Patient Education and Emotional Support Practices in Abortion Care Facilities in the United States

PurposeLittle is known about how patient education and emotional support is provided at abortion facilities. This pilot study documents 27 facilities' practices in this aspect of abortion care.MethodsWe conducted confidential telephone interviews with staff from 27 abortion facilities about their practices.Main FindingsThe majority of facilities reported they rely primarily on trained nonclinician staff to educate patients and provide emotional support. As part of their informed consent and counseling processes, facilities reported that staff always provide patients with information about the procedure (96%), assess the certainty of their abortion decisions (92%), assess their feelings and provide emotional support (74%), and provide contraceptive health education (92%). Time spent providing these components of care varied across facilities and patients. When describing their facility's care philosophy, many respondents expressed support for “patient-centered,” “supportive,” “nonjudgmental” care. Eighty-two percent agreed that it is the facility's role to provide counseling for emotional issues related to abortion.ConclusionsAll facilities valued informed consent, patient education, and emotional support. Although the majority of facilities considered counseling for emotional issues to be a part of their role, some did not. Future research should examine patients' preferences regarding abortion care and counseling and how different approaches to care affect women's emotional well-being after having an abortion.Practice ImplicationsThis information is important in light of current, widespread legislative efforts that aim to regulate abortion counseling, which are being proposed without an understanding of patient needs or facility practices.