Healthcare provider perspectives on their role in perpetrating and perpetuating reproductive coercion: a qualitative study

This research highlights the complex ways healthcare providers may, often unintentionally, undermine reproductive autonomy through biased guidance, non-referral, or restrictive practices. Addressing both explicit and implicit provider biases is essential for fostering person-centred, non-coercive reproductive healthcare. Our findings underscore the need for healthcare systems to prioritise bias and reflective practice training, along with corresponding clinical guidance for providers. This must be supported by institutional safeguards, such as enforceable referral mechanisms and bias-aware education to ensure reproductive decisions are respected and supported in practice. By actively dismantling coercive practices, healthcare providers can ensure that the care they provide respects and upholds patients' reproductive intentions and autonomy.

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Publication Details

Journal
BMC Health Services Research
Published
2025-10-03
DOI
https://doi.org/10.1186/s12913-025-13240-4
Citations
1
Primary Topic
Reproductive Health and Contraception
Type
article
Field-Weighted Citation Impact
1.88

Funders

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article

Healthcare provider perspectives on their role in perpetrating and perpetuating reproductive coercion: a qualitative study

Danielle Mazza, Susan Saldanha, Jessica R. Botfield
1 citations
BMC Health Services Research
Reproductive Health and Contraception
1.88
article

Healthcare provider perspectives on their role in perpetrating and perpetuating reproductive coercion: a qualitative study

Danielle Mazza, Susan Saldanha, Jessica R. Botfield
article en
1 citations

Abstract

This research highlights the complex ways healthcare providers may, often unintentionally, undermine reproductive autonomy through biased guidance, non-referral, or restrictive practices. Addressing both explicit and implicit provider biases is essential for fostering person-centred, non-coercive reproductive healthcare. Our findings underscore the need for healthcare systems to prioritise bias and reflective practice training, along with corresponding clinical guidance for providers. This must be supported by institutional safeguards, such as enforceable referral mechanisms and bias-aware education to ensure reproductive decisions are respected and supported in practice. By actively dismantling coercive practices, healthcare providers can ensure that the care they provide respects and upholds patients' reproductive intentions and autonomy.

BMC Health Services ResearchVol. 25(1)
Melbourne Sexual Health Centre (AU), Monash Health (AU), Monash University (AU)
Monash University
Openalex Percentile: Top 12%
Reproductive Health and Contraception
1.88
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