Evidence map›Paper›PMID 31906937›Full record

ArticleBMC women's health2020

Texas women's decisions and experiences regarding self-managed abortion.

Liza Fuentes, Sarah Baum, Brianna Keefe-Oates, Kari White, Kristine Hopkins, Joseph Potter, Daniel Grossman

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  11. Self-Managed Abortion in the United States.Current obstetrics and gynecology reports · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The Unethical Texas Heartbeat Law.Prenatal diagnosis · 2022
    Article
  18. Article
  19. Article
  20. 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

7 authors at 2 institutions in 1 country.

Liza FuentesIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA. Lizafuentes7@gmail.com.ORCID 0000-0003-2990-6933
Sarah BaumIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA.
Brianna Keefe-OatesIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA.
Kari WhiteSteve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd, Stop D3500, Austin, TX, 78712, USA.
Kristine HopkinsPopulation Research Center and the Department of Sociology, University of Texas at Austin, 305 E. 23rd Street, Stop G1800, Austin, TX, 78712, USA.
Joseph PotterPopulation Research Center and the Department of Sociology, University of Texas at Austin, 305 E. 23rd Street, Stop G1800, Austin, TX, 78712, USA.
Daniel GrossmanAdvancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, 1330 Broadway Suite 1100, Oakland, CA, 94612, USA.
Ibis Reproductive Health · USThe University of Texas at Austin · US

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

backgroundPrior 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.

methodsWe 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.

results6.9% (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.

conclusionThese 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.

Indexed as

Abortion, InducedDecision MakingSelf-ManagementAbortifacient Agents, NonsteroidalAdultAftercareAmbulatory Care FacilitiesFemaleHumansMisoprostolMotivationNeeds AssessmentPovertyPregnancyPregnancy OutcomeTexasAbortifacient Agents, NonsteroidalMisoprostolAbortionPregnancyReproductive healthReproductive rightsSelf-induced abortionSelf-managed abortionTexas

Identifiers

PMID31906937
PMCPMC6945569
OpenAlexW3000189749

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.