Evidence map›Paper›PMID 33784993›Full record

ArticleBMC women's health2021

Perspectives on self-managed abortion among providers in hospitals along the Texas-Mexico border.

Sarah Raifman, Sarah E Baum, Kari White, Kristine Hopkins, Tony Ogburn, Daniel Grossman

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Self-Managed Abortion in the United States.Current obstetrics and gynecology reports · 2023
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Sarah RaifmanAdvancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, 94612, USA. Sarah.Raifman@ucsf.edu.
Sarah E BaumIbis Reproductive Health, 1736 Franklin St, Suite 600, Oakland, CA, 94612, USA.
Kari WhiteSteve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, Stop D3500, TX, 78712, Austin, USA.
Kristine HopkinsPopulation Research Center, The University of Texas at Austin, 305 E. 23rd St. Stop G1800, Austin, TX, 78712-1699, USA.
Tony OgburnUniversity of Texas Rio Grande Valley, 2102 Treasure Hill Blvd, Harlingen, TX, 78550, USA.
Daniel GrossmanAdvancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, 94612, USA.
Institute for Reproductive Health · USThe University of Texas at Austin · USIbis Reproductive Health · USThe University of Texas Rio Grande Valley · US

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

backgroundFollowing self-managed abortion (SMA), or a pregnancy termination attempt outside of the formal health system, some patients may seek care in an emergency department. Information about provider experiences treating these patients in hospital settings on the Texas-Mexico border is lacking.

methodsThe study team conducted semi-structured interviews with physicians, advanced practice clinicians, and nurses who had experience with patients presenting with early pregnancy complications in emergency and/or labor and delivery departments in five hospitals near the Texas-Mexico border. Interview questions focused on respondents' roles at the hospital, knowledge of abortion services and laws, perspectives on SMA trends, experiences treating patients presenting after SMA, and potential gaps in training related to abortion. Researchers conducted interviews in person between October 2017 and January 2018, and analyzed transcripts using a thematic analysis approach.

resultsMost of the 54 participants interviewed said that the care provided to SMA patients was, and should be, the same as for patients presenting after miscarriage. The majority had treated a patient they suspected or confirmed had attempted SMA; typically, these cases required only expectant management and confirmation of pregnancy termination, or treatment for incomplete abortion. In rare cases, further clinical intervention was required. Many providers lacked clinical and legal knowledge about abortion, including local resources available.

conclusionsTreatment provided to SMA patients is similar to that provided to patients presenting after early pregnancy loss. Lack of provider knowledge about abortion and SMA, despite their involvement with SMA patients, highlights a need for improved training.

Indexed as

Abortion, InducedAbortion, SpontaneousFemaleHospitalsHumansMexicoPregnancyTexasAbortionPregnancy intentionQualitative research methodsService providersUnited States

Identifiers

PMID33784993
PMCPMC8008213
OpenAlexW3141475542

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.