{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:13:00Z","timestamp":1774519980571,"version":"3.50.1"},"reference-count":27,"publisher":"BMJ","issue":"4","funder":[{"name":"British Pregnancy Advisory Service","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2021,9,2]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The National Institute for Health and Care Excellence, the Royal College of Obstetricians and Gynaecologists and the World Health Organization recommend that services provide a choice between medical and surgical methods of abortion. We analysed qualitative study data to examine patient perspectives on abortion method choice and barriers to meeting them.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In-depth interviews with 24 clients who had an abortion at British Pregnancy Advisory Service clinics were carried out between December 2018 and July 2019 to examine perspectives of quality of abortion care. In this article we focus on client perspectives on choice of abortion method. We performed thematic analysis of data relating to choice of abortion method, refined the analysis, interpreted the findings, and organised the data into themes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Participants\u2019 preferences for abortion method were shaped by prior experience of abortion, accessibility and privacy, perceptions of risk and experiences of abortion method, and information gathering and counselling. Participants\u2019 ability to obtain their preferred method was impacted by intersecting constraints such as appointment availability, service location and gestational age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our findings show that many factors shape participants\u2019 preferences for abortion method. In response to the COVID-19 pandemic, some abortion services have constrained abortion method choices, with an emphasis on medical abortion and \u2018no-touch\u2019 care. Providers in the UK and beyond should aim to restore and expand more treatment options when the situation allows.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2021-201242","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T13:38:09Z","timestamp":1632145089000},"page":"246-251","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Client perspectives on choice of abortion method in England and Wales"],"prefix":"10.1136","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4317-1638","authenticated-orcid":false,"given":"Rebecca","family":"Blaylock","sequence":"first","affiliation":[{"name":"Centre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0379-8113","authenticated-orcid":false,"given":"Shelly","family":"Makleff","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3283-3803","authenticated-orcid":false,"given":"Katherine C","family":"Whitehouse","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1862-5730","authenticated-orcid":false,"given":"Patricia A","family":"Lohr","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"2025090511235468000_48.4.246.1","unstructured":"GOV.UK . Abortion statistics for England and Wales: 2019, 2019. Available: https:\/\/www.gov.uk\/government\/statistics\/abortion-statistics-for-england-and-wales-2019 [Accessed 11 Mar 2021]."},{"key":"2025090511235468000_48.4.246.2","unstructured":"National Institute for Health and Care Excellence (NICE) . Abortion care NICE guideline, 2019. Available: www.nice.org.uk\/guidance\/ng140 [Accessed 11 Mar 2021]."},{"key":"2025090511235468000_48.4.246.3","unstructured":"Royal College of Obstetricians and Gynaecologists . The care of women requesting induced abortion (Evidence-based Clinical Guideline No. 7), 2001. Available: https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/the-care-of-women-requesting-induced-abortion\/ [Accessed 11 Mar 2021]."},{"key":"2025090511235468000_48.4.246.4","unstructured":"World Health Organization (WHO) . Clinical practice handbook for safe abortion. Geneva, Switzerland: WHO, 2014."},{"key":"2025090511235468000_48.4.246.5","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.contraception.2017.04.004","article-title":"What if medical abortion becomes the main or only method of first-trimester abortion? 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