庭医疗 TOP。我们研究了要求医疗 TOP 的女性的人口统计和情况，并研究了 2010 年 1 月至 2012 年 12 月期间完成 TOP 的 1,023 名女性的经历。我们对女性的评估进行了内容分析，并使用逻辑回归来研究与 TOP 期间和之后缺乏情感支持相关的因素。 TOP前后的感受； TOP 期间的情感支持 请求 TOP 的女性在年龄、怀孕情况和寻求 TOP 的原因方面各不相同。在完成 TOP 的人中，97% 的人认为自己做出了正确的选择，98% 的人会将其推荐给处于类似情况的其他人。女性普遍表示，由于怀孕以及无力承担出国旅行访问 TOP 的费用，造成了严重的精神压力。女性在完成 TOP 后最常报告的感受是“如释重负”(70%) 和“满意”(36%)。经济困难的女性缺乏情感支持的风险是其两倍 (OR=2.0，p<0.001)。绝大多数通过 WoW 完成家庭医疗 TOP 的女性都有积极的经历。这些所证明的对健康和福祉的益处为爱尔兰和北爱尔兰围绕堕胎法的辩论提供了新的证据。
Irish & Northern Irish women completing at-home medical TOP report benefits for health, wellbeing and autonomy To examine the characteristics and experiences of women in Ireland and Northern Ireland seeking at-home medical termination of pregnancy (TOP) using online telemedicine. Population-based study. Ireland and Northern Ireland. Between January 1st 2010 and December 31st 2015, 5,650 women requested at-home medical TOP through online telemedicine initiative Women on Web (WoW). We examined the demographics and circumstances of women requesting medical TOP and examined the experiences of the 1,023 women who completed TOP between January 2010 and December 2012. We conducted a content analysis of women's evaluations and used logistic regression to examine factors associated with lack of emotional support during and after TOP Satisfaction with TOP; Feelings before and after TOP; Emotional support during TOP Women requesting TOP were diverse with respect to age, pregnancy circumstances, and reasons for seeking TOP. Among those completing TOP, 97% felt they made the right choice and 98% would recommend it to others in a similar situation. Women commonly reported serious mental stress caused by their pregnancies and their inability to afford travel abroad to access TOP. The feelings women most commonly reported after completing TOP were “relieved” (70%) and “satisfied (36%). Women with financial hardship had twice the risk of lacking emotional support (OR=2.0, p<0.001). The vast majority of women who completed at-home medical TOP through WoW had a positive experience. These demonstrated benefits to health and wellbeing contribute new evidence to the debate surrounding abortion laws in Ireland and Northern Ireland.