Predictors of abortion provision among practicing obstetrician-gynecologists: A national survey

Steinauer, Jody; Landy, Uta; Filippone, Heidi; Laube, Douglas W.; Darney, Philip D.; Jackson, Rebecca

doi:10.1016/j.ajog.2007.06.002

Cited by 77 publications

(63 citation statements)

References 11 publications

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“…Given the overlap of skills needed for provision of these services, there is the potential to increase the number of family physician faculty members providing induced abortions, particularly in comparison with other primary care specialists who have less procedural training. Previous studies have assessed the barriers to providing induced abortions faced by family physicians and OB/ GYNs, [27][28][29][30][31] but it would be particularly interesting for future studies to focus on providers who have the skills from their EPF management practices but choose not to provide induced abortions. Although the majority of respondents believed induced abortion care is within the scope of family medicine, there is still greater support for EPF management within family medicine.…”

Section: Discussionmentioning

confidence: 99%

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

Herbitter

Bennett

Schubert

et al. 2013

The Journal of the American Board of Family Medicine

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Background: Reproductive health care, including treatment of early pregnancy failure (EPF) and induced abortion, is an integral part of patient-centered care provided by family physicians, but data suggest that comprehensive training is not widely available to family medicine residents. The purpose of this study was to assess EPF and induced abortion management practices and attitudes of family medicine physician educators throughout the United States and Canada.Methods: These data were collected as part of a cross-sectional survey conducted by the Council of Academic Family Medicine Educational Research Alliance that was distributed via E-mail to 3152 practicing physician members of Council of Academic Family Medicine organizations.Results: The vast majority of respondents (88.2%) had treated EPF, whereas few respondents (15.3%) had provided induced medication or aspiration abortions. Of those who had treated EPF, most had offered medication management (72.7%), whereas a minority had provided aspiration management (16.4%). Almost all respondents (95%) agreed that EPF management is within the scope of family medicine, and nearly threequarters (73.2%) agreed that early induced abortion is within the scope of family medicine.

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Section: Discussionmentioning

confidence: 99%

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

Herbitter

Bennett

Schubert

et al. 2013

The Journal of the American Board of Family Medicine

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“…Indeed, research suggests that abortion stigma is one reason why we increasingly must depend on a relatively small number of providers to offer the service; currently, 87% of counties in the United States do not have access to an abortion provider [1]. We know that approximately half of the physicians who are trained to provide abortions services ultimately do not do so [2,3]. Some of the explanations given include institutional barriers and worries about the strain providing abortions would put on existing collegial relationships -both of which point to abortion stigma as a culprit [3].…”

mentioning

confidence: 99%

Abortion providers, stigma and professional quality of life

et al. 2014

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“…Physicians who provide abortion care in practice are more likely to have received abortion training during their residency. [11][12][13] Experience with abortion during training also impacts the provision of other aspects of gynecologic care following graduation. For instance, in a survey of 308 practicing Ob-Gyns, Dalton and colleagues 13 found that induced abortion residency training was associated with the subsequent use of office-based uterine evacuation for early pregnancy failures.…”

Section: Program Characteristicmentioning

confidence: 99%

Training at a Faith-Based Institution Matters for Obstetrics and Gynecology Residents: Results From a Regional Survey

Guiahi¹,

Westhoff²,

Summers³

et al. 2013

Journal of Graduate Medical Education

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Background Prior data suggest that opportunities in family planning training may be limited during obstetrics and gynecology (Ob-Gyn) residency training, particularly at faith-based institutions with moral and ethical constraints, although this aspect of the Ob-Gyn curriculum has not been formally studied to date. Objectives We compared Ob-Gyn residents' self-rated competency and intentions to provide family planning procedures at faith-based versus those of residents at non-faith-based programs. Methods We surveyed residents at all 20 Ob-Gyn programs in Illinois, Indiana, Iowa, and Wisconsin from 2008 to 2009. Residents were queried about current skills and future plans to perform family planning procedures. We examined associations based on program and residents' personal characteristics and performed multivariable logistic regression analysis. Results A total of 232 of 340 residents (68%) from 17 programs (85%) returned surveys. Seven programs were faith-based. Residents from non-faith-based programs were more likely to be completely satisfied with family planning training (odds ratio [OR] = 3.4, 95% confidence limit [CI], 1.9–6.2) and to report they “understand and can perform on own” most procedures. Most residents, regardless of program type, planned to provide all surveyed family planning services. Conclusions Despite similar intentions to provide family planning procedures after graduation, residents at faith-based training programs were less satisfied with their family planning training and rate their ability to perform family planning services lower than residents at non-faith-based training programs.

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Predictors of abortion provision among practicing obstetrician-gynecologists: A national survey

Cited by 77 publications

References 11 publications

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

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

Abortion providers, stigma and professional quality of life

Training at a Faith-Based Institution Matters for Obstetrics and Gynecology Residents: Results From a Regional Survey

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