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Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes

Background: The prevalence of global abortion rates coupled with the lack of systematic assessment tools for monitoring women's abortion experiences has necessitated the creation of a core outcome set (COS) outlining key outcomes of women's abortion experiences. Objectives: Utilizing a woman-centere...

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Main Author: Jaffe, Atara
Other Authors: Colvin, Christopher
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2022
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access_status_str Open Access
author Jaffe, Atara
author2 Colvin, Christopher
author_browse Colvin, Christopher
Jaffe, Atara
author_facet Colvin, Christopher
Jaffe, Atara
author_sort Jaffe, Atara
collection Thesis
description Background: The prevalence of global abortion rates coupled with the lack of systematic assessment tools for monitoring women's abortion experiences has necessitated the creation of a core outcome set (COS) outlining key outcomes of women's abortion experiences. Objectives: Utilizing a woman-centered lens, this project attempts to establish this core outcome set through a qualitative systematic review of key abortion outcomes as espoused by women's perspectives across the globe. Methods: A qualitative review was performed to determine outcomes that are meaningful to women experiencing abortion. Findings: After analyzing the qualitative data produced by the 32 included studies, nine core outcomes were established. These outcomes include continuity of care, the capacity to cope effectively with the psychological dimensions of abortion, and the capacity for self-care/self management during their abortion processes. Women also discussed the importance of feeling a sense of autonomy, choice and control during their abortion experiences as well as feeling that healthcare providers met their information needs. Feeling emotionally supported by healthcare providers as well as having felt treated respectfully by healthcare providers, the capacity to control/management of pain, side effects and complications and the social repercussions of abortion were identified as core outcomes. Conclusion: Incorporating these findings into relevant surgical and medical abortion trials has the potential to increase the impact of women's perspectives and experiences on the study of abortion.
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2022
publishDateRange 2022
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publisherStr Department of Public Health and Family Medicine
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spelling oai:open.uct.ac.za:11427/36028 Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes Jaffe, Atara Colvin, Christopher Public Health Background: The prevalence of global abortion rates coupled with the lack of systematic assessment tools for monitoring women's abortion experiences has necessitated the creation of a core outcome set (COS) outlining key outcomes of women's abortion experiences. Objectives: Utilizing a woman-centered lens, this project attempts to establish this core outcome set through a qualitative systematic review of key abortion outcomes as espoused by women's perspectives across the globe. Methods: A qualitative review was performed to determine outcomes that are meaningful to women experiencing abortion. Findings: After analyzing the qualitative data produced by the 32 included studies, nine core outcomes were established. These outcomes include continuity of care, the capacity to cope effectively with the psychological dimensions of abortion, and the capacity for self-care/self management during their abortion processes. Women also discussed the importance of feeling a sense of autonomy, choice and control during their abortion experiences as well as feeling that healthcare providers met their information needs. Feeling emotionally supported by healthcare providers as well as having felt treated respectfully by healthcare providers, the capacity to control/management of pain, side effects and complications and the social repercussions of abortion were identified as core outcomes. Conclusion: Incorporating these findings into relevant surgical and medical abortion trials has the potential to increase the impact of women's perspectives and experiences on the study of abortion. 2022-03-10T10:10:12Z 2022-03-10T10:10:12Z 2021 2022-02-16T08:24:12Z Master Thesis Masters MPH http://hdl.handle.net/11427/36028 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences
spellingShingle Public Health
Jaffe, Atara
Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes
thesis_degree_str Master's
title Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes
title_full Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes
title_fullStr Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes
title_full_unstemmed Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes
title_short Woman-Centered Outcomes for Medical and Surgical Abortion: A Systematic Review of Core Outcomes
title_sort woman centered outcomes for medical and surgical abortion a systematic review of core outcomes
topic Public Health
url http://hdl.handle.net/11427/36028
work_keys_str_mv AT jaffeatara womancenteredoutcomesformedicalandsurgicalabortionasystematicreviewofcoreoutcomes