[The decision-making process of abortion high committees]

Area of Science:

• Medical Ethics
• Sociology of Medicine
• Reproductive Health Law

Context:

• Abortions High Committees (AHCs) in some regions make critical decisions on late-term abortions (after 23 weeks gestation).
• Understanding the factors influencing these decisions is crucial for policy and practice.
• Limited research exists on the specific decision-making processes within AHCs.

Purpose:

• To investigate the key factors influencing AHCs' decisions regarding late-term abortions.
• To determine if significant differences exist in decision-making among various AHCs.
• To explore the impact of committee member demographics (gender, age, religiosity) on abortion authorization.

Summary:

• A questionnaire survey of 45 AHC members (24 respondents) revealed that fetal medical condition, maternal medical and psychological state, and gestational week are primary decision factors.
• Female committee members showed a greater tendency to authorize abortions compared to male members.
• Increased religiosity correlated with a decreased inclination to authorize abortions; age and hospital affiliation showed no significant influence.

Impact:

• Findings highlight the subjective elements within AHC decision-making, particularly concerning member demographics.
• Identifies key clinical and patient factors consistently considered in late-term abortion evaluations.
• Suggests potential areas for committee training and policy review to ensure consistency and equity in late-term abortion decisions.