Abortion care process based on sexual and reproductive health and rights in Japan: A qualitative study

IF 1.6 4区医学 Q2 NURSING Japan Journal of Nursing Science Pub Date : 2025-04-15 DOI:10.1111/jjns.70010

Yuka Sato, Akiko Haga, Chitaru Tokutake, Atsuko Samejima, Makoto Kanai, Satoko Nakagomi

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Abstract

Aim

This study aimed to clarify the process of abortion care based on sexual and reproductive health and rights (SRHR) practiced by Japanese midwives.

Methods

The participants were 44 midwives with experience in abortion care. Data were collected based on the framework developed by the World Health Organization's Clinical Practice Handbook for Safe Abortion and through detailed interview sessions. The modified grounded theory approach was used for data analysis.

Results

The abortion care process was classified into five categories, 16 subcategories, and 49 concepts. The category “supporting women in making their own choices in life and leading their lives in the future” emerged as a foundational attitude toward abortion care. Midwives accompany pregnant women in the decision-making process with a neutral standpoint. They perform procedures to ensure that women experience comfort and safety throughout the abortion process. After a medical procedure, midwives attend to issues associated with SRHR, such as contraception and future pregnancies.

Conclusions

Abortion care based on SRHR is a care practice that respects women's bodily autonomy and supports women in a non-judgmental manner. Abortion care also aims to provide women with safe and comfortable medical treatment, thereby supporting them in progressing with hope to their post-abortion lives. The study results will help midwives reaffirm the significance of abortion care, improve care quality in clinical settings, and contribute to the advocacy of women's SRHR.

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日本基于性健康和生殖健康及权利的堕胎护理过程：一项定性研究

目的本研究旨在阐明日本助产士基于性健康和生殖健康与权利（SRHR）的堕胎护理过程。方法选取44名有人工流产护理经验的助产士。数据是根据世界卫生组织的《安全堕胎临床实践手册》制定的框架和通过详细的访谈会议收集的。采用改进的扎根理论方法进行数据分析。结果将人工流产护理过程分为5大类，16个小类，49个概念。“支持妇女在生活中做出自己的选择，并主导她们未来的生活”这一类别成为对堕胎护理的基本态度。助产士以中立的立场陪伴孕妇参与决策过程。他们执行程序以确保妇女在整个堕胎过程中感到舒适和安全。在医疗程序之后，助产士处理与性健康和生殖健康相关的问题，如避孕和未来怀孕。结论基于SRHR的流产护理是一种尊重妇女身体自主权的护理实践，以非评判的方式支持妇女。堕胎护理还旨在为妇女提供安全和舒适的医疗，从而支持她们在堕胎后满怀希望地生活。研究结果将有助于助产士重申堕胎护理的重要性，提高临床护理质量，并有助于倡导妇女的SRHR。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.