Decision-making process about unwanted pregnancy and online counseling after abortion. Two sources for new perspectives on prevention of negative psychosocial outcomes

  • Auteur(s):
    Anouk van der Heij
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Objective: In the Netherlands, about 400 women every year, seek help at Fiom for dealing with psycho-social complaints after an abortion. We examined files of these women, trying to find common risk factors. We especially checked the influence of experiencing doubt and pressure during the decision making process. The effectiveness of the online intervention Dealing with abortion (DWA) has been examined. Methods: Files of DWA-clients have been studied (447 intakes and 48 evaluations). The ‘Complaints score’ was the dependent variable. Correlations have been examined with socio-demographic variables, factors related to the abortion and the moment of seeking help. The concepts ‘Doubt’ and ‘Pressure’ during the decision making process have been constructed and analysed with MAXQDA and SPSS, version 22. Results: Pressure of the partner or other close relatives to choose for abortion is found to be related to a higher complaints score than women who did not report pressure (M=7.8 versus M=7.6). Women who felt forced to choose for abortion show statistically significant higher complaints scores (M=8.7). Positive indices for the effectiveness of the DWA have been found. Conclusion: This study shows the importance of unintended pregnant women, to experience freedom of making their own choice of having an abortion or not. Professionals working with unintended pregnant women should well explore the motivation of women choosing for abortion and be alert of pressure of male-partner or other close relatives.

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