Abstract

Objectives: Research on how major disruptive events – pandemics, wars, and economic recessions – influence people's pregnancy intentions and fertility yields mixed findings. Experts have speculated about the impact of the COVID-19 pandemic on pregnancy desires, but existing research has major limitations, including being cross-sectional, relying on people's perceptions of their preference changes (rather than documenting actual changes), and lacking valid measures.

Highlights

  • Using longitudinal data collected from March 2019 to March 2021, we assessed changes in trajectories of pregnancy preferences among women aged 1534 in Arizona, New Mexico, and Texas (N=630, n=2,860)

  • Scores remained flat until the resurgence in COVID-19 cases in November 2020, when DAP scores started to increase, but insignificantly

  • The general public believes that abortion is riskier than medical evidence demonstrates

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Summary

Objectives

To describe participants’ process and experience with finding and undergoing a medication abortion by mail with TelAbortion. Methods: This is a qualitative study using semi-structured telephone interviews with people who completed a medication abortion by mail through the Gynuity TelAbortion study. Participants described TelAbortion as a positive experience and one that exceeded their expectations for abortion care. They noted that it was convenient and comfortable to undergo the full medication abortion process at home and they felt safe in doing so. Participants identified concerns with fragmentation of care both in being referred to and obtaining testing for TelAbortion. Beyond TelAbortion, participants were open to other methods of medication abortion delivery, such as pharmacy provision

Conclusions
Findings
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