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Despite the burdens imposed by social norms of pronatalism and motherhood, women do exercise agency to have abortions. This study explores the experiences of women who have had induced abortions and maintained their social status within the community. Goffman\u2019s dramaturgical theory (frontstage and backstage behaviours) is applied in order to document these experiences. Data were collected through 38 in-depth interviews and six focus group discussions. The results are presented according to a grounded theory approach. The results of this study indicate that women exercise agency and stage abortions as miscarriages, which are culturally more acceptable. They do this with the help of support systems comprising family members and friends. They are able to maintain their social status by navigating between what Goffman refers to as the frontstage and backstage regions of their lives. In this study, these regions are not defined by physical boundaries, but by the presence of participants and audience. Women must therefore take care to behave appropriately, especially in the frontstage region. Even when women do opt for abortion, the experience is likely to result in the psychological burden of a lifelong memory.<\/jats:p>","DOI":"10.1186\/s12905-024-03482-5","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T02:22:37Z","timestamp":1735611757000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018It\u2019s a secret in my life\u2019: frontstage and backstage experiences of women undergoing induced abortions in a rural community of Pakistan"],"prefix":"10.1186","volume":"24","author":[{"given":"Rubeena","family":"Slamat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piet","family":"Bracke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Ceuterick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,31]]},"reference":[{"key":"3482_CR1","unstructured":"WHO. 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Permission to work in the community was obtained from the responsible authorities, with the help of the Health Services Academy, Pakistan (host institution).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Informed consent was obtained\/taken from all participants of the research. A form was prepared for the informed consent including information of the researcher, institution\u2019s information, host institution\u2019s information, study participants\u2019 rights i.e. they are willingly participating in the study, they have information regarding the research study, they can ask questions regarding it, they can quit it anytime and some more similar items. It also included the information regarding research study. I collected informed consent from all study participants written. The formally educated persons read and signed the consent. Legal representative of the non-formally educated persons read and signed the consent on behalf of the participants (legal representative read the form, discuss it with \u2018to be participants\u2019, discuss with researcher and signed it.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"676"}}