Pain and pain management during induced abortions: A web-based exploratory study of recollections from previous patients

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Georgsson, SusanneKarolinska Institutet,Röda Korsets Högskola,The Swedish Red Cross University College and Department of Clinical Science, Intervention and Technology, Karolinska Institutet (author)

Pain and pain management during induced abortions : A web-based exploratory study of recollections from previous patients

Article/chapterEnglish2019

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2019-07-30
Wiley,2019
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-393946
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-393946URI
https://doi.org/10.1111/jan.14132DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3410URI
https://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2999URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:141579874URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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AIMS:To explore recollections of pain and pain management during induced abortions.DESIGN:Mixed-methods exploratory study in Sweden.METHODS:A web-based survey was distributed between October 2017 - July 2018 via Swedish discussion boards and social media. Open-ended questions were asked about recollection of pain and pain management, followed by self-reported ratings. The survey was answered by 185 participants, responses were analysed with qualitative content analysis.FINDINGS:Recollections of pain intensity illustrated considerable pain and a traumatic event, described in temporal aspects and likened to other painful conditions such as dysmenorrhoea and childbirth. Recollections of pain management illustrated experiences of insufficient treatment of pain and dissatisfaction with pain management, including inefficient treatment and lack of professional attendance. Psychological aspects and consequences illustrated that participants related psychological distress to physical pain, felt unprepared for the physical pain and emphasized the importance of psychological support. Those who experienced intense pain described long-term psychological consequences, including fear of childbirth.CONCLUSION:Physical pain and psychological distress can manifest as considerable challenges during induced abortion. Abortion-related pain is a multidimensional phenomenon involving physical and psychological components that needs to be rigorously treated. When physical pain is unsuccessfully treated, women may experience long-term psychological consequences after an abortion.IMPACT:The results illustrate the importance of holistic abortion care where the multidimensional components of abortion-related pain are considered. Patients need to be offered sufficient preparatory information about potential physical pain and psychological distress. This study indicates that there is room for improvement in pain management. Larger studies are needed.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
induced abortion
midwifery
nursing
pain
pain management
Caring Sciences
Vårdvetenskap
Psychology
Psykologi

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Carlsson, TommySophiahemmet Högskola,Uppsala universitet,Klinisk psykologi i hälso- och sjukvård,Sophiahemmet University / Uppsala University(Swepub:rkh)cart (author)
Röda Korsets HögskolaThe Swedish Red Cross University College and Department of Clinical Science, Intervention and Technology, Karolinska Institutet (creator_code:org_t)

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In:Journal of Advanced Nursing: Wiley75:11, s. 3006-30170309-24021365-2648

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