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

Steinauer J, Landy U, Filippone H, Laube D, Darney PD, Jackson RA

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, School of Medicine, San Francisco, CA, USA.

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.

Published 1 January 2008 in Am J Obstet Gynecol, 198(1): 39.e1-6.
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