Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators

Herbitter, Cara; Bennett, A. E.; Schubert, Finn D.; Bennett, Ian M.; Gold, Marji

doi:10.3122/jabfm.2013.06.120248

Cited by 12 publications

(12 citation statements)

References 22 publications

(15 reference statements)

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“…Spontaneous abortion occurs unintentionally, due to factors such as sexually transmitted diseases (including syphilis, gonorrhea, chlamydia, and trichomonas vaginalis), occupation, environmental factors (chemicals, metals, tobacco smoking, alcohol consumption, night work and so on) acute anemia, or accidents (such as falling down) . However, induced abortion is performed due to provocation from the outside by intentionally terminating an unwanted pregnancy …”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] However, induced abortion is performed due to provocation from the outside by intentionally terminating an unwanted pregnancy. 5,6 Although induced abortion has been used as a family planning method for many years, it is an important problem in women's health, especially in developing countries and especially in rural areas where the procedure is often unsafe, due to poor medical conditions. Unsafe induced abortion can have dire consequences for women, their families and society as a whole.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and associated factors of induced abortion among rural married women: A cross‐sectional survey in Anhui, China

Gao

Zhang

et al. 2014

J of Obstet and Gynaecol

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of induced abortion among rural married women: A cross‐sectional survey in Anhui, China

Gao

Zhang

et al. 2014

J of Obstet and Gynaecol

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“…While these findings seem to support abortion provision in the primary care setting, only 15.3% of survey respondents were offering early abortion care. 8 This discrepancy is partially explained by the fact that only 7% of family medicine residency programs include routine training in early abortion care. 9 Several studies have demonstrated how particular aspects of receiving abortion care within the primary care setting are acceptable to patients, and, in some cases, preferable.…”

Section: Original Articlesmentioning

confidence: 99%

Abortion Provision Among Recently Graduated Family Physicians

Patel

Narayana

Summit³

et al. 2020

Fam Med

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Background and Objectives: Family physicians (FPs) are well positioned to increase abortion access given their broad scope and diverse geographic practice regions. Previously published studies focus on physicians who received formal abortion training but do not include the full landscape of FPs performing abortions in the United States. This secondary data analysis presents a unique opportunity to examine characteristics of early-career FPs who provide abortions, including practice locations and if they received abortion training during residency. Methods: We analyzed data from the 2016-2018 Family Medicine National Graduate Survey to generate descriptive statistics about respondents who report providing pregnancy termination, uterine aspiration/dilation and curettage, or both. We evaluated associations between physician and/or practice characteristics and providing pregnancy termination using bivariate statistics. Results: Of the 6,319 survey respondents, 3% reported providing pregnancy termination. Nearly three-quarters of this subset reported graduating residency feeling prepared to provide pregnancy termination. Most respondents completed residency in the West or Northeast US geographic regions, and 3 years later were practicing in the West or South regions. Additional characteristics associated with providing pregnancy termination include female gender, providing continuity care, and practicing in either an academic medical center or a federally qualified health center. Conclusions: FPs are well positioned to address gaps in abortion access, and those who provide pregnancy termination practice in various US geographic regions. This is the first discussion of its kind about the scope of family physicians providing abortion care. Future research should continue to characterize FPs who provide abortions to determine where they train and practice and what type of abortions they provide.

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“…Kupetsky et al 16 provide a useful review of diagnosing and treating psoriasis for primary care clinicians. Wahlert 19 revealed that most academic family physicians have experience treating failure of early pregnancy, often with medications, but a minority have provided abortions during early pregnancy.…”

Section: Care Of Patients With Specific Health Issuesmentioning

confidence: 99%

Family Physicians Improve Patient Health Care Quality and Outcomes

Bowman¹,

Neale²

2013

The Journal of the American Board of Family Medicine

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This issue exemplifies family physicians' ability to provide great care and to continuously improve. For example, beyond other specialty care, the care provided by family physicians is associated with improved melanoma diagnosis and outcomes and improved preventive services for those with a history of breast cancer. Electronic health records are providing new avenues to both assess outcomes and influence care. However, to truly reward quality care, simplistic and readily measurable items such as laboratory results or assessment of the provision of preventive services must be adjusted for risk. Health insurance influences classic preventive care services more than personal health behaviors. The care provided at federally qualified health centers throughout the nation is highly appreciated by the people they serve and is not plagued by the types of disparities in other settings. (J Am Board Fam Med 2013; 26:617-619.)Maly et al 1 show the positive impact of family physicians on recommended preventive services in the follow-up care of underserved female breast cancer survivors. The disparity between specialities was dramatic for colonoscopy in particular, where only a quarter of patients seeing only surgeons/ cancer specialists for follow-up received the recommended screening.Related to another cancer-melanoma-Roetzheim et al 2 showed that visiting a family physician compared with only a dermatologist before the diagnosis of melanoma was associated with a diagnosis of more thin melanomas and possibly a lower rate of mortality. To improve the accuracy of detection of skin cancers, Eide et al 3 tested an intriguing intervention using a readily available, 1-to 2-hour, interactive web-based course. In addition to evaluations after the course, this study considered referrals to dermatology before and after the course and diagnoses after the course. Most of the providers had trained in internal medicine. The evaluations immediately and after 6 months found improved scores, and the later practice patterns found fewer referrals to dermatology but no obvious change in the rate of diagnosis of skin cancers. The physicians reporting no past dermatology training had the greatest improvement. Effects of Insurance on Preventive Services and Health BehaviorsJerant et al 4 reported that patients who newly obtained health insurance after being uninsured clearly receive more recommended preventive care that are based on the health system (eg, Papanicolaou tests, mammograms, and immunizations); the opposite is also true: losing insurance decreases these services. Yet patients' personal health behaviors did not improve or worsen with changes in health insurance. Unfortunately, this questions the ability of the health care system to either recognize negative patient behaviors, assist patients in changing them, or both. Perhaps follow-up longer than 1 year would change these outcomes since behavior changes often take repeated efforts over multiple years.

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Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators

Cited by 12 publications

References 22 publications

Prevalence and associated factors of induced abortion among rural married women: A cross‐sectional survey in Anhui, China

Prevalence and associated factors of induced abortion among rural married women: A cross‐sectional survey in Anhui, China

Abortion Provision Among Recently Graduated Family Physicians

Family Physicians Improve Patient Health Care Quality and Outcomes

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