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Abortion provision in Northern Ireland: the views of health professionals working in obstetrics and gynaecology units
  1. Fiona Bloomer1,
  2. Jayne Kavanagh2,
  3. Leanne Morgan3,
  4. Laura McLaughlin4,
  5. Ralph Roberts4,
  6. Wendy Savage5,
  7. Colin Francome5
  1. 1School of Applied Social and Policy Sciences, Ulster University, Newtownabbey, UK
  2. 2Medical School, University College London, London, UK
  3. 3Obstetrics & Gynaecology, Belfast Health and Social Care Trust, Belfast, UK
  4. 4Obstetrics & Gynaecology, South Eastern Health and Social Care Trust, Dundonald, UK
  5. 5School of Health and Education, Middlesex University, London, UK
  1. Correspondence to Dr Fiona Bloomer, School of Applied Social and Policy Sciences, Ulster University, Newtownabbey, UK; fk.bloomer{at}ulster.ac.uk

Abstract

Introduction Abortion became decriminalised in Northern Ireland in October 2019. Until that point there existed no evidence concerning the views of health professionals on decriminalisation or on their willingness to be involved in abortion care. The purpose of this study was to address this lack of evidence, including all categories of health professionals working in obstetrics and gynaecology units in Northern Ireland.

Methods The online survey was targeted at medical, nursing and midwifery staff working in the obstetrics and gynaecology units in each Health and Social Care (HSC) Trust in Northern Ireland. The survey was issued via clinical directors in each Trust using the REDCap platform.

Results The findings showed widespread support for decriminalisation of abortion up until 24 weeks’ gestation (n=169, 54%). The majority of clinicians stated they were willing to provide abortions in certain circumstances (which were undefined) (n=188, 60% medical abortions; n=157, 50% surgical abortions). Despite regional variation, the results show that there are sufficient numbers of clinicians to provide a service within each HSC Trust. The results indicate that many clinicians who report a religious affiliation are also supportive of decriminalisation (n=46, 51% Catholic; n=53, 45% Protestant) and are willing to provide care, countering the assumption that those of faith would all raise conscientious objections to service provision.

Conclusions The findings of this study are very encouraging for the development, implementation and delivery of local abortion care within HSC Trusts in Northern Ireland and should be of value in informing commissioners and providers about the design of a service model and its underpinning training programmes.

  • abortion
  • induced
  • surveys and questionnaires

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Footnotes

  • Contributors FB conducted the analysis. FB, LM and RR were responsible for the initial drafting of the manuscript and the final edits and revisions. FB, RR, CF, JK and LL carried out interim revisions and edits.

  • Funding The study was funded by the Open Society Foundation.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available upon reasonable request. Once authors complete analysis the dataset will be archived at the UK Data Archive at the University of Essex and will be accessible by academic researchers. All data will be anonymised so that participants cannot be identified.

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