The objective of this study was to describe the availability of early surgical and medical abortion among members of the National Abortion Federation (NAF) and to identify factors affecting the integration of early abortion services into current services. Telephone interviews were conducted with staff at 113 Planned Parenthood affiliates and independent abortion providers between February and April 2000, prior to FDA approval of mifepristone. Early abortion services were available at 59% of sites, and establishing services was less difficult than or about what was anticipated. Sites generally found it easier to begin offering early surgical abortion than early medical abortion. Physician participation was found to be critical to implementing early services. At sites where some but not all providers offered early abortion, variations in service availability resulted. Given the option of reconsidering early services, virtually all sites would make the same decision again. These data suggest that developing mentoring relationships between experienced early abortion providers/sites and those not offering early services, and training physicians and other staff, are likely to be effective approaches to expanding service availability.
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- Surgical abortion for gestations of less than 6 weeks.Curr Probl Obstet Gynecol Fertil. 1997; 20: 11-19
- Drug therapy.N Engl J Med. 2000; 342: 946-956
- Early termination of pregnancy with mifepristone (RU 486) and the orally active prostaglandin misoprostol.N Engl J Med. 1993; 328: 1509-1513
- A comparison of the Abortion Rights Mobilization and Population Council trials.J Am Med Womens Assoc. 2000; 55: 137-140
- Low-dose mifepristone followed by vaginal misoprostol at 48 hours for abortion up to 63 days.Contraception. 2000; 61: 41-46
- Early pregnancy termination with mifepristone and misoprostol in the United States.N Engl J Med. 1998; 338: 1241-1247
- Abortion surveillance.MMWR CDC Surveill Summ. 2000; 48 (1191): 1171-1174
- Manual vacuum aspiration. Ipas, Carrboro, NC1993
- Complications of abortion performed under local anesthesia.Eur J Obstet Gynecol Reprod Biol. 1998; 81: 59-63
- Early surgical abortion.Am J Obstet Gynecol. 2000; 183: S76-S83
- MVA and medical abortion. Clinical practice notes. Ipas, Chapel Hill, NC2001
- Comparison of medical abortion with surgical vacuum aspiration.BMJ. 1993; 307: 714-717
- Two national surveys. The Foundation, Menlo Park, CA1998
- Abortion surveillance.MMWR CDC Surveill Summ. 1998; 47 (1035): 1025-1028
- More abortion providers are moving to offer very early medical and surgical services. The Institute, New York2000
- Abortions that fail.Obstet Gynecol. 1985; 66: 533-537
- First trimester surgical abortion practices.Contraception. 2001; 64: 345-352
Accepted: November 5, 2002
Received in revised form: September 13, 2002
Received: April 8, 2002
© 2003 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.