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Analysing MyOptions: experiences of Ireland’s abortion information and support service
  1. Lorraine Grimes1,
  2. Aideen O'Shaughnessy2,
  3. Rachel Roth3,
  4. Anna Carnegie4,
  5. Deirdre Niamh Duffy5
  1. 1Social Science Institute, Maynooth University, Maynooth, Ireland
  2. 2Department of Sociology, Cambridge University, Cambridge, UK
  3. 3Center for Women's Health and Human Rights, Suffolk University, Boston, Massachusetts, USA
  4. 4London School of Hygiene & Tropical Medicine, London, UK
  5. 5Social Care and Social Work, Manchester Metropolitan University, Manchester, UK
  1. Correspondence to Dr Lorraine Grimes, Social Science Institute, Maynooth University, Maynooth, Ireland; lorraine.grimes{at}mu.ie

Abstract

Background In 2018, the Irish government enacted a liberalised abortion law permitting expanded access to abortion from January 2019. A dedicated information and support service – MyOptions – was established to provide non-directive counselling and clinical advice about unplanned pregnancy. MyOptions provides contact details for abortion providers but does not make appointments for abortion-seekers. In 2020, the Abortion Rights Campaign (ARC) conducted research into Irish residents’ experiences of abortion care under the new law, including their experiences with MyOptions.

Methods Between September 2020 and March 2021, ARC administered an online survey. Qualitative data were coded using NVIVO software and analysed through thematic analysis. Quantitative data were analysed descriptively. This article analyses a subsection of these data to answer the question: What were abortion-seekers’ experiences of using MyOptions?

Results Many respondents were unaware of MyOptions before becoming pregnant. Some described MyOptions as useful and compassionate. Others noted a lack of clarity from MyOptions about the scope of its service and a lack of information on accessing abortion after 12 weeks. Respondents reported frustration that the service did not arrange appointments, explaining that having to contact general practitioners (GPs) themselves was stressful and time-consuming, as was GPs’ refusal to provide care or refer to a willing provider.

Conclusions MyOptions primarily benefits abortion-seekers whose pregnancies are under 12 weeks and who are comfortable contacting a GP themselves. The addition of an appointments booking service and guidance on how to access abortion for medical reasons and abortion after 12 weeks could improve the service.

  • Abortion, Therapeutic
  • Health Policy
  • Patient Advocacy
  • Patient Rights
  • Reproductive Health
  • Health Services Research

Data availability statement

Data are available upon reasonable request. The survey and its findings are available upon request.

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Data availability statement

Data are available upon reasonable request. The survey and its findings are available upon request.

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Footnotes

  • Twitter @dnduffy

  • Contributors All authors contributed to the article. Authors AO'S, RR, and AC collected data and developed the survey. LG provided analysis of the data. DD and LG outlined the article and provided an inital draft. AO'S, RR, and AC reviewed the draft and added feedback and changes. LG is the guarantor.

  • Funding This research was funded by the Abortion Rights Campaign.

  • 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.

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

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