{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:44:22Z","timestamp":1791935062954,"version":"4.3.4"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Prax"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>In Deutschland sind Schwangerschaftsabbr\u00fcche nach der 12. Woche nur nach\n                        medizinischer Indikation zul\u00e4ssig. Die Studie untersucht, wie \u00c4rzt*innen\n                        diese Indikation bei psychischer Belastung ohne fetalen Befund\n                        beurteilen.<\/jats:p>\n                  <jats:p>Es wurden 17 leitfadengest\u00fctzte Interviews mit \u00c4rzt*innen durchgef\u00fchrt und\n                        mittels qualitativer Inhaltsanalyse ausgewertet.<\/jats:p>\n                  <jats:p>Teilnehmende berichteten von psychischer Belastung bei ungewollten\n                        Schwangerschaften im Kontext psychischer Erkrankungen, sozialer Problemlagen\n                        und sexualisierter Gewalt. Sie beschrieben starke rechtliche und fachliche\n                        Unsicherheiten bei der Indikationsstellung sowie Zust\u00e4ndigkeitsprobleme\n                        zwischen Gyn\u00e4kologie und Psychiatrie. Es wurden erhebliche\n                        Zugangsschwierigkeiten beschrieben.<\/jats:p>\n                  <jats:p>Die Ergebnisse deuten auf Kompetenz- und Versorgungsl\u00fccken bei der\n                        Indikationsstellung aufgrund psychischer Belastung hin. Eine st\u00e4rkere\n                        Zusammenarbeit zwischen Gyn\u00e4kologie und Psychiatrie, eine verbesserte Aus-\n                        und Weiterbildung sowie rechtliche Reformen erscheinen notwendig.<\/jats:p>","DOI":"10.1055\/a-2951-8412","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:44:52Z","timestamp":1791931492000},"source":"Crossref","is-referenced-by-count":0,"title":["Medizinische Indikation zum Schwangerschaftsabbruch bei psychischer\n                    Belastung \u2013 Kompetenz- und Versorgungsl\u00fccken: Eine qualitative Interviewstudie\n                    mit \u00c4rzt*innen"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4369-7752","authenticated-orcid":false,"given":"Esther","family":"Braun","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Philosophie, Lehrgebiet Philosophie IV: Philosophie der\n                    Medizin und der Technik, FernUniversit\u00e4t in Hagen, Hagen, Germany"},{"name":"Fakult\u00e4t f\u00fcr Gesundheitswissenschaften Brandenburg, Professur f\u00fcr\n                    Medizinische Ethik mit Schwerpunkt auf Digitalisierung, Universit\u00e4t Potsdam,\n                    Potsdam, Germany"},{"name":"Faculty of Philosophy, University of Oxford, Oxford, United Kingdom of\n                    Great Britain and Northern Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9635-7850","authenticated-orcid":false,"given":"Mirjam","family":"Faissner","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizingeschichte und Wissenschaftsforschung, Universit\u00e4t\n                    zu L\u00fcbeck, L\u00fcbeck, Germany"},{"name":"Institut f\u00fcr Geschichte der Medizin und Ethik in der Medizin, Charit\u00e9 \u2013\n                    Universit\u00e4tsmedizin Berlin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8532-3284","authenticated-orcid":false,"given":"Christin","family":"Hempeler","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Geschichte und Ethik der Medizin,\n                    Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Germany"},{"name":"Institut f\u00fcr Medizinische Ethik und Geschichte der Medizin,\n                    Ruhr-Universit\u00e4t Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s12884-017-1223-x","article-title":"Unplanned pregnancy and subsequent psychological distress in partnered women: a\n                    cross-sectional study of the role of relationship quality and wider social\n                    support","volume":"17","author":"K Barton","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.jad.2015.12.008","article-title":"A systematic review and meta-analysis of the association between unintended\n                    pregnancy and perinatal depression","volume":"192","author":"A A Abajobir","year":"2016","journal-title":"J Affect Disord"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1007\/s10995-014-1589-6","article-title":"Trajectories and predictors of women's depression following the birth of an\n                    infant to 21 years: a longitudinal study","volume":"19","author":"A M Kingsbury","year":"2015","journal-title":"Matern Child Health J"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1186\/s12884-022-04452-1","article-title":"Psychiatric vulnerability and the risk for unintended pregnancies, a systematic\n                    review and meta-analysis","volume":"22","author":"N N Schonewille","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e110","DOI":"10.1192\/bjo.2024.49","article-title":"Sexually transmitted infections, sexual life and risk behaviours of people\n                    living with schizophrenia: systematic review and meta-analysis","volume":"10","author":"C Aymerich","year":"2024","journal-title":"BJPsych Open"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1055\/a-2642-6029","article-title":"Prevalence of Unwanted Pregnancies and Pregnancy Outcomes Among Women With\n                    Mental Illness. 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