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Research ArticleOriginal Research

Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators

Cara Herbitter, Ariana Bennett, Finn D. Schubert, Ian M. Bennett and Marji Gold
The Journal of the American Board of Family Medicine November 2013, 26 (6) 751-758; DOI: https://doi.org/10.3122/jabfm.2013.06.120248
Cara Herbitter
RHEDI/Reproductive Health Education in Family Medicine, the Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY (CH, FDS, MG); the Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY (AB, MG); the Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (IMB).
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Ariana Bennett
RHEDI/Reproductive Health Education in Family Medicine, the Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY (CH, FDS, MG); the Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY (AB, MG); the Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (IMB).
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Finn D. Schubert
RHEDI/Reproductive Health Education in Family Medicine, the Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY (CH, FDS, MG); the Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY (AB, MG); the Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (IMB).
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Ian M. Bennett
RHEDI/Reproductive Health Education in Family Medicine, the Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY (CH, FDS, MG); the Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY (AB, MG); the Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (IMB).
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Marji Gold
RHEDI/Reproductive Health Education in Family Medicine, the Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY (CH, FDS, MG); the Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY (AB, MG); the Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (IMB).
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    Figure 1.

    Response rate and exclusion criteria.

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    Table 1. Respondent Demographics
    Country (n = 1198)
        Canada19 (1.6)
        United States1179 (98.4)
    Region (n = 1177)
        Northeast272 (23.1)
        Midwest354 (30.1)
        South302 (25.7)
        West249 (21.2)
    Gender (n = 1190)
        Male652 (54.8)
        Female538 (45.2)
    Ethnicity (n = 1191)
        Non-Hispanic white989 (83.0)
        Non-Hispanic black42 (3.5)
        Hispanic48 (4.0)
        Asian84 (7.1)
        Other28 (2.4)
    Age (n = 1192)
         <40240 (20.1)
        40–49353 (29.6)
        50–59440 (36.9)
        ≥60159 (13.3)
    Half days each week seeing patients in clinic (n = 1197)
         <3550 (45.9)
        3–6576 (48.1)
        ≥771 (5.9)
    • Data are n (%).

    • View popup
    Table 2. Early Pregnancy Failure (EPF) Management Practices Among Family Medicine Educator Respondents
    Ever treated EPF (n = 1193)1052 (88.2)
    Types of treatment*
        Counseling (n = 1043)1024 (98.2)
        Expectant management (n = 1046)1003 (95.9)
        Medication (n = 1045)760 (72.7)
        Aspiration (n = 1042)171 (16.4)
    Treated EPF in past year* (n = 1044)591 (56.6)
    Referral practices† (n = 135)
        I refer to someone in my practice.40 (29.6)
        I refer to someone outside my department but within my institution.73 (54.1)
        I refer to the emergency department.5 (3.7)
        I do not refer to anyone in particular.17 (12.6)
    • Data are n (%).

    • ↵* Limited to the 1052 respondents who reported ever treating EPF; n < 1052 where noted because of missing responses.

    • ↵† Limited to those who reported never treating EPF.

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    Table 3. Induced Abortion Practices Among Family Medicine Educator Respondents
    Ever provided induced abortion*
        Either medication or aspiration (n= 1174)180 (15.3)
        Medication (n = 1168)145 (12.4)
        Aspiration (n = 1157)100 (8.6)
    Provided induced abortion in the past year†
        Either medication or aspiration (n = 180)53 (29.4)
        Medication (n = 145)49 (33.8)
        Aspiration (n = 100)24 (24.0)
    • Data are n (%).

    • ↵* Percentages reported are for all 1198 survey respondents; n < 1198 where noted because missing responses.

    • ↵† Limited to those who reported ever providing each type of induced abortion.

    • View popup
    Table 4. Attitudes Regarding Management of Early Pregnancy Failure (EPF) and Induced Abortion Among Family Medicine (FM) Educator Respondents
    EPF management within scope of FM (n = 1183)
        Strongly agree712 (60.2)
        Agree412 (34.8)
        Disagree37 (3.1)
        Strongly disagree22 (1.9)
    Induced abortion within scope of FM (n = 1154)
        Strongly agree347 (30.1)
        Agree498 (43.2)
        Disagree154 (13.3)
        Strongly disagree155 (13.4)
    Induced abortion legal regulation beliefs (n = 1147)
        It should be legal under any circumstances.648 (56.5)
        It should be legal only under certain circumstances.412 (35.9)
        It should be illegal.87 (7.6)
    • Data are n (%).

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The Journal of the American Board of Family     Medicine: 26 (6)
The Journal of the American Board of Family Medicine
Vol. 26, Issue 6
November-December 2013
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Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators
Cara Herbitter, Ariana Bennett, Finn D. Schubert, Ian M. Bennett, Marji Gold
The Journal of the American Board of Family Medicine Nov 2013, 26 (6) 751-758; DOI: 10.3122/jabfm.2013.06.120248

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Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators
Cara Herbitter, Ariana Bennett, Finn D. Schubert, Ian M. Bennett, Marji Gold
The Journal of the American Board of Family Medicine Nov 2013, 26 (6) 751-758; DOI: 10.3122/jabfm.2013.06.120248
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  • Abortion (Induced)
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