Understanding Healthcare Providers’ Role in Reproductive Coercion: Insights from a Qualitative Study – BMC Health Services Research

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Eighteen healthcare providers participated in a study exploring how their actions can influence reproductive autonomy. They shared insights about how refusal, bias, and neglect contribute to reproductive coercion (RC).

### Refusal as a Barrier

Many providers reported witnessing colleagues refuse to support patients’ choices, particularly regarding abortion. While they understood the right to conscientious objection, they stressed the importance of providing referrals. A lack of referrals can delay care significantly, especially for abortions, where timing is crucial. For instance, in Australia, medical abortions are only available up to nine weeks’ gestation. Delays can push patients toward more invasive procedures, which often lead to worse outcomes.

One doctor pointed out, “When I hear that a patient was turned away without options, it doesn’t sit right with me.” They emphasized that healthcare professionals must prioritize patient welfare and ensure access to necessary care, even if it means stepping outside their personal beliefs.

### Implicit Bias Influencing Choices

Participants also discussed how biases—often unintentional—can shape healthcare decisions. One provider mentioned acknowledging their own biases while guiding patients through contraceptive choices. They recognized how training may push providers to favor certain methods, potentially sidelining patient preferences.

Another noted, “Sometimes, I catch myself promoting what I’m most familiar with rather than what’s best for each individual.” This highlights the need for doctors to be more open-minded and to prioritize personalized care based on what suits the patient’s life and needs.

### Oversights in Patient Care

Overlooking essential discussions about reproductive options, especially for marginalized groups, was a common concern. Providers reflected on times they failed to address coercive dynamics, particularly during consultations with patients accompanied by partners or family members. One doctor recalled a young woman who seemed pressured into making a decision that might not have been entirely her own.

“Sometimes, we move too quickly and miss these important signs,” they said. This indicates a clear need for better training and awareness among healthcare providers to recognize and address such complexities.

### The Role of Misinformation

Misinformation can also exacerbate coercion, as one medical educator shared. They detailed how another physician misinformed a patient about the contraceptive pill, suggesting a break that led to an unplanned pregnancy. “Education is critical,” they stated, reflecting a widespread need for improved training among healthcare providers.

### Conclusion

Each of these insights illustrates the nuanced responsibilities healthcare providers have in supporting reproductive autonomy. The conversations highlight the importance of ensuring patients feel listened to and respected in their choices, underscoring the need for tailored, empathetic care free from bias or oversight. By fostering an open and informed environment, healthcare professionals can better support patients in navigating their reproductive health.

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Reproductive coercion,Provider coercion,Provider bias,Public Health,Health Administration,Health Informatics,Nursing Research