{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T22:49:45Z","timestamp":1782427785384,"version":"3.54.5"},"reference-count":39,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,26]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Aotearoa New Zealand (NZ) achieved abortion law reform in 2020, allowing people to choose abortion without legal restriction up to 20\u00a0weeks gestation. Abortion can now be provided by a range of health practitioners in a variety of settings. While some progress has been made, we are yet to see abortion care being provided within the full extent of the law.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the journey of people accessing first-trimester abortion care in NZ to identify how abortion services can be developed to deliver optimal first-trimester abortion care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a qualitative study informed by phenomenology. Participants were recruited via a separate national survey to participate in in-depth interviews. Analysis was undertaken using a reflexive inductive approach to identify themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven people were recruited. Analysis revealed four themes: (1) decision making (to have an abortion, choice of method, and coercive contraceptive decision making); (2) barriers to access (abortion service navigation, lack of access in rural areas including requirement to travel, abortion requirements); (3) abortion as a societal issue (abortion is isolating, \u2018slut-shaming\u2019, abortion is the taking of a life); and (4) empathy and advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Despite decriminalisation of abortion in NZ, barriers remain. Work is required to improve access to accurate and non-judgemental information to inform decision-making. People value kind, non-judgemental clinicians and supportive whanau\/friends play a major role in optimising the experience. Abortion stigma persists and has a negative impact on the abortion experience. Abortion services need support to ensure they are responsive to the needs of health consumers and reduce barriers to care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc25011","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T23:16:26Z","timestamp":1774480586000},"page":"117-123","source":"Crossref","is-referenced-by-count":0,"title":["The journey of people accessing first trimester abortion in Aotearoa New Zealand: health consumers\u2019 perspectives"],"prefix":"10.1071","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6725-1224","authenticated-orcid":true,"given":"Emma","family":"Macfarlane","sequence":"first","affiliation":[{"name":"AOranga Wahine: Department of Obstetrics, Gynaecology and Women\u2019s Health, Dunedin School of Medicine, PO Box 56, Dunedin 9054, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Paterson","sequence":"additional","affiliation":[{"name":"AOranga Wahine: Department of Obstetrics, Gynaecology and Women\u2019s Health, Dunedin School of Medicine, PO Box 56, Dunedin 9054, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Stitely","sequence":"additional","affiliation":[{"name":"AOranga Wahine: Department of Obstetrics, Gynaecology and Women\u2019s Health, Dunedin School of Medicine, PO Box 56, Dunedin 9054, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Dawson","sequence":"additional","affiliation":[{"name":"AOranga Wahine: Department of Obstetrics, Gynaecology and Women\u2019s Health, Dunedin School of Medicine, PO Box 56, Dunedin 9054, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"2026062518215641300_R1"},{"key":"2026062518215641300_R2"},{"key":"2026062518215641300_R3"},{"key":"2026062518215641300_R4"},{"issue":"4","key":"2026062518215641300_R5","first-page":"136","article-title":"Reproductive justice in Aotearoa New Zealand - A viewpoint narrative.","volume":"35","author":"Huria","year":"2023","journal-title":"Aotearoa N Zealand Soc Work"},{"key":"2026062518215641300_R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2022.100810","article-title":"What skills do New Zealand clinicians have to provide first trimester abortion in primary care and are they willing?","volume":"35","author":"Macfarlane","year":"2023","journal-title":"Sex Reprod Healthc"},{"key":"2026062518215641300_R7","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1136\/eb-2018-102990","article-title":"Phenomenology as a healthcare research method.","volume":"21","author":"Rodriguez","year":"2018","journal-title":"Evid Based Nurs"},{"key":"2026062518215641300_R8"},{"key":"2026062518215641300_R9"},{"key":"2026062518215641300_R10"},{"key":"2026062518215641300_R11"},{"key":"2026062518215641300_R12","doi-asserted-by":"publisher","first-page":"34","DOI":"10.2307\/3030230","article-title":"Having an abortion using mifepristone and home misoprostol: a qualitative analysis of women\u2019s experiences.","volume":"34","author":"Fielding","year":"2002","journal-title":"Perspect Sex Reprod Health"},{"key":"2026062518215641300_R13","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.socscimed.2017.09.010","article-title":"A good abortion experience: a qualitative exploration of women\u2019s needs and preferences in clinical care.","volume":"191","author":"Altshuler","year":"2017","journal-title":"Soc Sci Med"},{"issue":"4","key":"2026062518215641300_R14","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1016\/j.contraception.2020.12.010","article-title":"Abortion method preference among people presenting for abortion care.","volume":"103","author":"Wingo","year":"2021","journal-title":"Contraception"},{"issue":"5","key":"2026062518215641300_R15","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1111\/ajo.12506","article-title":"How do women seeking abortion choose between surgical and medical abortion? 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