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314 Relevance and current implementation of person- centered care in psychosocial and medical for women with unintended pregnancy in Germany (carepreg): the perspective of affected individuals and healthcare professionals
  1. Anja Lindig1,
  2. Stefanie Heger1,
  3. Anastasia Izotova1,2,
  4. Alica Schellhorn1,
  5. Jördis Zill1
  1. 1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
  2. 2Nic Waals Institute, Lovisenberg Diaconal Hospital, Oslo, Norway

Abstract

Introduction Person-centered care (PCC) emphasizing individuals’ preferences, needs, and values. Unintentionally pregnant individuals desiring pregnancy termination often face legal, stigmatizing, and moral challenges from the healthcare system. The implementation of PCC for this group remains insufficiently explored.

This study aimed to assess the relevance and current implementation of PCC in psychosocial and medical care of individuals seeking pregnancy termination, from the perspectives of affected individuals, and healthcare professionals (HCPs).

Methods 34 individuals who had terminated an unintentional pregnancy within the past five years engaged in telephone interviews on their experiences in psychosocial and medical care. 18 HCPs involved in this care (ten counselors and eight gynecologists) participated in online workshops with discussions based on the 16 dimensions of the Integrative Model of PCC. Additionally, HCPs assessed the dimensions’ relevance and current implementation via an online survey. Interviews and workshops were analyzed via qualitative content analysis with deductive categories based on the 16 dimensions of the Integrative Model of PCC. Quantitative data of the online survey and demographics of all participants were analyzed using descriptive statistics.

Results Dimensions like ’access to care’, ’person-centered characteristics of HCPs’, ’emotional support’, and ’personally tailored information’ were detected as relevant. Inductive categories, including ’stigmatization in care’, ’manipulation in care’, and ’social support’ were identified. The online survey indicated that 15 of the 16 dimensions were considered highly relevant, but inadequately implemented.

Discussion Quality care regarding pregnancy termination faces limitations in Germany due to hurdles in accessing information, a scarcity of abortion-providing gynecologists, practitioner reservations, and stigmatization. This diminishes PCC and quality care for abortions.

Conclusion Ensuring unrestricted and widespread access to pregnancy termination as part of general healthcare is essential for PCC for unintentionally pregnant individuals. This would align with the criteria outlined in the current WHO guideline on abortion care.

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