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

Published:November 05, 2007DOI:


      The objective of the study was to identify the factors that predict whether physicians include pregnancy termination in their practices.

      Study Design

      We surveyed all 5055 obstetrician-gynecologists who became board certified between 1998 and 2001 about personal characteristics, career plans, intention to provide abortions before residency, residency training, and current abortion practice.


      Of 2149 respondents (43%), 22% had provided elective abortion in the past year. In multivariate analysis controlling for preresidency intentions, personal beliefs, and other variables, the following were independently associated with current abortion provision: completing a residency program with abortion training (odds ratio [OR], 1.6; confidence interval [CI], 1.1-2.3; P = .007) and performing a greater number of abortions during residency (>25 abortions: OR, 2.8; CI, 1.9-4.1; P < .001). Factors negatively associated with working in a practice (OR, 0.4; CI, 0.2-0.6; P < .001) or hospital (OR, 0.4; CI, 0.3-0.6; P < .001) that prohibits abortion.


      Regardless of intention to provide abortion before residency, abortion training availability was positively correlated with providing abortion in future practice.

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        • Finer L.B.
        • Henshaw S.K.
        Abortion incidence and services in the United States in 2000.
        Perspect Sex Reprod Health. 2003; 35: 6-15
        • DeFrances C.
        • Podgornik M.
        2004 National Hospital Discharge Survey.
        in: NCHS, Bethesda, MD2006: 371
        • Henshaw S.K.
        Abortion incidence and services in the United States, 1995-1996.
        Family Plann Perspect. 1998; 30: 263-270
        • Forrest J.D.
        Epidemiology of unintended pregnancy and contraceptive use.
        Am J Obstet Gynecol. 1994; 170: 1485-1488
        • Darney P.D.
        • Landy U.
        • MacPherson S.
        • Sweet R.L.
        Abortion training in U.S. obstetrics and gynecology residency programs.
        Fam Plann Perspect. 1987; 19: 158-162
        • Westhoff C.
        • Marks F.
        • Rosenfield A.
        Residency training in contraception, sterilization, and abortion.
        Obstet Gynecol. 1993; 81: 311-314
        • MacKay H.T.
        • MacKay A.P.
        Abortion training in obstetrics and gynecology residency programs in the United States, 1991-1992.
        Fam Plann Perspect. 1995; 27: 112-115
        • Almeling R.
        • Tews L.
        • Dudley S.
        Abortion training in U.S. obstetrics and gynecology residency programs, 1998.
        Fam Plann Perspect. 2000; 32 (320): 268-271
        • Eastwood K.L.
        • Kacmar J.E.
        • Steinauer J.
        • Weitzen S.
        • Boardman L.A.
        Abortion training in United States obstetrics and gynecology residency programs.
        Obstet Gynecol. 2006; 108: 303-308
        • Aiyer A.N.
        • Ruiz G.
        • Steinman A.
        • Ho G.Y.
        Influence of physician attitudes on willingness to perform abortion.
        Obstet Gynecol. 1999; 93: 576-580
        • Shanahan M.A.
        • Metheny W.P.
        • Star J.
        • Peipert J.F.
        Induced abortion.
        J Reprod Med. 1999; 44: 428-432
        • Fischer R.L.
        • Schaeffer K.
        • Hunter R.L.
        Attitudes of obstetrics and gynecology residents toward abortion participation: a Philadelphia area survey.
        Contraception. 2005; 72: 200-205
        • Steinauer J.E.
        • Landy U.
        • Jackson R.A.
        • Darney P.D.
        The effect of training on the provision of elective abortion: a survey of five residency programs.
        Am J Obstet Gynecol. 2003; 188: 1161-1163
        • Sloan M.
        • Laube D.
        CREOG Education survey on abortion training.
        Wisconsin Survey Research Laboratory, Madison (WI)1999
        • Donovan P.
        Hospital mergers and reproductive health care.
        Fam Plann Perspect. 1996; 28: 281-284