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Physician assistants as providers of surgically induced abortion services

Author

Listed:
  • Goldman, M.B.
  • Occhiuto, J.S.
  • Peterson, L.E.
  • Zapka, J.G.
  • Palmer, R.H.

Abstract

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.

Suggested Citation

  • Goldman, M.B. & Occhiuto, J.S. & Peterson, L.E. & Zapka, J.G. & Palmer, R.H., 2004. "Physician assistants as providers of surgically induced abortion services," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1352-1357.
    • Handle: RePEc:aph:ajpbhl:2004:94:8:1352-1357_8
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