{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T08:49:20Z","timestamp":1768034960427,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:00:00Z","timestamp":1343260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore Indian abortion providers\u2019 knowledge of medical abortion (MA), their personal experiences and practices of providing medical abortion, and their attitudes toward providing MA to eligible women who were poor, uneducated, and\/or from rural areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In selected districts of India's Bihar and Maharashtra states, interviews were conducted with 270 physicians who were certified as abortion providers, using a structured questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The providers\u2019 knowledge of the gestational limit, the recommended doses of mifepristone and misoprostol, and other aspects of the approved protocol was far from universal. Only about two\u2010thirds of these physicians authorized to perform MA actually performed it. Although they all counseled women about the procedure before they took mifepristone, the matters discussed were often limited to pain management and possible complications. Contraception was usually not discussed until the follow\u2010up visit. Most providers thus missed the opportunity to provide sustained counseling to their MA patients, and did not counsel them about the need to protect themselves in the 2 weeks following the administration of mifepristone. Moreover, many providers were reluctant to offer MA to poor, uneducated, and\/or rural women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings shed light on the need to raise awareness and dispel misgivings about MA among certified providers of abortion services. By placing emphasis on the method's safety and effectiveness, additional training to these would increase their confidence about offering MA to eligible women.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.05.009","type":"journal-article","created":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T07:13:00Z","timestamp":1343286780000},"source":"Crossref","is-referenced-by-count":19,"title":["Knowledge, attitudes, and practices of certified providers of medical abortion: Evidence from Bihar and Maharashtra, India"],"prefix":"10.1002","volume":"118","author":[{"given":"Rajib","family":"Acharya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shveta","family":"Kalyanwala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,7,26]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"The Medical Termination of Pregnancy Act (Act No. 34)","author":"Government of India","year":"1971"},{"key":"e_1_2_6_3_2","volume-title":"Abortion in India: An Overview","author":"Chhabra R.","year":"1994"},{"key":"e_1_2_6_4_2","volume-title":"Maternal Mortality in India, 1997\u20132003: Trends, Causes and Risk Factors: Sample Registration System","author":"Registrar General, India","year":"2006"},{"key":"e_1_2_6_5_2","volume-title":"The Medical Termination of Pregnancy Rules: Amendment","author":"Government of India","year":"2003"},{"key":"e_1_2_6_6_2","volume-title":"Comprehensive Abortion Care: Training and Service Delivery Guidelines","author":"Ministry of Health and Family Welfare","year":"2010"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(99)00003-7"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03549-2"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00309-8"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70511-8"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.2307\/2950827"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2007.03.010"},{"issue":"5","key":"e_1_2_6_13_2","first-page":"410","article-title":"Simplifying medical abortion: home administration of misoprostol","volume":"58","author":"Mundle S.","year":"2008","journal-title":"J Obstet Gynecol India"},{"issue":"4","key":"e_1_2_6_14_2","first-page":"340","article-title":"Are obstetrician\u2010gynecologists in India aware of and providing medical abortion?","volume":"56","author":"Elul B.","year":"2006","journal-title":"J Obstet Gynecol India"},{"key":"e_1_2_6_15_2","volume-title":"Medical abortion in Bihar and Jharkhand: A study of service providers, chemists, women and men","author":"Ganatra B.","year":"2005"},{"key":"e_1_2_6_16_2","volume-title":"Medical abortion: some exploratory findings from Gujarat Working Paper No.166","author":"Visaria L.","year":"2006"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(09)33439-4"},{"key":"e_1_2_6_18_2","volume-title":"RU 486: Use of RU 486 With Misoprostol for Early Abortion in India: Guidelines for Medical Officers","author":"World Health Organization\u2010Collaborating Center for Research in Human Reproduction","year":"2003"},{"key":"e_1_2_6_19_2","volume-title":"Census of India: Provisional Population Totals India, Series 1","author":"Office of the Registrar General and Census Commissioner","year":"2011"},{"key":"e_1_2_6_20_2","series-title":"National Family Health Survey (NFHS\u20103), 2005\u201306: India","author":"International Institute for Population Sciences and Macro International","year":"2007"},{"key":"e_1_2_6_21_2","volume-title":"Consumer Expenditure Survey, 2004\u20132005: 61st Round","author":"National Sample Survey Organization","year":"2007"},{"key":"e_1_2_6_22_2","volume-title":"Special Bulletin on Maternal Mortality in India, 2007\u201309","author":"Office of the Registrar General","year":"2011"},{"key":"e_1_2_6_23_2","volume-title":"Family Welfare Statistics in India, 2007\u201308","author":"Ministry of Health and Family Welfare","year":"2009"}],"container-title":["International Journal of Gynecology &amp; 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