Chilean midwives' experiences while providing induced abortion care after the enactment of a law decriminalising abortion.

Carvajal, Bielka; White, Helen; Brooks, Jane; Thomson, Ann M; Cooke, Alison

Abstract

The recent change in Chilean legislation towards abortion enabled midwives to include the care of women having an induced abortion within their scope of practice. However, midwives' identity could be strained by induced abortion care provision as it is contrary to midwives' traditional role. Considering this, the aim of the study was to elucidate how Chilean midwives understand and provide abortion care. A constructivist grounded theory study was conducted using online semi-structured in-depth interviews. Midwives were purposively sampled considering maximum variation criteria and then theoretical sampling occurred. Saturation was achieved with fifteen interviews. Interviews were conducted in Spanish and then translated into English. Constant comparison analysis generated categories. Data were managed using NVivo 12. All interviewees provided their consent to be part of this study. This article reports on the experiences of nine midwives who had provided lawful induced abortion care in Chile. The experiences of these midwives were grouped into two major categories: 'Defining a position towards abortion' and 'Abortion care is emotional labour'. Midwives can successfully provide abortion care despite being challenged by certain areas of it. Considering the high demand for emotional labour in abortion care, efforts should be made to increase midwives' emotional self-regulation skills. Likewise, organisations should strengthen and implement their offer of well-being and emotional self-care support to midwives. [Abstract copyright: Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.]

• Journal Article Type: Article
• Acceptance Date: Feb 2, 2024
• Online Publication Date: Feb 8, 2024
• Deposit Date: Feb 26, 2024
• Journal: Women and birth : journal of the Australian College of Midwives
• Print ISSN: 1871-5192
• Electronic ISSN: 1871-5192
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Pages: S1871-5192(24)00033-7
• DOI: https://doi.org/10.1016/j.wombi.2024.02.002
• Keywords: Care provision, Induced abortion, Public policy, Midwifery
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S1871519224000337?via%3Dihub