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April 1, 2026Sexuality Research and Social Policy0 citationsOpen Access

Factors Related to the Voluntary Termination of Pregnancy Processes: A Systematic Literature Review

ACAna Patricia Crespo-RodríguezAGAlba Teresa González-EstebanNMNazareth Gallego Morón

Key Points

  • The study aims to identify and analyze factors influencing women’s decision-making during the voluntary termination of pregnancy process.
  • Conducted a systematic review of literature from 2012 to July 2024.
  • Searched Scopus and Web of Science databases resulting in 829 articles initially.
  • Included 30 articles after screening and review of full texts.
  • Identified personal, economic, relationship, health system, and sociocultural factors influencing women's decisions.
  • Emphasized the need for adequate information and psychosocial support during the VTOP process.
  • Highlighted the importance of an intersectional approach to promote reproductive justice and bodily autonomy.

Abstract

Despite advances in sexual and reproductive rights in most Western countries, women continue to face difficulties in decision-making regarding contraceptive use and voluntary termination of pregnancy (VTOP). This study aims to analyse scientific evidence on women’s experiences and the factors that influence the VTOP process. The literature published between 2012 and July 2024 on the Scopus and Web of Science databases was systematically reviewed. The initial search yielded 829 results. After eliminating duplicates, screening, and reading of full-texts, 30 articles were included in the review. Personal, economic, relationship, health system, and sociocultural factors were identified as interacting and influencing women’s decisions and experiences during the stages of the VTOP process. Adequate information, support, and psychosocial accompaniment are needed for the various moments and challenges facing women concerning their sexual and reproductive health. Furthermore, advancing knowledge from the perspective of women with an intersectional, global approach is essential. The identification of key axes of inequality serves as a necessary preliminary diagnosis for the design of effective social policies that promote reproductive justice and ensure bodily autonomy.

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Cite This Study

Crespo-Rodríguez et al. (2026) studied this question.

synapsesocial.com/papers/69cd79e15652765b073a6b6chttps://doi.org/10.1007/s13178-026-01330-9
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