Enhancing Practice Around Reproductive Coercion within Reproductive Health Services
Reproductive coercion and abuse (RCA) has been defined as attempts to control pregnancy through interference, abuse, threats and violence. RCA can take different forms, including interfering with birth control, and threats and physical violence aimed at influencing the commencement, continuation, or termination of a pregnancy. RCA typically overlaps with other forms of abuse - such as trafficking, child sexual exploitation (CSE), and domestic abuse. Although recognition of RCA in the UK is increasing among policy actors and relevant practitioners, cross-learning between healthcare professionals and those working in the gender-based violence sector is currently under-developed.
Led by Dr Pam Lowe (Aston University), this project will undertake research to identify, analyse and disseminate knowledge relating to RCA, drawing on both national and international expertise. It aims to facilitate cross-learning, and build innovative responses to RCA to support reproductive health services, with a particular focus on innovation, service development, and learning from the recent introduction of telemedical services in abortion care. It will also establish a practice-oriented network on RCA of national and international policy actors, healthcare and gender-based violence professionals, and academics to support future knowledge exchange, ensuring self-sustaining developments in best practice after the fellowship is completed.
It has been funded through the British Academy Innovation Fellowship Scheme (2021-22).
Responses to Alcohol and Pregnancy Policy Project (Collaborative Project)
The Responses to Alcohol and Pregnancy Policy (RAPP) project is a collaboration between the CRRC and the University of Southampton, funded by the Public Policy|Southampton New Things Fund. The research team includes Rachel Arkell (CRRC), Professor Fiona Woollard (University of Southampton) and Rebecca Brione. The project aims to understand the impact of the introduction of mandatory alcohol screening from the perspective of midwives based in the U.K. The project has two stages: an anonymous survey, followed by a focus group.
The anonymous survey is now closed to responses.
The focus group is open to qualified midwives working in the UK and will discuss antenatal alcohol screening. If you would take part in the focus group, or to find out more, please contact: firstname.lastname@example.org
WHO Analysis of Sexual and Reproductive Health Services Response to COVID
The CRRC is collaborating with researchers at the University of Brighton who are UK leads for a WHO-funded project to assess the contraception, abortion/post-abortion care, STIs (including HIV) and violence against women (VAW) services available at local health facilities during the COVID-19 pandemic.
Ultrasound in abortion care
The CRRC team and Professor Lesley Hoggart (Open University) are interviewing BPAS clients who've had more than one abortion - one with an ultrasound scan and one without. This qualitative research aims to understand the experiences and opinions of women who have undergone telemedical abortion without a pre-procedure ultrasound during the COVID-19 pandemic.
BPAS clients interesting in taking part can learn more here.
Family planning during the 2020 COVID-19 pandemic survey
The CRRC team and the University of Illinois at Chicago (UIC) are collaborating on this survey to assess how the COVID-19 pandemic is impacting people’s choices surrounding fertility-related intentions, abortion, and pregnancy choices. Knowledge gained from the study may shed light on how pandemics impact pregnancy choices, allowing us to better prepare and meet the needs of people in similar situations in the future.
After Choice: FASD and 'the managed woman' (Collaborative Project)
This project takes policies, guidance and healthcare practices about Fetal Alcohol Spectrum Disorder (FASD) as its focus. It builds on previous research considering the ascendence of claims about the salience of the ‘precautionary principle’ for providing advice to women about alcohol and pregnancy. The full paper can be read here or a short briefing is available here.
This project is a collaboration between Professor Ellie Lee (University of Kent) and CRRC’s Rachel Arkell. For more information please see the project webpage.
Rachel Arkell features on an episode of the 'She Negotiates' podcast and the background and context of this project with host Victoria Pynchon. Listen to the podcast below:
The CRRC has further formed the ‘Alcohol and Pregnancy Research Network’ which welcomes academics and policy makers working in this area. Contact us for more information or to join the network.
Communicating the risk of taking medicines to (potentially) pregnant women post-Montgomery: A socio-legal exploration
We are collaborative partners with the University of Kent on the SeNSS PhD project: Communicating the risk of taking medicines to (potentially) pregnant women post-Montgomery: a socio-legal exploration which is being undertaken by Rachel Arkell.
We are working with researchers at the London School of Hygiene and Tropical Medicine on the SACHA study.
The objectives of this project are to:
- collate, synthesise and summarise recent evidence for innovative models of abortion care with the potential to enhance access, quality of experience and cost-effectiveness
- explore the potential for beneficial and harmful consequences of current trends in abortion provision and identify implementation strategies to harness positive outcomes of current developments and mitigate adverse outcomes
- assess the potential of General Practitioners (GPs) and non-clinician providers in abortion provision, their education and training needs and their views on innovations in care
- elicit women’s views on current experiences of abortion and on preferences for abortion techniques, models of care and sources of support
- consult decision-makers on the range of innovative abortion practices and procedures and on the potential feasibility, acceptability and sustainability of their adoption in UK health services and systems.