scholarly journals Experience obtaining legal abortion in Uruguay: knowledge, attitudes, and stigma among abortion clients

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Shelly Makleff ◽  
Ana Labandera ◽  
Fernanda Chiribao ◽  
Jennifer Friedman ◽  
Roosbelinda Cardenas ◽  
...  

Abstract Background The abortion law in Uruguay changed in 2012 to allow first trimester abortion on request. Implementation of the law in Uruguay has been lauded, but barriers to care, including abortion stigma, remain. This study aimed to assess women’s experiences seeking abortion services and related attitudes and knowledge following implementation of the law in Uruguay. Methods We interviewed 207 eligible women seeking abortion services at a high-volume public hospital in Montevideo in 2014. We generated univariate frequencies to describe women’s experiences in care. We conducted regression analysis to examine variations in experiences of stigma by women’s age and number of abortions. Results Most of the women felt that abortion was a right, were satisfied with the services they received, and agreed with the abortion law. However, 70% found the five-day waiting period unnecessary. Women experienced greater self-judgement than worries about being judged by others. Younger women in the sample (ages 18–21) reported being more worried about judgment than women 22 years or older (1.02 vs. 0.71 on the ILAS sub-scale). One quarter of participants reported feeling judged while obtaining services. Women with more than one abortion had nearly three times the odds of reporting feeling judged. Conclusions These findings highlight the need to address abortion stigma even after the law is changed. Some considerations from Uruguay that may be relevant to other jurisdictions reforming abortion laws include: the need for strategies to reduce judgmental behavior from staff and clinicians towards women seeking abortions, including training in counseling skills and empathic communication; addressing stigmatizing attitudes about abortion through community outreach or communications campaigns; mitigating the potential stigma that may be perpetuated through policies to prevent “repeat” abortions; ensuring that younger women and those with more than one abortion feel welcome and are not mistreated during care; and assessing the necessity of a waiting period. The rapid implementation of legal, voluntary abortion services in Uruguay can serve in many ways as an exemplar, and these findings may inform the process of abortion law reform in other countries.

1997 ◽  
Vol 27 (4) ◽  
pp. 649
Author(s):  
J Morris

This article considers the impact of gender upon women's experiences of the New Zealand justice system, as lawyers and clients. As well as summarising study and survey material, it draws upon information provided to the Law Commission in the course of its project on Women's Acces to Justice: He Putanga mo nga Wahine ki te Tika. It concludes that women are still significantly disadvantaged by the justice system as a result of their gender and that there is an ongoing need for debate and consideration of these issues if women's access to justice is to be improved.


2000 ◽  
Vol 31 (4) ◽  
pp. 867
Author(s):  
Sandra Petersson

This article is a book review of Jocelynne A Scutt The Incredible Woman: Power and Sexual Politics (Artemis Publishing, Melbourne, 1997) (vol 1, 336 + xiv pages, $AUS34.95; vol 2, 354 + xvii pages, $AUS34.95). The book is an anthology of scholarship that acts as a catalogue of the wrong standards that the law has applied to women's performances and women's experiences. Petersson stresses the importance of this book for feminist legal scholarship as it increases the volume of such works, increasing the possibility of political change. Scutt's book is praised for being an exemplary voice for raising awareness in this area by making the message clear and accessible. 


2016 ◽  
Vol 23 (12) ◽  
pp. 1598-1609 ◽  
Author(s):  
Stephanie Archer ◽  
Fiona G Holland ◽  
Jane Montague

This study explores the role of others in supporting younger women who opt not to reconstruct their breast post-mastectomy. Semi-structured interviews were conducted with six women diagnosed with breast cancer in their 30s/40s. The women lived in England, had been diagnosed a minimum of 5 years previously and had undergone unilateral mastectomy. An interpretative phenomenological analysis revealed three themes: Assuring the self: ‘I’ll love you whatever’, Challenging the self: ‘Do you mean I’m not whole?’ and Accepting the self: ‘I’ve come out the other side’. The women’s experiences of positive support and challenges to their sense of self are discussed.


