| Titre : | Physician assistants as providers of surgically induced abortion services. (2004) |
| Auteurs : | Marlene-B GOLDMAN ; Jane-S OCCHIUTO ; Rheather PALMER ; Laura-E PETERSON ; Jane-G ZAPKA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 8, 2004) |
| Pagination : | 1352-1357 |
| Langues: | Anglais |
| Mots-clés : | Médecin ; Profession santé ; IVG ; Complication ; Expérience professionnelle ; Homme ; Femme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS tNRR0x7U. Diffusion soumise à autorisation]. 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 [Cl]=11.9,39.2) performed by physician assistants and 23.3 per 1000 procedures (95% Cl=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% Cl=1.1,4.1). Conclusions : Surgical abortion services provided by experienced physician assistants were comparable in safety and efficacy to those provided by physicians. |
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