• Abortion 'on the NHS': The National Health Service and abortion stigma

      Astbury-Ward, Edna; University of Chester (BMJ journals, 2015-03-05)
      Before the creation of the National Health Service (NHS), the health of the British nation was in a perilous state and hospitals survived on the philanthropy of rich benefactors. Following its introduction on 5 July 1948, the NHS was the biggest and most expensive social reform of the era.1 It was founded on three core principles: that it should meet the needs of everyone, that it should be free at the point of delivery, and that its use should be based on clinical need, not ability to pay. These principles govern the NHS today. The NHS should not discriminate against anyone who requires health care. Yet abortion care remains almost the only acute health need not comprehensively provided for within the NHS.2 In England and Wales in 2013, 98% (185 331) of all abortions were funded by the NHS,3 but only 34% of abortions took place in NHS settings. The majority were in the independent sector, funded by the NHS.4 This is in sharp contrast to Scotland, where in 2013 only 40 women out of 12 447 (0.3%) had their abortions in a non-NHS setting.5 The question is why?
    • Emotional and psychological impact of abortion: A critique of the literature

      Astbury-Ward, Edna; North East Wales Institute of Higher Education / Western Cheshire PCT (Royal College of Obstetricians & Gynaecologists, 2008-07-01)
      Defining women’s emotional experiences associated with abortion is a difficult task. Many circumstantial factors affect women’s emotional journeys during their abortion experience and beyond.
    • A reflective account of a consultation in abortion care

      Astbury-Ward, Edna; Western Cheshire PCT (Scutari Projects, 2009-05-06)
      This article presents a reflective account of a consultation in a pre-assessment clinic for women requesting abortion. The reflection is based on Johns' model. Reflection enabled the author to address important issues that the consultation raised. These included the realisation that nurses do not always have to understand why patients make the choices they do, and the importance of allocating sufficient time for sensitive consultations.
    • Staff perspectives

      Astbury-Ward, Edna; University of Chester (Cambridge University Press, 2014-08-24)
      This chapter will focus on the medical, nursing and psychological care of the woman during the abortion process, in particular, from the perspective of staff caring for women undergoing induced abortions.
    • Stigma, abortion, and disclosure - findings from a qualitative study

      Astbury-Ward, Edna; Parry, Odette; Carnwell, Ros; Glyndŵr University (2012-12)
      This study qualitatively explores perceptions of women who have experienced abortion care. It explores women's journey through abortion from confirmation of pregnancy to post-abortion.