TY - BOOK AU - Light, Alexis D TI - Decision satisfaction among women choosing a method of pregnancy termination in the setting of fetal anomalies and other pregnancy complications: A qualitative study SN - 0738-3991 PY - 2019/// KW - *Abortion, Eugenic/px [Psychology] KW - *Abortion, Induced/px [Psychology] KW - *Choice Behavior KW - *Congenital Abnormalities KW - *Decision Making KW - *Patient Satisfaction KW - *Pregnancy Complications KW - *Pregnant Women/px [Psychology] KW - Abortifacient Agents/ad [Administration & Dosage] KW - Abortion, Eugenic/mt [Methods] KW - Abortion, Induced/mt [Methods] KW - Adaptation, Psychological KW - Adult KW - Counseling KW - Dilatation and Curettage KW - Female KW - Humans KW - Interviews as Topic KW - Patient Participation KW - Patient Preference KW - Pregnancy KW - Pregnancy Trimester, First KW - Qualitative Research KW - MedStar Washington Hospital Center KW - Obstetrics and Gynecology KW - Journal Article N2 - CONCLUSION: Offering women a choice between surgical and medical termination procedures in the setting of pregnancy complications is integral to decision satisfaction. Women in our study reported wanting this decision to be driven by their personal values; Copyright (c) 2018. Published by Elsevier B.V; METHODS: We conducted qualitative interviews with women one to three weeks after termination who chose either a surgical or medical termination for fetal anomalies, pregnancy complications or fetal demise. We analyzed transcripts using modified grounded theory in an iterative manner with a generative thematic approach; OBJECTIVE: The decision to undergo a surgical or medical method of second-trimester termination for pregnancy complications should be preference-sensitive. Decision satisfaction has not been described in this population; understanding how women describe decision satisfaction in this setting could inform decision support efforts; PRACTICE IMPLICATIONS: Women should be able to choose between surgical and medical termination based on preference and not availability of services. Decision support from women's health providers should be based on values clarification and providing accurate information; RESULTS: We interviewed 36 women (24 surgical and 12 medical). Subjects connected decision satisfaction with counseling experiences and their personal values, including (1) importance of adequate information, (2) autonomous decision making, and (3) choosing the method that facilitates coping UR - https://dx.doi.org/10.1016/j.pec.2018.06.012 ER -