Self-managed abortion: a constellation of actors, a cacophony of laws?
Self-managed abortion: a constellation of actors, a cacophony of laws?
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DOI：
10.1080/26410397.2021.1899764
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发表时间：
2021-12
影响因子：
6
通讯作者：
Nandagiri R
中科院分区：
文献类型：
--
作者：
Berro Pizzarossa L;Nandagiri R
自我管理堕胎（SMA）并不是一个新现象，而是在历史1、社会和法律的背景下发生的，2使用了一系列方法。SMA被广泛理解为怀孕个体在临床环境之外为结束妊娠而采取的行动或活动，但围绕如何理解SMA存在相当大的争议。这些辩论的基础是一系列方法、政治和立场。语言的使用也各不相同（例如自我管理或自我护理），反映了所涉及的技术或个人的类型。药物流产（MA）药物米索前列醇和米非司酮的使用稳步增加，使更安全的自我管理和自我使用，集中自主权，隐私和保密，同时也有助于减少全球堕胎相关的发病率和死亡率。3，4千年生态系统评估越来越多地被列为性健康和生殖健康干预措施的一个要素，并在自我保健概念中得到更多的考虑。5.远程保健的出现和支持安全自我使用的组织网络不断扩大，从根本上改变了堕胎的格局。6-9这一点在COVID-19大流行期间一些政府的临时转变中也很明显，允许通过远程医疗9-11或“邮寄药丸”进行堕胎。12医学协会和组织13也呼吁通过远程医疗提供类似的转变。14我们将“远程医疗”理解为通过正式系统提供远程临床服务，而“远程医疗”涵盖通过技术和其他平台远程提供的广泛健康活动（例如健康促进活动）。我们承认（并同意）女权主义团体对被归类为“远程医疗”的陪伴模式、信息或安全堕胎热线的异议，特别是因为它们的方法直接挑战堕胎的医疗化。堕胎景观的这些变化表明了SMA如何通过使用MA挑战堕胎安全的二元概念化，15令人不安的是什么是安全条件以及谁是提供者的严重医学化概念。通过使堕胎寻求者的需求和权利成为可能和中心，SMA重新将堕胎自主权作为女权主义的政治要求。[16，17]然而，孕妇的SMA轨迹并不是一个单独的行为，而是由沿着其旅程的不同点的许多行为者塑造和影响的。这些行为者在地方和国家以及跨国运作，使SMA能够获得并提供不同类型的支持。17例如，当地的女权行为者和网络在人们堕胎的过程中采购药丸、传播信息和提供援助，使SMA成为可能。18，19他们也有，
Self-managed abortion (SMA) is not a new phenomenon but occurs across histories 1 and social and legal contexts, 2 utilising a range of methods. 1 SMA is broadly understood as actions or activities undertaken by a pregnant individual to end a pregnancy outside of clinical settings, but there is considerable debate around how SMA is understood. These debates are underpinned by a range of approaches, politics and standpoints. Language use also varies (eg selfadministered or self-care), reflecting the types of technologies or individuals involved. The steady increase in the use of medical abortion (MA) drugs–misoprostol and mifepristone–has enabled safer self-management and self-use, centring autonomy, privacy and confidentiality, while also contributing to the reduction of abortion-related morbidity and mortality globally. 3, 4 MA has increasingly been included as an element of sexual and reproductive health interventions and is gaining greater consideration within notions of self-care. 5 The advent of telehealth and the growing network of organisations supporting safe self-use has fundamentally altered the abortion landscape. 6–9 This is also evident in the temporary shift from some governments during the COVID-19 pandemic, allowing abortion via telemedicine 9–11 or “pills by post”. 12 Medical societies and organisations 13 have also called for a similar shift to provision via telemedicine. 14 We understand “telemedicine” as the provision of remote clinical services through formal systems, while “telehealth” covers a broad range of health activities (eg health promotion activities) that are provided remotely through technology and other platforms. We acknowledge (and agree with) feminist groups’ disagreement around accompaniment models, information or safe abortion hotlines being classified as “telemedicine”, especially as their approaches directly challenge the medicalisation of abortion. These shifts in the abortion landscape demonstrate how SMA–through the use of MA–challenges binary conceptualisations of abortion safety, 15 unsettling heavily medicalised notions of what safe conditions are and who a provider is. By enabling and centring the needs and autonomies of abortion-seekers, SMA reclaims abortion autonomy as a feminist political demand. 16, 17 Yet rather than a solely individual act, pregnant persons’ SMA trajectories are shaped and influenced by a number of actors at different points along their journey. These actors, functioning locally and nationally, as well as transnationally, enable SMA access and provide different types of support. 17 For example, feminist actors on the ground and the networks procuring pills, disseminating information and providing assistance over the course of people’s abortion trajectories have enabled SMA. 18, 19 They have also,
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影响因子：
6
作者：
Church K;Gassner J;Elliott M
通讯作者：
Elliott M
DOI：
10.3109/13625187.2013.824564
发表时间：
2013-12-01
影响因子：
1.7
作者：
Dzuba, Ilana G.;Winikoff, Beverly;Pena, Melanie
通讯作者：
Pena, Melanie
影响因子：
2.9
作者：
Frye, Laura J.;Kilfedder, Catherine;Winikoff, Beverly
通讯作者：
Winikoff, Beverly
影响因子：
--
作者：
Berro Pizzarossa, Lucia
通讯作者：
Berro Pizzarossa, Lucia
影响因子：
2.8
作者：
Aniteye, Patience;O'Brien, Beverley;Mayhew, Susannah H.
通讯作者：
Mayhew, Susannah H.