Australian women’s experiences of a rural medical termination of pregnancy service: A qualitative study

Abstract

ObjectiveTo understand better rural women’s experiences in obtaining a medical termination of pregnancy (MToP) through a rural primary healthcare service in Victoria, Australia. Study designWomen who attended a rural sexual health clinic for a MToP between February 2016–2017 were invited to participate in an individual interview. Questions focused on women’s MToP service experiences and personal circumstances that influenced service access. Data was analysed using a deductive analysis approach. Outcome measuresThe main outcome measures were women’s satisfaction with care received and the most important aspects of the medical termination of pregnancy service system. ResultsIn total, 59 women agreed to be contacted and 18 agreed to participate. All participants lived in rural Australia. Ages ranged from 16–36 years and self-reported gestation from five to nine weeks. Women’s experiences of accessing MToP through a rural sexual health clinic were very positive. However other aspects of the process were described as stigmatising and difficult by some women. Supportive clinic staff and low costs of MToP were considered the most important aspects of the service. ConclusionWomen’s experiences demonstrate the value of low cost and accessible MToP being available in rural locations.