225532 Access to abortion for women stationed overseas in the US military

Monday, November 8, 2010 : 11:30 AM - 11:50 AM

Kate Grindlay, MSPH , Ibis Reproductive Health, Cambridge, MA
Susan Yanow, MSW , Reproductive Health Consultant, Cambridge, MA
Kinga Jelinska, MA , Women's Wallet, Amsterdam, Netherlands
Rebecca Gomperts, MD , Karolinska Institutet, Stockholm, Sweden
Daniel Grossman, MD , Ibis Reproductive Health, Oakland, CA
US military women overseas have few options for abortion services. Due to federal funding bans, abortion is only available on military bases in a few exceptional cases; furthermore, even if women are able to pay for services themselves, abortion is legally restricted in many countries where troops are deployed. We analyzed data from a website that collects information on women seeking medication abortion to better understand military women's experiences with unwanted pregnancy overseas. Emails received between September 2005 and December 2009 from countries with a US military presence were reviewed; women not involved with the US military were excluded. All women gave consent for anonymous use of their data, which included information on the circumstances surrounding the pregnancy and abortion. Data were analyzed qualitatively for themes related to abortion access. 133 women provided data. Women reported many challenges in accessing abortion abroad. These included the lack of services available though military facilities, and also women's highly restricted mobility that prohibited travel elsewhere for care. Other challenges stemmed from fears of harming/losing their military careers or facing reprimand if they took leave to have the abortion in the US, even in cases of rape. Several women expressed their desire to complete their tour and felt that abortion was the only means to do so. Women in the US military stationed abroad lack access to safe abortion services, which places their health and careers in jeopardy. These women should have the same rights to abortion care as women living in the US.

Learning Areas:
Advocacy for health and health education
Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines

Learning Objectives:
Describe the challenges that US military women overseas face in accessing abortion services Explain the consequences that this lack of access to abortion services has for women’s health and livelihoods Discuss the relevance of the study’s findings to the larger issue of federal funding restrictions for abortion in the US

Keywords: Abortion, Access and Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee programs related to the reproductive health of women in the military, and I performed the analysis for this study.
Any relevant financial relationships? No

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.