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Abortion Bans and Pregnancy-Related Care Across Physician Specialties: A Qualitative Study.

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Survivor Perspectives on Clinical Support for Intimate Partner Reproductive Coercion: An Exploratory Qualitative

Emily Newton-Hoe1,2, Carmen Esquivel2, Kathryn E Fay3

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Summary
This summary is machine-generated.

Intimate partner reproductive coercion (IPRC) requires survivor-informed clinical strategies. Healthcare providers should offer trauma-informed, individualized care focusing on trust and empathy to support reproductive autonomy.

Keywords:
gender‐based violenceintimate partner violencepatient‐centered carepersonal autonomyqualitative researchreproductive coercionreproductive health servicesreproductive rights

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Area of Science:

  • Public Health
  • Sociology
  • Women's Health

Background:

  • Intimate partner reproductive coercion (IPRC) is a prevalent form of abuse impacting reproductive autonomy through methods like contraceptive sabotage and pregnancy pressure.
  • Existing clinical interventions for IPRC often lack durability and consistency, necessitating the integration of survivor experiences.
  • Survivor perspectives are crucial for developing effective, context-aware clinical responses to IPRC.

Purpose of the Study:

  • To identify and articulate survivor-informed strategies for supporting reproductive autonomy in the context of IPRC.
  • To deepen the understanding of clinical encounters for survivors of IPRC.
  • To inform the development of more effective and responsive healthcare interventions.

Main Methods:

  • An exploratory qualitative study was conducted with 20 participants aged 18-50 who identified as female, had experienced IPRC, and spoke English or Spanish.
  • Data were collected through semistructured interviews conducted via videoconference or telephone.
  • Analysis employed the Framework Method, a modified grounded theory approach, to develop survivor-informed propositions.

Main Results:

  • Participants described IPRC as a range of coercive behaviors linked to control, gender norms, and societal messaging.
  • Social factors significantly influenced participants' experiences with IPRC and their willingness to disclose to clinicians.
  • Survivors advocated for clinical strategies including nonjudgmental communication, confidentiality, discreet contraceptive access, and flexible, individualized care approaches.

Conclusions:

  • Effective clinical care for IPRC necessitates a holistic, trauma-informed approach centered on trust, empathy, and humility, moving beyond basic education or screening.
  • Clinician awareness of the interplay between structural/interpersonal factors and IPRC experiences is vital for equitable and responsive care.
  • Further research is needed to evaluate the impact of survivor-informed strategies across various clinical and community settings.