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Area of Science:

  • Reproductive Health
  • Military Medicine
  • Public Health Policy

Background:

  • U.S. servicewomen experience higher unintended pregnancy rates than civilian women.
  • Military policy restricts abortion coverage, except in specific cases.
  • Limited research exists on servicewomen's abortion care experiences.

Purpose of the Study:

  • To explore servicewomen's experiences accessing abortion care during active duty.
  • To understand servicewomen's knowledge and opinions of military abortion policy.
  • To identify the health, emotional, financial, and logistical consequences of current policy.

Main Methods:

  • Conducted 21 in-depth interviews with servicewomen who had abortions within two years of active duty.
  • Interview period: January 2015 to July 2016.
  • Thematic analysis using inductive and deductive coding.

Main Results:

  • Concerns about confidentiality, stigma, and career impact deterred half from military care.
  • Some servicewomen felt abandoned due to lack of options counseling and referral at military facilities.
  • The military's abortion policy resulted in negative health, emotional, financial, and logistical consequences.
  • Most servicewomen lacked accurate policy knowledge; upon learning, many favored military provision and coverage.
  • Apprehension about military involvement in abortion care persists due to privacy and career concerns.

Conclusions:

  • Wider dissemination of military abortion policy is recommended.
  • Establishment of abortion referral and support guidelines is needed.
  • Improving confidentiality within military health services is crucial.