{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:43:55Z","timestamp":1696063435871},"reference-count":27,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T00:00:00Z","timestamp":1508457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012095","name":"Scottish Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012095","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2017,12]]},"abstract":"Objective<\/jats:title>To examine the experiences of women seeking more than one termination of pregnancy (TOP<\/jats:styled-content>) within 2\u00a0years.<\/jats:p><\/jats:sec>Design<\/jats:title>Mixed methods study.<\/jats:p><\/jats:sec>Setting<\/jats:title>Six TOP<\/jats:styled-content> services across Scotland.<\/jats:p><\/jats:sec>Sample<\/jats:title>Women presenting for TOP<\/jats:styled-content> between July and December 2015.<\/jats:p><\/jats:sec>Methods<\/jats:title>Descriptive and inferential analysis of quantitative survey data, thematic analysis of qualitative interview data and integrative analysis. In quantitative analysis, multinomial logistic regression was used to compare three groups: previous TOP<\/jats:styled-content> within 2\u00a0years, previous TOP<\/jats:styled-content> beyond 2\u00a0years and no previous TOP<\/jats:styled-content>.<\/jats:p><\/jats:sec>Main outcome measures<\/jats:title>Characteristics and experiences of women seeking TOP<\/jats:styled-content>.<\/jats:p><\/jats:sec>Results<\/jats:title>Of 1662 questionnaire respondents, 14.6% (n<\/jats:italic>\u00a0=\u00a0242) and 19.8% (n<\/jats:italic>\u00a0=\u00a0329) reported previous TOP<\/jats:styled-content> within and beyond 2\u00a0years, respectively. The previous TOP<\/jats:styled-content> within 2\u00a0years group was significantly less likely to own their accommodation than the no previous TOP<\/jats:styled-content> group (adjusted odds ratio [aOR<\/jats:styled-content>] 0.34, 95% CI<\/jats:styled-content>: 0.18\u20130.62) and previous TOP<\/jats:styled-content> beyond 2\u00a0years group (aOR<\/jats:styled-content>: 0.44, 95% CI<\/jats:styled-content>: 0.23\u20130.85); and more likely to report inconsistent (aOR<\/jats:styled-content>: 1.63, 95% CI<\/jats:styled-content>: 1.04\u20132.57; aOR<\/jats:styled-content>: 1.95, 95% CI<\/jats:styled-content>: 1.16\u20133.28) and consistent (aOR<\/jats:styled-content>: 2.13, 95% CI<\/jats:styled-content>: 1.39\u20133.26; aOR<\/jats:styled-content>: 1.71, 95% CI<\/jats:styled-content>: 1.07\u20132.76) contraceptive use than the no previous TOP<\/jats:styled-content> and previous TOP<\/jats:styled-content> within 2\u00a0years groups, respectively. Twenty\u2010three women from the previous TOP<\/jats:styled-content> within 2\u00a0years group were interviewed. Qualitative and integrative analyses highlight issues relating to contraceptive challenges, intimate partner violence, life aspirations and socio\u2010economic disadvantage.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Women undergoing more than one TOP<\/jats:styled-content> within 2\u00a0years may experience particular challenges and vulnerabilities. Service provision should recognise this and move away from stigmatising discourses of \u2018repeat abortion\u2019.<\/jats:p><\/jats:sec>Funding<\/jats:title>Scottish Government.<\/jats:p><\/jats:sec>Tweetable abstract<\/jats:title>Women having two or more terminations of pregnancy in 2\u00a0years may face key challenges\/vulnerabilities including intimate partner violence and socio\u2010economic disadvantage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.14940","type":"journal-article","created":{"date-parts":[[2017,9,18]],"date-time":"2017-09-18T15:31:51Z","timestamp":1505748711000},"page":"1983-1992","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Women's experiences of more than one termination of pregnancy within two years: a\u00a0mixed\u2010methods study"],"prefix":"10.1111","volume":"124","author":[{"given":"C","family":"Purcell","sequence":"first","affiliation":[{"name":"MRC\/CSO Social and Public Health Sciences Unit University of Glasgow Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Riddell","sequence":"additional","affiliation":[{"name":"MRC\/CSO Social and Public Health Sciences Unit University of Glasgow Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Brown","sequence":"additional","affiliation":[{"name":"NHS Greater Glasgow and Clyde Sexual and Reproductive Health Sandyford Central Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ST","family":"Cameron","sequence":"additional","affiliation":[{"name":"Chalmers Centre NHS Lothian Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Melville","sequence":"additional","affiliation":[{"name":"True Relationships & Reproductive Health Windsor QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Flett","sequence":"additional","affiliation":[{"name":"NHS Grampian Sexual and Reproductive Health Aberdeen Community Health and Care Village Aberdeen UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Bhushan","sequence":"additional","affiliation":[{"name":"NHS Tayside Gynaecology Assessment Unit Ninewells Hospital Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"McDaid","sequence":"additional","affiliation":[{"name":"MRC\/CSO Social and Public Health Sciences Unit University of Glasgow Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101059"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2011-0063"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1040341"},{"key":"e_1_2_7_6_1","volume-title":"Repeat Abortion in the United States","author":"Jones R","year":"2006"},{"key":"e_1_2_7_7_1","unstructured":"World Health Organization.Report of a WHO technical consultation on birth spacing.Geneva;2005[http:\/\/apps.who.int\/iris\/bitstream\/10665\/69855\/1\/WHO_RHR_07.1_eng.pdf]. 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