Treatment of early pregnancy failure: does induced abortion training affect later practices?

Objective The objective of the study was to examine the relationship between induced abortion training and views toward, and use of, office uterine evacuation and misoprostol in early pregnancy failure (EPF) care. Study Design We surveyed 308 obstetrician-gynecologists on their knowledge and attitud...

Full description

Saved in:
Bibliographic Details
Published in:American journal of obstetrics and gynecology 2011-06, Vol.204 (6), p.493.e1-493.e6
Main Authors: Dalton, Vanessa K., MD, MPH, Harris, Lisa H., MD, PhD, Bell, Jason D., MD, MPH, Schulkin, Jay, PhD, Steinauer, Jodi, MD, Zochowski, Melissa, MS, Fendrick, A. Mark, MD
Format: Article
Language:English
Subjects:
Abortion, Induced - education
Biological and medical sciences
Birth control
Cross-Sectional Studies
early pregnancy failure
Embryo Loss - therapy
Female
Gynecology
Gynecology. Andrology. Obstetrics
Humans
induced abortion
Induced abortion. Therapeutic abortion
Male
Medical sciences
Obstetrics
Obstetrics and Gynecology
Practice Patterns, Physicians
Pregnancy
training
treatment patterns
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective The objective of the study was to examine the relationship between induced abortion training and views toward, and use of, office uterine evacuation and misoprostol in early pregnancy failure (EPF) care. Study Design We surveyed 308 obstetrician-gynecologists on their knowledge and attitudes toward treatment options for EPF and previous training in office-based uterine evacuation. Results Sixty-seven percent of respondents reported training in office uterine evacuation, and 20.3% reported induced abortion training. Induced abortion training was associated with strongly positive views toward both office-based uterine evacuation and misoprostol as treatment for EPF compared with those with office uterine evacuation training in other settings (odds ratio [OR], 2.64; P < .004 and OR, 3.22; P < .003, respectively). Furthermore, induced abortion training was associated with the use of office uterine evacuation for EPF treatment compared with those with office evacuation training in other settings (OR, 2.90; P = .004). Conclusion Training experiences, especially induced abortion training, are associated with the use of office uterine evacuation for EPF.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2011.01.052