Why women choose at-home abortion via teleconsultation in France: drivers of telemedicine abortion during and beyond the COVID-19 pandemic
Fiche du document
28 octobre 2021
- ISIDORE Id: 10670/1.1584a1...
- hal: hal-04727298
- doi: 10.1136/bmjsrh-2021-201176
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjsrh-2021-201176
info:eu-repo/semantics/OpenAccess
Sujets proches
Feticide Termination of pregnancy Induced abortion Pregnancy termination Abortion, Induced FoeticideCiter ce document
Hazal Atay et al., « Why women choose at-home abortion via teleconsultation in France: drivers of telemedicine abortion during and beyond the COVID-19 pandemic », HAL SHS (Sciences de l’Homme et de la Société), ID : 10.1136/bmjsrh-2021-201176
Métriques
Partage / Export
Résumé
Objectives: In an attempt to understand the demand and main drivers of telemedicine abortion, we analysed the requests that Women on Web (WoW), an online telemedicine abortion service operating worldwide, received from France throughout 2020. Methods: We conducted a parallel, convergent, mixed-methods study among 809 consultations received from France at WoW between 1 January and 31 December 2020. We performed a cross-sectional study of data obtained from the WoW consultation survey and a manifest content analysis of anonymised email correspondence of 140 women consulting with the WoW helpdesk from France. Findings: We found that women encounter macro-level, individual-level and provider-level constraints while trying to access abortion in France. The preferences and needs over secrecy (n=356, 46.2%), privacy (n=295, 38.3%) and comfort (n=269, 34.9%) are among the most frequent reasons for women from France to choose telemedicine abortion through WoW. The COVID-19 pandemic seems to be an important driver for resorting to telemedicine (n=236, 30.6%). The lockdowns had a significant impact on the number of consultations received at WoW from France, increasing from 60 in March to 128 in April during the first lockdown and from 54 in October to 80 in November during the second lockdown. Conclusions: The demand for at-home medical abortion via teleconsultation increased in France during the lockdowns. However, drivers of telemedicine abortion are multidimensional and go beyond the conditions unique to the pandemic.
