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Gynaecologists' abortion practice.

C Francome1, W D Savage

  • 1Middlesex Polytechnic, London, UK.

British Journal of Obstetrics and Gynaecology
|February 1, 1992
PubMed
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Gynaecologists’ opinions on abortion provision and methods for second-trimester abortions were surveyed. Many supported later abortions for specific reasons, but few performed them, indicating a gap between views and practice.

Area of Science:

  • Medical Sociology
  • Public Health Policy
  • Reproductive Health

Background:

  • Abortion provision within the National Health Service (NHS) in Great Britain.
  • Variations in gynaecologists' opinions and practices regarding abortion services.

Purpose of the Study:

  • To assess the relationship between gynaecologists' views on abortion provision and the services offered by the NHS.
  • To investigate the methods employed for second-trimester abortions.

Main Methods:

  • A 1989 postal questionnaire survey of a 50% random sample of NHS gynaecologists in Great Britain.
  • Data collected on gynaecologists' opinions and reported practices regarding abortion.
  • Response rate of 87% (343 of 396 selected).
Keywords:
Empirical ApproachGenetics and ReproductionNational Health ServiceAbortion, InducedAttitudeBehaviorData CollectionDelivery Of Health CareDeveloped CountriesEducationEuropeEvaluationFamily PlanningFertility Control, PostconceptionHealthHealth PersonnelHealth ServicesNational Health ServicesNorthern EuropePerceptionPhysiciansPregnancyPregnancy, Second TrimesterPsychological FactorsReproductionResearch MethodologySampling StudiesStudiesSurveysTraining ActivitiesTraining ProgramsUnited Kingdom

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Main Results:

  • While a majority of gynaecologists approved later abortions for rape (57%) or maternal health risks (85%), only 11% performed abortions beyond 20 weeks.
  • Dilatation and evacuation (D&E) was underutilized (1%) despite its safety and efficiency for 13-16 week abortions.
  • Less than 50% of abortions occurred within the NHS, with fewer than 40% of gynaecologists reporting service provision issues, despite 21% believing they served over 90% of local women.

Conclusions:

  • Implementing suggestions could enhance abortion services and reduce regional disparities.
  • Separating abortion services and establishing regional units may improve care and research opportunities.
  • Addressing the gap between opinions and practice is crucial for effective reproductive healthcare and potentially impacts global population growth.