Evidence map›Paper›PMID 41929341›Full record

ArticlemedRxiv : the preprint server for health sciences2026

Cohort profile: The Nepal Turnaway Study.

Rachel Murro, Sarah Raifman, W John Boscardin, Mahesh C Puri, Sunita Karki, Anupama Ale Magar, Dev Chandra Maharjan, Corinne H Rocca, M Antonia Biggs, Nadia G Diamond-Smith and 1 more

Registry-linked trialAbstract readPreprint
PubMed Full text at PMC Publisher
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03930576 (Pregnancy Context and Health), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03930576 active not recruitingnot on this map

Pregnancy Context and Health

TypeobservationalSponsorUniversity of California, San FranciscoRan2019 to 2028Enrolled1,436ConditionsUnwanted PregnancyArmsReceipt of termination services outside of legal setting
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Rachel MurroDepartment of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.ORCID 0000-0002-3317-9516
Sarah RaifmanAdvancing Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland CA, United States of America.ORCID 0000-0002-5025-2412
W John BoscardinDepartment of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.ORCID 0000-0003-3121-9526
Mahesh C PuriCenter for Research on Environment Health and Population Activities (CREHPA), Kathmandu, Nepal.ORCID 0000-0002-2913-1480
Sunita KarkiCenter for Research on Environment Health and Population Activities (CREHPA), Kathmandu, Nepal.
Anupama Ale MagarCenter for Research on Environment Health and Population Activities (CREHPA), Kathmandu, Nepal.ORCID 0009-0004-5748-2570
Dev Chandra MaharjanCenter for Research on Environment Health and Population Activities (CREHPA), Kathmandu, Nepal.
Corinne H RoccaAdvancing Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland CA, United States of America.ORCID 0000-0001-9892-249X
M Antonia BiggsAdvancing Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland CA, United States of America.ORCID 0000-0002-3904-3177
Nadia G Diamond-SmithDepartment of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.ORCID 0000-0002-8711-3029
Diana Greene FosterAdvancing Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland CA, United States of America.ORCID 0000-0002-2741-0283

Funding

Pregnancy Context and Health OutcomesR01HD095181 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FOSTER, DIANA GREENE · 2019 to 2023
$2.4M
NICHD NIH HHS R01 HD095181
6 · The paper itself

Abstract

Purpose: The Nepal Turnaway Study was designed to understand abortion care experiences and the longitudinal wellbeing of abortion-seekers and their families. Participants: The Nepal Turnaway Study is a nation-wide cohort of abortion seekers recruited from public and private facilities across all seven provinces between April 2019 and December 2020. It contains 1,832 abortion seekers followed for up to five years. Repeated measures of socioeconomic status, health and wellbeing-including maternal physical and mental health and child health (under age three)-were collected every six months or annually, alongside detailed pregnancy and abortion-seeking histories. Findings to date: Abortion seekers in this context can be recruited at health facilities (96% participation) and successfully followed for up to five years (85% retention). Nearly half (49%, n=856) of abortion seekers were initially denied their abortion, and 16% (n=275) ultimately carried the pregnancy to term and gave birth. Those who were denied were more likely to be socioeconomically disadvantaged prior to abortion seeking. Future plans: The Nepal Turnaway Study will be used to understand the longitudinal health and socioeconomic effects of receiving a wanted abortion in this setting. Exposure-balancing weights can be applied to ensure rigorous estimation of the effects of abortion denial on longitudinal outcomes. This cohort can also be used more broadly to examine the trajectories of women and their families in the years following abortion-seeking. Registration: This study has been registered at clinicaltrials.gov (NCT03930576).

Identifiers

PMID41929341
PMCPMC13042098

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Registered trials

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.