Evidence map›Paper›PMID 36693753›Full record

ArticleCanadian family physician Medecin de famille canadien2023

First-trimester surgical abortion practice in Canada in 2012.

Regina-Maria Renner, Vivien Hu, Édith R Guilbert, Arianne Y K Albert, Katharine O'Connell White, Heidi E Jones, Xiaoning Guan, Wendy V Norman

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Article in Canadian family physician Medecin de famille canadien, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Regina-Maria RennerClinical Associate Professor of Obstetrics and Gynaecology at the University of British Columbia in Vancouver and a co-investigator in the Contraception and Abortion Research Team in the Women's Health Research Institute at BC Women's Hospital and Health Centre.
Vivien HuMedical student in the Faculty of Medicine at the University of British Columbia and a research assistant in the Contraception and Abortion Research Team in the Women's Health Research Institute at the time of the study.
Édith R GuilbertSenior Medical Adviser in the Direction des individus et des communautés at the Institut national de santé publique du Québec in Québec, QC, and Outgoing Director of the Contraception and Abortion Research Team in the Women's Health Research Institute.
Arianne Y K AlbertBiostatistician in the Contraception and Abortion Research Team in the Women's Health Research Institute.
Katharine O'Connell WhiteVice Chair of Academics, Associate Director of the Complex Family Planning Fellowship, and Director of BEACON Research at Boston Medical Center in Massachusetts.
Heidi E JonesAssistant Professor in the School of Public Health at City University of New York in New York, NY.
Xiaoning GuanMedical student in the Faculty of Medicine at the University of British Columbia and a research assistant in the Contraception and Abortion Research Team in the Women's Health Research Institute at the time of the study.
Wendy V NormanFamily physician researcher, Professor, and Director of the Clinician Scholar Program in the Department of Family Practice at the University of British Columbia, Honorary Associate Professor in the Faculty of Public Health and Policy at the London School of Hygiene and Tropical Medicine in the United Kingdom, and Co-Director of the Contraception and Abortion Research Team in the Women's Health Research Institute. wendy.norman@ubc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate practices among first-trimester surgical abortion facilities and providers in Canada in 2012 and examine the characteristics of the surgical abortion work force.

designSelf-administered paper or electronic survey adapted from a survey previously fielded in the United States.

settingCanada.

participantsFacility administrators and physicians. MAIN OUTCOMES MEASURES: Descriptive statistics on reported first-trimester surgical abortion practice and provider demographic characteristics.

resultsEighty-three percent of identified facilities (78 of 94) and 178 physicians responded. Of the respondents, 99% of facilities and 96% of physicians provided first-trimester surgical abortions. Responding facilities provided 68,154 first-trimester surgical abortions in 2012. This represented 96% of their reported total (combined medical and surgical) first-trimester abortions. More than half (55%) of responding facilities were community based, while 45% were hospital affiliated. Most physician providers were female (68%) and were family doctors (59%). Preoperatively, 96% of physicians routinely used ultrasound and 89% gave perioperative antibiotics. Almost half (48%) used manual vacuum aspiration, but less than 35% did so beyond 9 weeks after the last menstrual period. At most facilities, most procedures were performed under combined local anesthesia and intravenous sedation (73%); only 7% indicated deep sedation or general anesthesia were used exclusively. Postoperatively, 81% of physicians performed immediate tissue examination and 96% offered postabortion contraception on the same day as the abortion. Other assessed outcomes included medication regimens and cervical preparation, with a high degree of consistency among facilities and physicians.

conclusionFirst-trimester surgical abortion providers are mostly family physicians and most are female. Practices across Canada were mostly uniform and followed evidence-based guidelines. Uptake of the most recent Canadian practice guidelines may help further standardize patient care and improve routine perioperative antibiotic use and immediate tissue examination.

Indexed as

Abortion, InducedCanadaFemaleHumansMalePhysicians, FamilyPregnancyPregnancy Trimester, FirstSurveys and QuestionnairesUnited States

Identifiers

PMID36693753
PMCPMC9873287

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Registered trials

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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.