Therapeutic itineraries for women during the abortion process
Itinerarios terapéuticos para mujeres durante el proceso de aborto
Itinerários terapêuticos de mulheres durante o processo de abortamento
Mariana Enumo Balestre; Juliana Amaral Prata; Lilian Conceição Guimarães Almeida; Mara Cristina Ribeiro Furlan; Elen Ferraz Teston; Sonia Silva Marcon
Abstract
Objective to understand the therapeutic itineraries experienced by women during the abortion process.
Method this descriptive, exploratory qualitative study was conducted with 19 women who received hospital care due to abortion. Data were collected between May and September 2024 through semi-structured audio-recorded interviews conducted either in person or remotely and were subjected to thematic content analysis.
Results itineraries experienced by the participants revealed diverse pathways, including hospitals, Emergency Care Units, private medical offices, and other support services. Barriers to accessing care were related to personal and/or institutional factors. The care provided did not follow a standardized pathway and was influenced by the infrastructure available at each service and by each woman’s individual circumstances.
Final considerations and implications for practice the fragmentation of the Health Care Network and the absence of unified protocols negatively affect women’s experiences. These findings reinforce the need to strengthen the healthcare infrastructure and coordination among services, as well as to develop protocols aimed at ensuring welcoming, humanized, effective, and comprehensive care.
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Objetivo: compreender os itinerários terapêuticos experenciados pelas mulheres durante o processo de abortamento.
Método: estudo descritivo exploratório, de abordagem qualitativa, realizado com 19 mulheres que receberam atendimento hospitalar em decorrência de aborto. Os dados foram coletados entre maio e setembro de 2024 por meio de entrevistas semiestruturadas, gravadas em áudio, realizadas presencialmente ou de forma remota, e submetidos à análise de conteúdo temática.
Resultados: os itinerários experenciados pelas participantes revelam trajetórias diversas, incluindo hospitais, Unidades de Pronto Atendimento, consultórios particulares e outros serviços de apoio. Os obstáculos no acesso ao cuidado se relacionam a barreiras pessoais e/ou institucionais. Observou-se que o cuidado prestado não segue um fluxo padronizado, sendo influenciado pela infraestrutura disponível em cada serviço e pelas situações individuais da mulher.
Considerações finais e implicações para a prática: a fragmentação da Rede de Atenção à Saúde e a ausência de protocolos unificados interferem negativamente a experiência das mulheres. Os achados reforçam a necessidade de se fortalecer a estrutura assistencial e a articulação entre os serviços, bem como de se elaborar protocolos, visando garantir um cuidado acolhedor, humanizado, resolutivo e integral.
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References
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Accepted date:
07/09/2026
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