{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:13:08Z","timestamp":1788520388180,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T00:00:00Z","timestamp":1365552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate abortion practices of <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epali women requiring postabortion care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Four tertiary\u2010care hospitals in urban and rural <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>A total of 527 women presenting with complications from induced abortion in 2010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women completed questionnaires on their awareness of the legal status of abortion and their abortion\u2010seeking experiences. The method of induction and whether the abortion was obtained from an uncertified source was documented. Multivariable logistic regression was used to identify associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Induction method; uncertified abortion source.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 234 (44%) women were aware that abortion was legal in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal. Medically induced abortion was used by 359 (68%) women and, of these, 343 (89%) took unsafe, ineffective or unknown substances. Compared with women undergoing surgical abortion, women who had medical abortion were more likely to have obtained information from pharmacists (161\/359, 45% versus 11\/168, 7%, adjusted odds ratio [<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>] 8.1, 95% confidence interval 4.1\u201316.0) and to have informed no one about the abortion (28\/359, 8% versus 3\/168, 2%, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 5.5, 95% CI 1.1\u201326.9). Overall, 291 (81%) medical abortions and 50 (30%) surgical abortions were obtained from uncertified sources; these women were less likely to know that abortion was legal (122\/341, 36% versus 112\/186, 60%, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 0.4, 95% CI 0.2\u20130.7) and more likely to choose a method because it was available nearby (209\/341, 61% versus 62\/186, 33%, <jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 2.5, 95% CI 1.5\u20134.3), compared with women accessing certified sources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among women presenting to hospitals in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal with complications following induced abortion of pregnancy, the majority had undergone medically induced abortions using unknown substances acquired from uncertified sources. Women using medications and those accessing uncertified providers were less aware that abortion is now legal in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal. These findings highlight the need for continued improvements in the provision and awareness of abortion services in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12242","type":"journal-article","created":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T11:14:00Z","timestamp":1365592440000},"page":"1075-1084","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Unsafe abortion after legalisation in <scp>N<\/scp>epal: a cross\u2010sectional study of women presenting to hospitals"],"prefix":"10.1111","volume":"120","author":[{"given":"CH","family":"Rocca","sequence":"first","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics Gynecology and Reproductive Sciences School of Medicine University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Puri","sequence":"additional","affiliation":[{"name":"Center for Research on Environment Health &amp; Population Activities (CREHPA) Kusunti Lalitpur Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Dulal","sequence":"additional","affiliation":[{"name":"Center for Research on Environment Health &amp; Population Activities (CREHPA) Kusunti Lalitpur Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Bajracharya","sequence":"additional","affiliation":[{"name":"Capital Hospital Pvt. Ltd Putalisadak Kathmandu Nepal"},{"name":"Paropakar Maternity and Women's Hospital Thapathali Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CC","family":"Harper","sequence":"additional","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics Gynecology and Reproductive Sciences School of Medicine University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Blum","sequence":"additional","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics Gynecology and Reproductive Sciences School of Medicine University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JT","family":"Henderson","sequence":"additional","affiliation":[{"name":"Bixby Center for Global Reproductive Health Department of Obstetrics Gynecology and Reproductive Sciences School of Medicine University of California San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,4,10]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Nepal Demographic and Health Survey, 2011","author":"Ministry of Health and Population","year":"2012"},{"key":"e_1_2_6_3_1","volume-title":"Nepal Demographic and Health Survey, 2006","author":"Ministry of Health and Population","year":"2007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24007-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2307\/1966528"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0019898"},{"key":"e_1_2_6_7_1","volume-title":"Trends in maternal mortality:1990 to 2010, WHO, UNICEF, UNFPA and The World Bank estimates","author":"World Health Organization","year":"2011"},{"key":"e_1_2_6_8_1","unstructured":"HendersonJ SharmaS RanaA PuriM HarperC et\u00a0al.Effects of abortion legalization in Nepal: complications treated at three tertiary care centers 2001\u20132010. 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Report submitted to Planned Parenthood Federation of America.Kathmandu Nepal:CREHPA 2009."},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(95)00388-6"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.76.4.299"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(05)26194-3"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.12242","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.12242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T06:05:56Z","timestamp":1696313156000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,10]]},"references-count":25,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1111\/1471-0528.12242"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.12242","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,10]]},"assertion":[{"value":"2013-02-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}