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Study shows family medicine physicians face many barriers to providing medical abortions

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What prevents family doctors from giving medical abortion to patients who need it?

This is a question posed by UC Davis and UC San Francisco researchers in a new study published today American Family Medicine Journal. The study identified several barriers — including lack of discipline and restrictions from the federation as well state government and their institutions — that is family doctors must be rotated for production abortion services for their patients.

“Family doctors are the first point of contact for many patients in health care systemNa’amah Razon, assistant professor in the family as well community medicine at UC Davis Health and lead author of the study. “Therefore, they play an important role in improving the quality of access to safe abortion options.”

Dispense medication using mifepristone

Abortion is a non-surgical procedure that uses medication to end the pregnancy. It consists of taking two drugs in a row: mifepristone and misoprostol. The Food and Drug Administration (FDA) has approved this combination for medical abortion within the first 70 days of pregnancy.

Recent studies have shown that medical abortion is safe and effective for termination of pregnancy, even without clinical evaluation.

Barriers to primary care providers

The new study reveals the factors that family physicians are interested in producing abortion.

The researchers interviewed 41 primary care physicians and seven leaders in family medicine from across the United States. They are divided into three categories based on medical abortion training and whether they offer abortion services or not:

Those who have not received abortion training and do not have an abortion: Doctors in this category cite lack of abortion training as a major barrier to the provision of abortion services. This study highlights the need to strengthen the visibility and training potential in medical education.

Those who have undergone abortion training but have not had an abortion: This group of trained physicians, the largest in the sample, discussed the planning steps of the states and the agencies they encountered which prevent them from writing abortion pills. Restrictions include regulations requiring abortion only in non-emergency or surgical settings, making abortion impossible in some primary care hospitals. In addition, doctors at federal health centers face restrictions such as Hyde Amendment which prohibits the use of federal funds to manage abortion.

Others point to the challenge of the FDA’s Risk Evaluation and Mitigation Strategy (REMS) strategy and safety plan. The measurement of the program on mifepristone requires qualified physicians to sign and obtain the patient’s signature for the patient’s medical record. Despite documented research on the safety of mifepristone, a recent study by Razon and her colleagues found that REMS principles on mifepristone pose a unique challenge for family physicians.

Those who have undergone abortion training and are currently performing abortions: Most family doctors and interviewees who perform abortions do this outside of primary care hospitals. About 60% of the participants in this group worked in maternity hospitals which allowed them to prescribe abortion pills. These doctors explained that government policy, lack of support from the maternity and child health department, and early labor status prevented some of them from providing abortion services in primary care facilities.

All participants in the study who provided medical abortion at primary care facilities were in the North East or West. No one works in states that have specific abortion restrictions. The providers of abortions at federal health facilities praised their commitment and thanked them for their support.

Procedure for medical abortion

“Our research shows how a person, system and family planning approach is involved in including abortion in primary care,” said Razon, who is affiliated with the UC Davis Center for Health Studies. “This is an important time where family doctors can and should play a role in enhancing abortion opportunities.”

According to the researchers, increased access will need to address every individual and systemic barrier faced by family physicians. They recommend a communication strategy to help strengthen family doctors to offer medical abortion.

“Primary care physicians need education, training and support to successfully integrate abortion take care of them medicine“says lead author Christine Dehlendorf. Dehlendorf is a director and professor at the Department of Family and Community Medicine at the University of California, San Francisco (UCSF).


A new study has identified a small minority of workers who provide abortion services in the United States


Learn more:
Na’amah Razon et al, An advanced study of obstetricians and managers to integrate abortion into primary care, American Family Medicine Journal (2022). DOI: 10.3122 / jabfm.2022.03.210266

Ushma D. Upadhyay et al, Results and Safety of Historical Research for Abdominal Pain, JAMA Internal Medicine (2022). DOI: 10.1001 / jamainternmed.2022.0217

Na’amah Razon et al, Investigate the impact of mifepristone risk assessment and risk reduction strategies (REMS) on the combination of medical abortion in primary care hospitals in the United States ✰, ✰✰, Birth control pills (2022). DOI: 10.1016 / j. birth control.2022.01.017

hintStudies show that family physicians face many challenges to deliver a medical abortion (2022, May 18) was restored on May 18, 2022 from https://medicalxpress.com/news/2022-05-family- medicine-physicians-barriers-medical.html

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