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Providers' experiences with abortion care: A scoping review
B Dempsey1, S Callaghan1,2, M F Higgins1,2
1UCD Perinatal Research Centre, National Maternity Hospital, University College Dublin, Dublin, Ireland.
Abortion care providers worldwide face stigma and marginalization but remain proud and committed to their socially important work. This review maps their experiences to inform support strategies and further research.
Area of Science:
- Reproductive Health
- Medical Sociology
- Healthcare Provider Studies
Background:
- Induced abortion is a common gynecological procedure globally, yet it remains controversial.
- Three in ten pregnancies may end in abortion.
- Understanding the experiences of abortion care providers is crucial.
Purpose of the Study:
- To explore and map existing literature on the experiences of individuals who provide abortion care.
- To identify key themes and challenges faced by abortion providers.
- To provide a reference for future research and support initiatives.
Main Methods:
- A scoping review following Levac et al. guidelines and PRISMA-ScR checklist.
- Searched CINAHL, Cochrane, EMBASE, PsycInfo, PubMed, and Web of Science for peer-reviewed articles.
- Included 106 studies with 4,250 providers from 28 countries across six continents.
Main Results:
- Two main themes emerged: providers' experiences with abortion stigma and their reflections on abortion work.
- Providers face societal, community, and workplace challenges reinforcing stigma and marginalization.
- Despite challenges, most providers are proud of their work, viewing it as socially important and necessary.
Conclusions:
- This review offers a comprehensive overview of abortion care provision experiences.
- Findings serve as a key reference for international providers, researchers, and advocates.
- Informs future work on supporting providers against stigmatization and facilitating reflection on their experiences.
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