The experiences and adaptations of abortion providers practicing under a new TRAP law: a qualitative study

Contraception
Rebecca J MercierLaura Britton

Abstract

Abortion laws are proliferating in the United States, but little is known about their impact on abortion providers. In 2011, North Carolina instituted the Woman's Right to Know (WRTK) Act, which mandates a 24-h waiting period and counseling with state-prescribed information prior to abortion. We performed a qualitative study to explore the experiences of abortion providers practicing under this law. We conducted semistructured interviews with 31 abortion providers (17 physicians, 9 nurses, 1 physician assistant, 1 counselor and 3 clinic administrators) in North Carolina. Interviews were audio-recorded and transcribed. Interview transcripts were analyzed using a grounded theory approach. We identified emergent themes, coded all transcripts and developed a thematic framework. Two major themes define provider experiences with the WRTK law: provider objections/challenges and provider adaptations. Most providers described the law in negative terms, though providers varied in the extent to which they were affected. Many providers described extensive alterations in clinic practices to balance compliance with minimization of burdens for patients. Providers indicated that biased language and inappropriate content in counseling can negat...Continue Reading

References

Mar 4, 2006·Qualitative Health Research·Diane Walker, Florence Myrick
Oct 5, 2010·Perspectives on Sexual and Reproductive Health·Lori FreedmanJody Steinauer
Aug 23, 2011·Social Science & Medicine·Lisa Hope HarrisJane Hassinger
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Citations

Aug 30, 2016·Critical Public Health·Rebecca J MercierAmy Bryant
Nov 9, 2016·Health Care for Women International·Laura E BrittonAmy G Bryant
Apr 11, 2017·Perspectives on Sexual and Reproductive Health·Jenna JermanNakeisha Blades
Jan 16, 2019·Perspectives on Sexual and Reproductive Health·Alhambra FrareyJudith A Long
Mar 9, 2019·Medical Anthropology·Lynn M Morgan
Dec 13, 2019·AJOB Empirical Bioethics·Elizabeth R Brassfield, Mara Buchbinder
Apr 20, 2018·American Journal of Public Health·Mara Buchbinder
Sep 25, 2017·Studies in Family Planning·Chimaraoke O IzugbaraEstelle M Sidze
Jan 23, 2019·Journal of Patient-reported Outcomes·Kyla Z DonnellyRachel Thompson
Sep 8, 2017·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Kyla Z DonnellyRachel Thompson
Jan 27, 2019·Journal of General Internal Medicine·Mara BuchbinderManisha Mishra
May 22, 2021·Journal of Health and Social Behavior·Kelly Marie Ward
Sep 17, 2021·American Journal of Public Health·Jill Barr-WalkerNancy F Berglas
Nov 11, 2021·Journal of Genetic Counseling·Anne C HeuermanMichelle L McGowan

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