All in United States

“I could see where she had her care. She went to several different clinics for her abortions, even though her residence remained the same. Likely this was due to abortion stigma and she feared being judged by the clinic staff. At the time, I was relatively new to abortion and was very concerned about her. But over time and after observing a few procedures, my thinking on this changed.” Read more.

“We treat every patient with dignity and make them feel exceptionally cared for. We are honored that they trust us with their care. I do sometimes bring it up, even if the patient doesn't mention it, if they give me a sheepish look, or their affect is off. I remind them that having more than one abortion does not impact their health or future fertility.” Read more.

“I usually discharge patients from recovery and say something simple such as, “You know we are always here if you need us!” My whole staff emphasizes this point, and certainly to patients who seem apologetic when they come back to us again, that they can come as many times as they need to and we will give them the same excellent care every time.” Read more.

“We have a practice of stigma reduction around more than one abortion and judgment. Sometimes patients say, “I was so worried that the staff would judge me” and then we get to open up that conversation. We also have an emotional assessment on our patient chart. One question is, “I’m worried I will be judged by _________” — and some people will say “staff”. We have some responses to this, which mostly boil down to, “We understand that Mother Nature wants you pregnant, all the time!” Read more.

“We have a dedicated call center for all five of our clinics, and call volume is huge. In fact, we break records with our phone company. The phone staff is trained to ask about previous reproductive experiences, and multiple abortions, of course, come up. The staff are trained to fight any stigma. The staff also challenges stigma if a call comes from a referring physician and the physician suggests stigma or judgment about treatment numbers.” Read more.

“I remember one patient who was designated ‘difficult’ because she refused to answer the gestational history questions on her chart and in counseling, even though we knew she had been with us before. I always wondered if we could have made her experience more positive by telling her that it is normal to have more than one abortion, and that we recognized that she was making good choices for herself and her family — instead of asking her how many.” Read more.

“The pop music that plays in the recovery room all day belies its sacred nature: this is a place where women come to grips with a significant experience. The memory of such an experience may evoke relief, sorrow, or mixed emotions, but almost all of these women will remember it as having helped to shape the course of their lives.” Read more.