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Second-trimester surgical abortion practices: a survey of National Abortion Federation members
Katharine O'Connell1, Heidi E Jones, E Steve Lichtenberg
1Department of OB/GYN, Columbia University, New York, NY 10032, USA. ko2032@columbia.edu
Background:
The objective of this analysis was to assess the second-trimester surgical abortion practices of National Abortion Federation (NAF) members in North America and Australia.
Study Design:
In 2002, questionnaires were mailed to 364 active member clinics of NAF for completion by their clinic administrators and individual providers.
Results:
Two hundred eighty-nine (79%) clinics responded. Most NAF clinics (72%) offer second-trimester abortion services. The majority of second-trimester providers are obstetrician/gynecologists (63%), male (62%) and at least 50 years old (63%). We describe second-trimester surgical abortion practices in terms of patient eligibility, cervical ripening, ultrasound use, anesthesia and postoperative care.
Conclusions:
Surgical techniques and postoperative practices for second-trimester abortions are similar among these respondents, suggesting that NAF's efforts to promulgate best practices using evidence-based guidelines are succeeding. The aging of skilled practitioners raises concerns about the future availability of second-trimester abortion.
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