Format

Send to

Choose Destination
Am J Public Health. 2004 Aug;94(8):1352-7.

Physician assistants as providers of surgically induced abortion services.

Author information

1
Department of Obstetrics and Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, USA. mgoldman@bidmc.harvard.edu

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.

PMID:
15284043
PMCID:
PMC1448455
DOI:
10.2105/ajph.94.8.1352
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center