Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/22380
Record ID: d3ce6a21-8bc6-416e-8a33-28e64129276b
DOI: https://doi.org/10.1186/s12978-022-01479-7
Type: Journal Article
Title: Reproductive coercion and abuse among pregnancy counselling clients in Australia: trends and directions
Authors: Hach, Maria
Corbin, Bonney
Douglas, Heather
Bernardino, Brenna
Coombe, Leanne
Tarzia, Laura
Torres-Quiazon, Regina
Keramidopoulos, Sophie
Sheeran, Nicola
Vallury, Kari
Sharman, Leah S
Keywords: Reproductive Coercion and Abuse (RCA)
Year: 2022
Publisher: BMC
Abstract:  Background
Reproductive coercion and abuse (RCA) interferes with a person’s reproductive autonomy and can be classified into behaviours that are pregnancy promoting or pregnancy preventing (including coerced abortion). However, prevalence data are lacking, and little is known about whether particular forms of RCA are more or less common. The aims of our study were to explore how frequently people seeking pregnancy counselling reported RCA, the proportions reporting the different forms of RCA, and whether there were different trends based on a range of demographic factors.

Methods
Data were collected from 5107 clients seeking counselling support for their pregnancy between January 2018 and December 2020 from two leading providers of pregnancy counselling and sexual and reproductive health services in Australia, Marie Stopes Australia and Children by Choice. Counsellors identified and recorded the presence of RCA and whether the behaviour was pregnancy promoting and/or pregnancy preventing. Demographic factors included age, and whether the person identified as being from a migrant or refugee community or as an Aboriginal and/or Torres Strait Islander person.

Results
RCA was identified in 15.4% of clients, with similar proportions disclosing RCA towards pregnancy (6%) and towards pregnancy prevention or abortion (7.5%), and 1.9% experiencing RCA towards pregnancy and abortion concurrently. There were no differences based on age or whether the person identified as being from a migrant or refugee background, though people who identified as Aboriginal and/or Torres Strait Islander experienced RCA that was significantly more likely to be pregnancy promoting.

Conclusions
RCA is commonly disclosed by people seeking support in a pregnancy counselling context, and coercion and abuse is equally likely to be towards pregnancy promotion or pregnancy prevention/abortion. Given the prevalence and negative impacts of RCA, regardless of age and background, we recommend sensitive and culturally respectful enquiry around experiences of RCA be embedded in healthcare, health education, and health research.
Notes: 

The research has concluded and the output has been added to the ANROWS library. Please visit https://www.anrows.org.au/register-of-active-research/ for more information on the RAR.

Project title
Responses to reproductive coercion: Perspectives of non-directive, all-options pregnancy counselling practitioners

Background

Reproductive coercion and abuse (RCA) is an often hidden yet increasingly recognised form of interpersonal violence. RCA often results in unintended pregnancy making it likely that counsellors who provide pregnancy decision-making counselling are working with people who experience RCA on a regular basis. Yet, little is known about how they identify and respond to disclosures of RCA nor whether current training, policies, legislation and referral pathways sufficiently address and support the appropriate responses to RCA.

Aim

The aim of the current study is to explore how staff working in non-directive, all-options pregnancy counselling identify and respond to disclosures of RCA, and in particular, what behaviours are being disclosed to staff that may constitute RCA and what their responses are if these behaviours are disclosed. We are also interested in how RCA is broached, what the common "red flags" are, and whether current policies, training, and referral pathways sufficiently address and support the appropriate responses to RCA.

Methods

This study utilises a combination of focus groups and interviews to explore how practitioners working in non-directive, all-options pregnancy counselling identify and respond to disclosures of reproductive coercion and abuse. Participants are being recruited from community organisations who, for a substantive part of their workload, help women and pregnant people with their pregnancy decision-making in their role as a non-directive, all-options pregnancy counselling practitioner. Data will be thematically analysed.

Significance

Our findings will contribute to the development of best practice guidelines for health professionals on recognising and responding to reproductive coercion and abuse. Our findings may also assist organisations to develop policies and identify training needs within the sector.

Funding body

Griffith University

Funding budget

$5000

Project start date

November 2021

Expected completion date

June 2022

URI: https://anrows.intersearch.com.au/anrowsjspui/handle/1/22380
Appears in Collections:ANROWS Completed Register of Active Research projects
Journal Articles

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