Contraception · 2025
Beliefs about reporting self-managed abortion to government authorities among health professionals registering for a professional education webinar.
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Roberts Sarah Cm, Gould Heather, Terplan Mishka, Biggs M Antonia
Аннотация
OBJECTIVES: We examined health professionals' views on self-managed abortion (SMA) reporting and how these relate to child welfare-reporting views.
STUDY DESIGN: We collected self-administered survey data from U.S. health professionals registered for a webinar about pregnancy, drug use, and child welfare-reporting. The survey included two Likert-scaled SMA reporting statements: "I think clinicians should be required by law to report patients who attempt to end a pregnancy on their own to legal authorities" and "A clinician who sees a patient who attempted to end a pregnancy on their own has an ethical obligation to keep this information confidential;" and nine child welfare-reporting statements. We used descriptive, chi-square, and regression analyses to describe SMA-reporting beliefs and explore factors associated with them. Findings were similar across both SMA-reporting beliefs; thus we focus results presentation on one belief.
RESULTS: Five-hundred-eighty-three survey participants completed SMA-reporting questions. Six percent agreed, 81% disagreed, and 13% were neutral that clinicians should be required to report. In contrast, 41% agreed, 37% disagreed, and 21% were neutral that they "would rather err on the side of overreporting to child welfare." More social workers (8%) and nurses (6%) than physicians (0%) agreed that clinicians should have an obligation to report SMA. While beliefs regarding SMA- and child welfare-reporting were associated, participants were more supportive of child welfare- than SMA-reporting.
CONCLUSIONS: Most health professionals did not support SMA-reporting, although views varied by profession. Views on SMA-reporting were related to, yet distinct from, views on child welfare-reporting.
IMPLICATIONS: Health professionals' beliefs regarding reporting pregnant and birthing patients to government authorities are not consistent across topics nor across professional roles. Professional training efforts should account for these differences.
STUDY DESIGN: We collected self-administered survey data from U.S. health professionals registered for a webinar about pregnancy, drug use, and child welfare-reporting. The survey included two Likert-scaled SMA reporting statements: "I think clinicians should be required by law to report patients who attempt to end a pregnancy on their own to legal authorities" and "A clinician who sees a patient who attempted to end a pregnancy on their own has an ethical obligation to keep this information confidential;" and nine child welfare-reporting statements. We used descriptive, chi-square, and regression analyses to describe SMA-reporting beliefs and explore factors associated with them. Findings were similar across both SMA-reporting beliefs; thus we focus results presentation on one belief.
RESULTS: Five-hundred-eighty-three survey participants completed SMA-reporting questions. Six percent agreed, 81% disagreed, and 13% were neutral that clinicians should be required to report. In contrast, 41% agreed, 37% disagreed, and 21% were neutral that they "would rather err on the side of overreporting to child welfare." More social workers (8%) and nurses (6%) than physicians (0%) agreed that clinicians should have an obligation to report SMA. While beliefs regarding SMA- and child welfare-reporting were associated, participants were more supportive of child welfare- than SMA-reporting.
CONCLUSIONS: Most health professionals did not support SMA-reporting, although views varied by profession. Views on SMA-reporting were related to, yet distinct from, views on child welfare-reporting.
IMPLICATIONS: Health professionals' beliefs regarding reporting pregnant and birthing patients to government authorities are not consistent across topics nor across professional roles. Professional training efforts should account for these differences.