{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:05:28Z","timestamp":1766066728726},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T00:00:00Z","timestamp":1500422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"The Society of Family Planning"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the proportion of women presenting for an induced abortion in Ghana who could use a gestational wheel to determine if they had reached at least 13\u00a0weeks or fewer than 13\u00a0weeks of pregnancy accurately.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present cross\u2010sectional study was conducted at four facilities in Ghana between February 1, and July 31, 2014. Women aged at least 18\u00a0years seeking induced abortions who had not previously been informed of the length of their pregnancy by a clinician were enrolled. Women self\u2010assessed pregnancy duration using a gestational wheel before a clinician assessed the length via clinical assessment and bimanual exam for use as a respective reference point. The proportion of participants who used the wheel successfully was calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study enrolled 780 participants, 770 of whom used the gestational wheel. Of these, 221 (28.7%) could use the wheel without verbal instructions, and 465 (60.4%) described it as easy to use. Agreement in pregnancy\u2010length assessments was recorded for 728 (94.5%) patients. There were 10 (1.3%) and 28 (3.6%) participants who made evaluations with \u201clow\u2010risk disagreement\u201d and \u201chigh\u2010risk disagreement\u201d with the clinician assessment, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Almost all participants could use the gestational wheel to date their pregnancies correctly. This tool could help women perform medical abortions safely in the community, reducing morbidity and mortality from unsafe abortions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12235","type":"journal-article","created":{"date-parts":[[2017,6,11]],"date-time":"2017-06-11T09:06:36Z","timestamp":1497171996000},"page":"71-77","source":"Crossref","is-referenced-by-count":1,"title":["Determining the accuracy of pregnancy\u2010length dating among women presenting for induced abortions in Ghana"],"prefix":"10.1002","volume":"139","author":[{"given":"Kristen M.","family":"Shellenberg","sequence":"first","affiliation":[{"name":"Ipas  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel K.","family":"Antobam","sequence":"additional","affiliation":[{"name":"Ipas  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Risa","family":"Griffin","sequence":"additional","affiliation":[{"name":"Minnesota Population Center  Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Edelman","sequence":"additional","affiliation":[{"name":"Oregon Health &amp; Science University  Portland OR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gertrude","family":"Voetagbe","sequence":"additional","affiliation":[{"name":"Ipas  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,19]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Pathfinder International.Improving abortion and postabortion care services using community survey data in Ghana.http:\/\/www2.pathfinder.org\/site\/DocServer\/Pathfindings_final.pdf. Published2009. Accessed May 15 2016."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.1190"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2307\/2673822"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60914-3"},{"key":"e_1_2_8_6_1","volume-title":"Safe Abortion: Technical and Policy Guidance for Health Systems","author":"World Health Organization","year":"2012"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)10170-3"},{"key":"e_1_2_8_8_1","unstructured":"AndersenK FjerstadM BasnettI NeupaneS RegmiK AcreV.Determination of medical abortion eligibility and success by women and community health volunteers: A toolkit evaluation. North American Forum on Family Planning2014 Miami FL."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.10.015"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/den328"},{"key":"e_1_2_8_11_1","volume-title":"Prevention and Management of Unsafe Abortion: Comprehensive Abortion Care Services","author":"Ghana Health Service","year":"2012"},{"key":"e_1_2_8_12_1","first-page":"17","article-title":"Review: abortion care in Ghana: a critical review of the literature","volume":"18","author":"Rominksi SD","year":"2014","journal-title":"Afr J Reprod Health"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czu105"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12235","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T22:02:30Z","timestamp":1696370550000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,19]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1002\/ijgo.12235"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12235","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,19]]}}}