Separating Procedure-Related Fears from Future Fertility Concerns among a Cohort Seeking Abortion Information Online

Citation

Cartwright, Alice F.; Bell, Suzanne; & Upadhyay, Ushma D. (2024). Separating Procedure-Related Fears from Future Fertility Concerns among a Cohort Seeking Abortion Information Online. Womens Health Issues, 34(1), 45-50.

Abstract

INTRODUCTION: The general public and abortion patients in the United States have misinformation about the risks of infertility associated with abortion, which may influence abortion care-seeking.
METHODS: The Google Ads Abortion Access Study was a national study of people considering abortion and searching online for information. Participants completed baseline and follow-up surveys, providing free text responses to questions about barriers and facilitators to abortion. We conducted an exploratory analysis of the free text responses related to fertility and used thematic analysis to identify concerns raised about links between abortion and future fertility.
RESULTS: Of 864 participants who provided free text responses in the follow-up survey, 32 specifically mentioned fertility. Few expressed fear that complications from the abortion procedure would somehow lead to infertility; rather, most discussed complex and overlapping thoughts about how abortion factored into their reproductive life plans. These included age-related concerns, missing out on their "chance" to have a child, fear of being punished by God with infertility for having an abortion, and conflicting emotions if they had previously been told they were subfecund or infertile.
CONCLUSION: Although previous research has focused on misinformation about the link between abortion and infertility, participants in this study rarely mentioned it as a concern. Researchers and practitioners should be attuned to the distinctions people make between infertility occurring as a result of abortion and other fears they might have about not achieving their future reproductive aspirations, ask questions, and provide counseling accordingly.

URL

http://dx.doi.org/10.1016/j.whi.2023.06.004

Reference Type

Journal Article

Year Published

2024

Journal Title

Womens Health Issues

Author(s)

Cartwright, Alice F.
Bell, Suzanne
Upadhyay, Ushma D.

Article Type

Regular

Data Set/Study

Google Ads Abortion Access Study

Continent/Country

United States

State

Nonspecific

Race/Ethnicity

American Indian
White
Black
Asian
Hispanic

Sex/Gender

Women

ORCiD

Cartwright - 0000-0002-1557-8062