Waiting to start abortion: A qualitative exploration of narratives of waiting shared in a Reddit community for abortion post-Dobbs leak in 2022

Elizabeth Pleasants; Lindsay Parham; Weidert Karen; Eliza Dolgins; Ushma D Upadhyay; Cassondra Marshall; Ndola Prata

doi:10.1016/j.socscimed.2024.116877

Waiting to start abortion: A qualitative exploration of narratives of waiting shared in a Reddit community for abortion post-Dobbs leak in 2022

Soc Sci Med. 2024 Apr 14:349:116877. doi: 10.1016/j.socscimed.2024.116877. Online ahead of print.

Authors

Elizabeth Pleasants¹, Lindsay Parham², Weidert Karen³, Eliza Dolgins², Ushma D Upadhyay⁴, Cassondra Marshall⁵, Ndola Prata³

Affiliations

¹ University of California, Berkeley School of Public Health, USA; Wallace Center for Maternal, Child, and Adolescent Health Research, USA. Electronic address: b_pleasants@berkeley.edu.
² University of California, Berkeley School of Public Health, USA; Wallace Center for Maternal, Child, and Adolescent Health Research, USA.
³ University of California, Berkeley School of Public Health, USA; Bixby Center for Population, Health, and Sustainability, USA.
⁴ University of California, San Francisco Department of Obstetrics, Gynecology, & Reproductive Sciences, USA. Electronic address: ushma.upadhyay@ucsf.edu.
⁵ University of California, Berkeley School of Public Health, USA; Wallace Center for Maternal, Child, and Adolescent Health Research, USA. Electronic address: cassiejm@berkeley.edu.

PMID: 38657319
DOI: 10.1016/j.socscimed.2024.116877

Abstract

With the Dobbs leak introducing uncertainty about access and the Dobbs v. Jackson Women's Health Organization decision in June of 2022 overturning the US constitutional right to abortion, delays in accessing desired abortion care are likely growing longer and more common. Timely research on people's experiences waiting to access abortion care is needed. Using data from an abortion subreddit (r/abortion), we analyzed posts that described waiting after having decided to terminate the pregnancy, either by having an in-clinic appointment or ordering medication(s) online for self-managed abortion. Our analysis explored described 1) wait time length, 2) factors contributing to waiting, and 3) impacts of waiting. We used a hybrid inductive and deductive thematic qualitative coding approach to analyze a month-stratified 10% random sample of posts to the r/abortion community in 2022 surrounding the Dobbs leak and decision (May-December, n = 523 posts). Among posts to r/abortion that described waiting to start an abortion (n = 80), wait times ranged from one day to more than a month. Lack of appointment availability and waiting for mailed medications were commonly described as causing delays in accessing in-clinic abortion care and self-managed abortion, respectively. People shared challenges with pregnancy symptoms and feelings of anxiety, fear, isolation, and uncertainty. Posters also commonly described needing additional support while waiting. Overall, waiting to start an abortion was extremely stressful and isolating., with people often waiting weeks between ordering medication or scheduling an appointment and initiating the abortion process. Experiences of waiting to start an abortion and their impacts are of increasing concern as abortion access is further restricted. Additional targeted information and support are needed to mitigate these challenges. Providing timely access is imperative to quality care and overall abortion experiences.

Keywords: Abortion; Delays; Online community; Post-dobbs; Qualitative research; Reddit.