Black Women's Lived Experiences of Abortion

In this study, we aim to understand abortion in the context of structural racism and reproductive injustice. We designed this study using Reproductive Justice and Public Health Critical Race Praxis frameworks. We conducted in-depth semi-structured interviews with self-identified Black women over the age of 18 who have had an abortion. The primary identified theme is that "choice" around abortion is a privilege that is not always available to Black women. Participants discussed domains of experience around abortion. The domains were (1) community experience and intergenerational wisdom, (2) personal experience and beliefs, (3) the process of accessing abortion, and (4) reflecting on abortion experience and recovery. Understanding the ways in which reproductive injustices and structural racism constrict choices is critical to providing abortion care. Abortion care should seek to honor the experiences of Black women, trust in the expertise that Black women have in our own bodies, and work to provide Reproductive-Justice-informed care.