145812 Emotional Prophylaxis for Abortion Patients: A Pilot Study

Tuesday, November 6, 2007

Lisa Littman, MD , Dept of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
Christina Zarcadoolas, PhD , Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
Adam Jacobs, MD , Obstetrics and Gynecology, Mount Sinai Hospital, New york, NY
Objective: The purpose of this study is to pilot a prophylactic intervention for post-abortion patients that addresses stigma, provides information about legitimate and harmful support services, and reinforces positive messages about why women make reproductive decisions.

Data-collection methods: This experimental, non-randomized study pilots an intervention for women presenting to the Mount Sinai Family Planning Panel for their post-operative visits after abortion. In-depth interviews were used to assess patient response to the intervention.

Summary of (preliminary) results: Of the 14 women in the study, all (14) felt that the judgmental actions and attitudes of others were hurtful to women who have had abortions and that the proposed intervention can help women "not let these actions and attitudes get to them so much." When twelve of the women were asked to choose the three points most important for women to know, the most frequently chosen answers were, "Hearing that other women have gone through this experience, too" (91.7%); "Positive messages about why women make the decision to have an abortion" (83%). All twelve felt that this intervention was personally helpful to them.

Conclusion: This pilot study is a first step to explore ways to prophylactically protect the emotional health of patients who have abortions. Future research should be done to evaluate outcome measures of interventions. Information gained from this study can be used for the creation of other prophylactic interventions involving reproductive events.

Learning Objectives:
All reproductive events---childbearing, miscarriage, infertility, abortion---can be significant stressors in women's lives. However, women having abortions have to contend with additional issues that include stigma and the judgmental actions and attitudes of others. These issues can negatively impact women's emotional well-being, serve as barriers to social and medical support, and put them at risk for receiving inappropriate and harmful counseling from organizations that seek to make abortion illegal. While it is unlikely that we can change this environment in the short term, perhaps we can improve the emotional resiliency of our patients. Participants will learn about the results of a pilot study of a prophylactic intervention for post-abortion patients that addresses stigma, provides information about legitimate and harmful support services, and reinforces positive messages about why women make reproductive decisions. Participants will be able to identify the rising threats to women’s emotional well-being after abortion. Participants will learn what particular aspects of this intervention post-abortion patients found helpful. Participants will understand patient background awareness about support services. Participants will understand the relationship between stigma, secrecy and support for post-abortion patients. Participants will be able to use this information to guide the creation of other prophylactic emotional support interventions.

Keywords: Abortion, Maternal Well-Being

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.