Physician Assistants as Providers of Surgically Induced Abortion Services

Bibliographic Data

ID11029450
AuthorsMarlene Goldman (Beth Israel Deaconess Medical Center), Marlene B Goldman (Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass.), Jane S Occhiuto (Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass.), Laura E Peterson (0000-0002-3127-5176, Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass.), Jane G Zapka (Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass.), R Heather Palmer (Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass.)
Year2004
Volume94
Issue8
Pages1352-1357
Publication date2004-08-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.94.8.1352
PMID15284043
OpenAlexW2111826489
LanguageEN
Citations received7
References cited12

Objectives. We compared complication rates after surgical abortions performed by physician assistants with rates after abortions performed by physicians. Methods. A 2-year prospective cohort study of women undergoing surgically induced abortion was conducted. Ninety-one percent of eligible women (1363) were enrolled. Results. Total complication rates were 22.0 per 1000 procedures (95% confidence interval [CI] = 11.9, 39.2) performed by physician assistants and 23.3 per 1000 procedures (95% CI = 14.5, 36.8) performed by physicians (P = .88). The most common complication that occurred during physician assistant–performed procedures was incomplete abortion; during physician-performed procedures the most common complication was infection not requiring hospitalization. A history of pelvic inflammatory disease was associated with an increased risk of total complications (odds ratio = 2.1; 95% CI = 1.1, 4.1). Conclusions. Surgical abortion services provided by experienced physician assistants were comparable in safety and efficacy to those provided by physicians

Abortion · Cohort study · Complication · Confidence interval · Health care · Incomplete Abortion · Misoprostol · Nurse practitioners · Obstetrics · Odds ratio · Physician assistants · Pregnancy · Internal Medicine · Medicine · Reproductive Health and Contraception · Reproductive System and Pregnancy · Surgery · Surgical site infection prevention

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