Trauma-informed abortion care

医学 流产 医疗保健 生殖健康 护理部 家庭医学 医疗急救 怀孕 人口 环境卫生 经济增长 遗传学 经济 生物
作者
Erica P. Cahill,Alexis Doyle
出处
期刊:Current Opinion in Obstetrics & Gynecology [Lippincott Williams & Wilkins]
卷期号:33 (6): 453-457 被引量:10
标识
DOI:10.1097/gco.0000000000000749
摘要

Purpose of review People seeking reproductive care experience trauma on many levels including personal, structural, in medical care, and in barriers to care. This article reviews key aspects of a Trauma-Informed Care approach in abortion and reproductive healthcare. Recent findings Experiences of trauma are common and compounding, including systemic trauma, such as racism, sexism, and transphobia. Reproductive healthcare itself traumatizes and re-traumatizes. Trauma Informed Care (TIC) approach to individual abortion care includes maximize patient safety, choice, and privacy. TIC approach to systemic abortion care includes dismantling barriers to care and stigma. Summary The experience of trauma is prevalent, often unrecognized and can be multifactorial, especially for those seeking abortion and contraception care. Reproductive care can create situations or power dynamics that reactivate a trauma experience. History of trauma influences a person's health, relationships, experience, and use of reproductive healthcare, as well as trust in reproductive health recommendations. Laws restricting access to abortion and reproductive health add another layer of trauma and disproportionately affect marginalized groups. Guidelines for Trauma Informed Abortion Care recognize the complexity of trauma in reproductive health experiences and seek to promote safety, empowerment, and healing on individual and systemic levels.
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