{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T01:09:22Z","timestamp":1776820162666,"version":"3.51.2"},"reference-count":17,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T00:00:00Z","timestamp":1540857600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"name":"UNDP-UNFPA-UNICEF-WHO-World Bank"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 2007 referendum legalized abortion in Portugal. Physicians played an important role advocating for legal reform and providing services thereafter. Implementers relied on a strong public health system with many gynecologists who required minimal training, and took decisions that allowed for rapid implementation. First, they emphasized medical abortion and integrated abortion into existing hospital obstetrics and gynecologic services, where eventual complications could be managed. They also offered immediate postabortion contraception, helping prevent criticism from abortion opponents who feared women would obtain multiple repeat abortions. Finally, they established referral networks guaranteeing access despite conscientious objection. Media campaigns were not needed as Portuguese women had good access to information. Portugal's success is largely due to key facilitators within a working group established by the Ministry of Health to implement the new law. Remaining challenges are the lack of choice between medical and surgical abortion, and some regions with relatively difficult geographic access to services.<\/jats:p>","DOI":"10.1002\/ijgo.12675","type":"journal-article","created":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T11:40:27Z","timestamp":1540899627000},"page":"31-37","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["\u201cReferendum on Sunday, working group on Monday\u201d: A success story of implementing abortion services after legalization in Portugal"],"prefix":"10.1002","volume":"143","author":[{"given":"Bianca M.","family":"Stifani","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health Albert Einstein College of Medicine\/Montefiore Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duarte","family":"Vilar","sequence":"additional","affiliation":[{"name":"Lus\u00edada University  Lisbon Portugal"},{"name":"Centro Lus\u00edada de Investiga\u00e7\u00e3o em Servi\u00e7o Social e Investiga\u00e7\u00e3o Social  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Vicente","sequence":"additional","affiliation":[{"name":"Maternity Dr Alfredo da Costa \u2010 Central Lisbon Hospital Center  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0398-2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12671"},{"key":"e_1_2_11_4_1","unstructured":"Assembleia da Republica. 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Lei n. 16\/2007 de 17 de Abril.http:\/\/www.saudereprodutiva.dgs.pt\/legislacao\/interrupcao-voluntaria-da-gravidez\/lei-n162007-publicado-a-17-de-abril.aspx. Accessed August 22 2018."},{"key":"e_1_2_11_11_1","unstructured":"Interrup\u00e7\u00e3o da Gravidez por Op\u00e7\u00e3o da Mulher \u2010 Guia Informativo.Lisboa:2007.https:\/\/www.dgs.pt\/areas-em-destaque\/interrupcao-da-gravidez\/formularios-e-documentos-normalizados\/interrupcao-da-gravidez-por-opcao-da-mulher-guia-informativo.aspx. 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Accessed August 22 2018."},{"key":"e_1_2_11_15_1","first-page":"55","article-title":"Regulation of conscientious objection to abortion: An international comparative multiple\u2010case study","volume":"19","author":"Chavkin W","year":"2017","journal-title":"Health and Human Rights"},{"key":"e_1_2_11_16_1","unstructured":"VicenteLF BombasT Ceu AlmeidaM AlvesMJ CamposA.Abortion on request: 10\u00a0years\u2019 experience of implementation of national services. 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