BACKGROUND Prior research has shown that a small proportion of U.S. women attempt to self-manage their abortion. The objective of this study is to describe Texas women's motivations for and experiences with attempts to self-manage an abortion. The objective of this study is to describe Texas women's motivations for and experiences with attempts to self-manage an abortion. METHODS We report results from two data sources: two waves of surveys with women seeking abortion services at Texas facilities in 2012 and 2014 and qualitative interviews with women who reported attempting to self-manage their abortion while living in Texas at some time between 2009 and 2014. We report the prevalence of attempted self-managed abortion for the current pregnancy among survey respondents, and describe interview participants' decision-making and experiences with abortion self-management. RESULTS 6.9% (95% CI 5.2-9.0%) of abortion clients (n = 721) reported they had tried to end their current pregnancy on their own before coming to the clinic for an abortion. Interview participants (n = 18) described multiple reasons for their decision to attempt to self-manage abortion. No single reason was enough for any participant to consider self-managing their abortion; however, poverty intersected with and layered upon other obstacles to leave them feeling they had no other option. Ten interview participants reported having a complete abortion after taking medications, most of which was identified as misoprostol. None of the six women who used home remedies alone reported having a successful abortion; many described using these methods for several days or weeks which ultimately did not work, resulting in delays for some, greater distress, and higher costs. CONCLUSION These findings point to a need to ensure that women who may consider self-managed abortion have accurate information about effective methods, what to expect in the process, and where to go for questions and follow-up care. There is increasing evidence that given accurate information and access to clinical consultation, self-managed abortion is as safe as clinic-based abortion care and that many women find it acceptable, while others may prefer to use clinic-based abortion care.

中文翻译：

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德克萨斯州妇女关于自行管理堕胎的决定和经验。


背景技术先前的研究表明，一小部分美国妇女尝试自行处理堕胎。本研究的目的是描述德克萨斯州妇女尝试自行堕胎的动机和经历。本研究的目的是描述德克萨斯州妇女尝试自行堕胎的动机和经历。方法 我们报告来自两个数据源的结果：2012 年和 2014 年对在德克萨斯州机构寻求堕胎服务的妇女进行的两波调查，以及对 2009 年至 2014 年期间居住在德克萨斯州期间尝试自我管理堕胎的妇女进行的定性访谈我们报告了调查受访者当前怀孕期间尝试自我管理堕胎的患病率，并描述了访谈参与者的决策和堕胎自我管理的经验。结果 6.9% (95% CI 5.2-9.0%) 的堕胎客户 (n = 721) 表示，他们在来诊所堕胎之前曾尝试自行终止当前妊娠。受访者（n = 18）描述了他们决定尝试自我管理堕胎的多种原因。没有任何一个理由足以让任何参与者考虑自我管理堕胎；然而，贫困与其他障碍交织在一起，使他们感到别无选择。十名受访者报告在服用药物后完全流产，其中大部分药物被确定为米索前列醇。六名仅使用家庭疗法的妇女中没有一人报告成功堕胎；许多人表示，这些方法使用了几天或几周，但最终没有奏效，导致一些人的延误、更大的痛苦和更高的费用。 结论 这些研究结果表明，需要确保可能考虑自行管理堕胎的女性获得关于有效方法、过程中的期望以及到哪里寻求问题和后续护理的准确信息。越来越多的证据表明，只要提供准确的信息和获得临床咨询，自我管理堕胎与基于诊所的堕胎护理一样安全，并且许多妇女认为它可以接受，而其他人可能更喜欢使用基于诊所的堕胎护理。