Evidence map›Paper›PMID 29058629›Full record

ArticleReproductive health2017

'I felt the world crash down on me': Women's experiences being denied legal abortion in Colombia.

Teresa DePiñeres, Sarah Raifman, Margoth Mora, Cristina Villarreal, Diana Greene Foster, Caitlin Gerdts

Abstract read
In one paragraph

Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Article
  6. Article
  7. Abortion Trajectory, Timing, and Access Study (ATTAS): study protocol.Archives of public health = Archives belges de sante publique · 2024
    Article
  8. Article
  9. Factors Influencing Abortion Decision-Making of Adolescents and Young Women: A Narrative Scoping Review.International journal of environmental research and public health · 2024
    Article
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  15. Review
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  19. Article
  20. "Sexual and reproductive health matters · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Teresa DePiñeresFundación Oriéntame/ESAR, Bogotá, DC, Colombia.
Sarah RaifmanAdvancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco (UCSF), 1330 Broadway, Suite 1100, Oakland, CA, USA. Sarah.Raifman@ucsf.edu.ORCID http://orcid.org/0000-0002-5025-2412
Margoth MoraFundación Oriéntame/ESAR, Bogotá, DC, Colombia.
Cristina VillarrealFundación Oriéntame/ESAR, Bogotá, DC, Colombia.
Diana Greene FosterAdvancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco (UCSF), 1330 Broadway, Suite 1100, Oakland, CA, USA.
Caitlin GerdtsIbis Reproductive Health, 1330 Broadway, Suite 1100, Oakland, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2006, Colombia's constitutional court overturned a complete ban on abortion, liberalizing the procedure. Despite a relatively liberal new law, women still struggle to access safe and legal abortion services. We aimed to understand why women are denied services in Colombia, and what factors determine if and how they ultimately terminate pregnancies.

methodsWe recruited women denied abortion at a private facility in Bogota. Twenty-one participants completed an initial interview and eight completed a second longer interview. Two researchers documented themes and developed and applied a codebook to transcripts using ATLAS.ti.

resultsParticipants faced barriers, such as lack of knowledge of service availability and delayed pregnancy recognition, leading to denial. Five out of eight participants ultimately received abortions in public hospitals, due to support from partners and a robust referral system; nevertheless, they received poor care. Those who continued pregnancies endured stigmatizing events and inaccurate medical counselling at referral facilities. Several women contemplated illegal abortion though were afraid to attempt it.

conclusionWe propose the following recommendations: 1) increase awareness about availability and legality of abortion services to prevent delay and consequent denial; 2) provide counseling and referral upon denial; and 3) train providers in interpersonal quality abortion care.

Indexed as

Abortion, LegalHealth Services AccessibilityRefusal to TreatAdolescentAdultColombiaCounselingDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHumansPregnancySocial StigmaYoung AdultAbortionColombiaDenial of abortionUnsafe abortion

Identifiers

PMID29058629
PMCPMC5651606

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.