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Area of Science:

  • Medical Ethics
  • Reproductive Health
  • Patient Care

Background:

  • Abortion referral research primarily addresses first-trimester care.
  • Practices for later-term abortion referrals remain under-examined.

Purpose of the Study:

  • To explore patient experiences with third-trimester abortion referrals.
  • To identify desired and undesired provider actions in referral processes for later abortions.

Main Methods:

  • Secondary analysis of semi-structured interviews with 30 third-trimester abortion patients.
  • Thematic coding to identify patient needs and provider actions.

Main Results:

  • Patients desired information on the availability of third-trimester abortion.
  • Patients sought details on providers, funding, and emotional support.
  • Needs for information and support were unmet by some providers.

Conclusions:

  • First-trimester referral factors are relevant but insufficient for third-trimester care.
  • Specific needs include information on limited clinics, travel, and emotional support.
  • Proactive information and non-judgmental support are essential for third-trimester abortion referrals.