Perspectives in Sexual and Reproductive Health
Male Partners’ Involvement in Abortion Care: A Mixed‐Methods Systematic Review
Although some women may desire the involvement of their partners when obtaining abortion care, male partners are not routinely included in the abortion process. A review of the literature on how male involvement relates to women's abortion experiences may help guide facilities that are considering incorporating male partners in abortion care.
PubMed, PsycINFO (Ovid), the Cumulative Index to Nursing and Allied Health Literature, the Latin American and Caribbean Health Sciences Literature database, and the Cochrane Library were systematically searched without restrictions through September 23, 2015, to identify qualitative and quantitative primary studies investigating male partner accompaniment during the abortion process in noncoercive situations. Analysis focused on identifying different types of male involvement and their associations with women's abortion experiences.
Some 1,316 unique articles were reviewed; 15 were analyzed. These studies were conducted in six countries and published between 1985 and 2012, primarily with observational designs. Four types of male partner involvement emerged: presence in the medical facility, participation in preabortion counseling, presence in the room during the surgical abortion procedure or while the woman is experiencing the effects of abortifacient medications, and participation in postabortion care. Studies explored relationships between type of involvement and women's access to abortion care and their emotional and physical well‐being. Most findings suggested that male involvement was positively associated with women's well‐being and their assessment of the experience; no negative associations were found.
In noncoercive circumstances, women who include their male partners in the abortion process may find this involvement beneficial.
Doctors and Witches, Conscience and Violence: Abortion Provision on American Television
Popular entertainment may reflect and produce—as well as potentially contest—stigma regarding abortion provision. Knowledge of how providers are portrayed on‐screen is needed to improve understanding of how depictions may contribute to the stigmatization of real providers.
All abortion provision plotlines on American television from 2005 to 2014 were identified through Internet searches. Plotlines were assessed in their entirety and coded for genre, abortion provision space, provider characteristics, method and efficacy of provision, and occurrence of violence. Inductive content analysis was used to identify themes in how these features were depicted.
Fifty‐two plotlines involving abortion provision were identified on 40 television shows; a large majority of plotlines appeared in dramas, particularly in the subgenre of medical dramas. Medical spaces were depicted as normal and safe for abortion provision, and nonmedical spaces were often portrayed as remote and unsafe. Legal abortion care using medical methods was depicted as effective and safe, and legal providers were presented as compassionate, while providers operating outside of medical and legal authority were depicted as ineffective, dangerous and uncaring. Fictional providers were largely motivated by the belief that abortion provision is a necessary and moral service. Plotlines linked abortion provision to violence.
The differing ways in which legal and illegal abortion are portrayed reveal potential consequences regarding real‐world abortion provision, and suggest that representations situated in medical contexts may work to legitimate and destigmatize such provision.
Guttmacher Policy Report
Establishing a Referral System for Safe and Legal Abortion Care: A Pilot Project on the Thailand-Burma Border