Maria Liljas Stålhandske

Women's existential experiences within Swedish abortion care.

Objective. To explore Swedish womens experiences of clinical abortion care in relation to their need for existential support. Methods. Individual in-depth interviews with 24 women with previous experience of unwanted pregnancy and abortion. Participants were recruited between 2006 and 2009. Interviews were analysed by latent content analysis. Findings. Although the women had similar experiences of the abortion care offered, the needs they expressed differed. Swedish abortion care was described as rational and neutral, with physical issues dominating over existential ones. For some women, the medical procedures triggered existential experiences of life, meaning, and morality. While some women abstained from any form of existential support, others expressed a need to reflect upon the existential aspects and/or to reconcile their decision emotionally. Conclusion. As womens needs for existential support in relation to abortion vary, women can be disappointed with the personnels ability to respond to their thoughts and feelings related to the abortion. To ensure abortion care personnel meet the physical, psychological and existential needs of each patient, better resources and new lines of education are needed to ensure abortion personnel are equipped to deal with the existential aspects of abortion care.

Existential experiences and needs related to induced abortion in a group of Swedish women: a quantitative investigation

Objective: To investigate the prevalence of existential experiences and needs among women who have requested an induced abortion. Methods: A questionnaire was used to collect information from 499 women who had requested an induced abortion. A principle component analysis resulted in three components of existential experiences and needs: existential thoughts, existential practices, and humanisation of the foetus. These components were analysed in relation to background data and other data from the questionnaire. Results: Existential experiences and needs were common. For 61% of women existential thoughts about life and death, meaning and morality were related to the abortion experience. Almost 50% of women reported a need for special acts in relation to the abortion; 67% of women thought of the pregnancy in terms of a child. A higher presence of existential components correlated to difficulty in making the abortion decision and poor psychological wellbeing after the abortion. Conclusion: Women’s experiences of abortion can include existential thoughts about life, death, meaning and morality, feelings of attachment to the foetus, and the need for symbolic expression. This presents a challenge for abortion personnel, as the situation involves complex aspects over and above medical procedures and routines.

Existential Experiences and Strategies in Relation to Induced Abortion : an Interview Study With 24 Swedish Women

Induced abortion is as common in religious as secular cultures, but interpretations and ways to handle abortion differ. This study focuses on existential aspects of abortion, in relation to a secularized context, through in-depth interviews with 24 Swedish women. Existential questions belonging to four areas were found: Life and Death, Meaning of Life, Morality, and Self-Image. Furthermore, four different existential strategies were found: (1) Detaching Strategies (creating distance to the pregnancy), (2) Meaning-Making Strategies (relating the abortion to ones worldview), (3) Social Strategies (sharing the abortion with others), and (4) Symbolic Strategies (expressing the experience in bodily ways). Existential questions and strategies did not imply that the woman regretted her abortion. However, while some women easily processed existential questions, others seemed to be more at a loss. In a secularized country, where many people are unaccustomed to dealing with existential issues, greater existential competence among abortion personnel might thus be needed.