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

Published:November 05, 2007DOI:https://doi.org/10.1016/j.ajog.2007.06.002

      Objective

      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.

      Results

      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.

      Conclusion

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

      Key words

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