title: "One Problem Became Another": Disclosure of Rape-Related Pregnancy in the Abortion Care Setting.
abstract: OBJECTIVE
  We sought to explore the experiences of women who disclosed that their pregnancies resulted from rape in the abortion care setting, as well as the experiences of professionals involved in care of women with rape-related pregnancy.
  
  
  METHODS
  In-depth interviews were conducted with 9 patients who had terminated rape-related pregnancies and 12 professionals working in abortion care or rape crisis advocacy (5 abortion providers, 4 rape crisis center advocates, 2 social workers, and 1 clinic administrator). Transcribed interviews were coded and analyzed for themes related to the experiences of disclosing rape and the consequences of disclosure in the abortion care setting.
  
  
  RESULTS
  Patients and professionals involved in care of women with rape-related pregnancy described opportunities arising from disclosure, including interpersonal (explaining abortion decision making in the context of assault, belief, and caring by providers), as well as structural opportunities (funding assistance, legal options, and mental health options). Whereas most patients did not choose to pursue all three structural opportunities, both patients and professionals emphasized the importance of offering them. The most important consequence of disclosure for patients was being believed and feeling that providers cared about them.
  
  
  CONCLUSIONS
  Rape-related pregnancy disclosure in the abortion care setting can lead to opportunities for interpersonal support and open options for funding, legal recourse, and mental health care. Those working in abortion care should create environments conducive to disclosure and opportunities for rape survivors to access these additional options if they desire.
authors.affiliation: Department of Obstetrics and Gynecology, University of Illinois at Chicago College of Medicine, Chicago, Illinois. Electronic address: rachel.perry@uci.edu.
authors.forename: Rachel
authors.initials: R
authors.lastname: Perry
authors.affiliation: Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Molly
authors.initials: M
authors.lastname: Murphy
authors.affiliation: Department of Obstetrics and Gynecology, University of Illinois at Chicago College of Medicine, Chicago, Illinois.
authors.forename: Sadia
authors.initials: S
authors.lastname: Haider
authors.affiliation: Department of Obstetrics and Gynecology, University of Illinois at Chicago College of Medicine, Chicago, Illinois.
authors.forename: Bryna
authors.initials: B
authors.lastname: Harwood
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D000554:Ambulatory Care Facilities; D003657:Decision Making; D030881:Disclosure; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D011247:Pregnancy; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011902:Rape / Q000523:psychology*; D012944:Social Support; D055815:Young Adult