2018 ◽  
Vol 39 (7) ◽  
pp. 784-807 ◽  
Author(s):  
Marianne Kjelsvik ◽  
Ragnhild J. Tveit Sekse ◽  
Asgjerd Litleré Moi ◽  
Elin M. Aasen ◽  
Catherine A. Chesla ◽  
...  

Author(s):  
Terri L. Snyder

Everywhere across European and Indigenous settlements in 17th- and 18th-century North America and the Caribbean, the law or legal practices shaped women’s status and conditioned their dependency, regardless of race, age, marital status, or place of birth. Historians have focused much of their attention on the legal status, powers, and experiences of women of European origin across the colonies and given great consideration to the law of domestic relations, the legal disabilities of coverture, and women’s experiences as plaintiffs and defendants, both civil and criminal, in colonial courts. Early American legalities, however, differed markedly for women of color—whether free, indentured, or enslaved, and whether Native or African in origin or descent—whose relationships to the legal regimes of early America were manifold and complex. In their status under the law, experiences at the bar, and, as a result, positions in household polities, women of color reckoned with a set of legalities that differed from those of their European counterparts. The diversity of women’s experiences of the law was shaped not only by race but also by region: Indigenous people had what one historian has labeled jurispractices, while Europeans brought and created a jurisprudence of race and status that shaped treatments of women of color across imperial spaces. A widely comparative analysis of women and the law reflects ways in which race shaped women’s status under and experiences of the law as well as the legalities of their marriages in pre-Revolutionary America.


Contraception ◽  
2016 ◽  
Vol 93 (5) ◽  
pp. 470
Author(s):  
Liza Fuentes ◽  
Caitlin Gerdts ◽  
Sarah E. Baum ◽  
Brianna Keefe-Oates ◽  
Joseph Potter ◽  
...  

Midwifery ◽  
2012 ◽  
Vol 28 (5) ◽  
pp. e720-e725 ◽  
Author(s):  
Iris Mukkavaara ◽  
Kerstin Öhrling ◽  
Inger Lindberg

2019 ◽  
Vol 45 (4) ◽  
pp. 283-289 ◽  
Author(s):  
Lily T Alexander ◽  
Evelyn Fuentes-Rivera ◽  
Biani Saavedra-Avendaño ◽  
Raffaela Schiavon ◽  
Noe Maldonado Rueda ◽  
...  

BackgroundData on utilisation of in-facility second-trimester abortion services are sparse. We describe temporal and geographical trends in utilisation of in-facility second-trimester abortion services across Mexico.MethodsWe used 2007–2015 data from Mexico’s Automated Hospital Discharge System (SAEH) to identify second-trimester abortive events (ICD O02-O08) in public hospitals across Mexico’s 32 states. We described utilisation, calculated rates using population data, and used logistic regression to identify woman- and state-level factors (municipality-level marginalisation, state-level abortion law) associated with utilisation of second-trimester versus first-trimester services.ResultsWe identified 145 956 second-trimester abortions, or 13.4% of total documented hospitalizations for abortion between 2007 to 2015. The annual utilisation rate of second-trimester abortion remained constant, between 0.5 to 0.6 per 1000 women aged 15–44 years. Women living in highly marginalised municipalities had 1.43 higher odds of utilising abortions services in their second versus their first trimester, when compared with women in municipalities with low marginalisation (95% CI 1.18 to 1.73). Living in a state with a health or fetal anomaly exception to abortion restrictions was not associated with higher utilisation of second-trimester abortion services.ConclusionsOur results suggest there is a need for all types of second-trimester abortion services in Mexico. To improve health outcomes for Mexican women, especially the most vulnerable, access to safe second-trimester abortion services must be ensured through the implementation of current legal exceptions and renewed attention to the training of healthcare providers.


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