{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:38:34Z","timestamp":1778902714362,"version":"3.51.4"},"reference-count":43,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,2,23]],"date-time":"2025-02-23T00:00:00Z","timestamp":1740268800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012297","name":"Society of Family Planning","doi-asserted-by":"publisher","award":["SFPRF16\u2010ES10"],"award-info":[{"award-number":["SFPRF16\u2010ES10"]}],"id":[{"id":"10.13039\/100012297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The emergency department (ED) is an essential setting for diagnosis of pregnancy, confirmation of pregnancy location, and management of pregnancy loss and other complications. This health care service delivery is especially important for patients with limited or complicated access into reproductive health care elsewhere. We seek to assess emergency physicians\u2019 knowledge, training, attitudes, and practices related to pregnancy options counseling, reproductive health referrals, and provision of medical\u2010 and procedural\u2010induced abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We surveyed a sample of emergency physicians in person at a U.S. national medical meeting regarding knowledge, attitudes, and practices related to reproductive health care delivery. Wilcoxon rank sum tests were used to evaluate differences between abortion\u2010restrictive and \u2010permissive states and chi\u2010square tests were used to compare proportions between the two groups and Wilcoxon signed rank was used to compare median scores between questions. Thematic analysis was used to review qualitative responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 295 emergency physicians approached, 252 (85.4%) completed study procedures. The majority (<jats:italic>n<\/jats:italic>\u2009=\u2009218, 86.5%) practiced in abortion\u2010permissive states. Most (<jats:italic>n<\/jats:italic>\u2009=\u2009178, 70.6%) supported abortion provision in the ED if legally allowed, though only about half (<jats:italic>n<\/jats:italic>\u2009=\u2009131, 52.0%) reported ever prescribing medication abortion pills. Despite higher proportions reporting training in services, a small minority responded they could still independently provide pregnancy options counseling (25.1%), direct referrals for abortion (34.9%), medical management for early pregnancy loss (15.1%) or induced abortion (10.7%), or uterine aspiration for any pregnancy indication (1.6%). Training and knowledge were similar, though practice patterns and attitudes differed when comparing abortion\u2010restrictive to \u2010permissive states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This national survey demonstrates that, while most emergency physicians support the provision of abortion care in this setting, they do not routinely provide this care due to a variety of factors including lack of knowledge, lack of training, and legal and institutional restrictions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.70002","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:03:22Z","timestamp":1741737802000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Abortion care in the emergency department: A national survey of emergency physicians\u2019 perspectives"],"prefix":"10.1111","author":[{"given":"Abigail M.","family":"Kempf","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam R.","family":"Singer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maetal","family":"Haas\u2010Kogan","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Pelletier","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Obstetrics and Gynecology\u2019 Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari B.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Hospital of University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah Rae","family":"Easter","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Obstetrics and Gynecology\u2019 Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3096-9715","authenticated-orcid":false,"given":"Deborah","family":"Bartz","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Obstetrics and Gynecology\u2019 Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,23]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"RuiP KangK.National Hospital Ambulatory Medical Care Survey: 2017 Emergency Department Summary Tables. National Center for Health Statistics.2017. Accessed February 28 2024.https:\/\/archive.cdc.gov\/#\/details?url=https:\/\/www.cdc.gov\/nchs\/data\/nhamcs\/web_tables\/2017_ed_web_tables\u2010508.pdf"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1506575"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss7209a1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2006.06.011"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70280-2"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.08.005"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12792"},{"key":"e_1_2_12_9_1","article-title":"How Many Miles do You Have to Travel to Get Abortion Care? One Professor Maps It","author":"Simmons\u2010Duffin S","year":"2023","journal-title":"NPR"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07743-7"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2023-202149"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2022.0223"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2017.11.001"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2017.10.019"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-D-23-00300.1"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.03.005"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.05.011"},{"key":"e_1_2_12_18_1","unstructured":"Interactive Map: US Abortion Policies and Access After Roe. Guttmacher Institute.2023. 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Accessed February 26 2024.https:\/\/www.guttmacher.org\/news\u2010release\/2023\/new\u2010data\u2010show\u2010interstate\u2010travel\u2010abortion\u2010care\u2010united\u2010states\u2010has\u2010doubled\u20102020"},{"key":"e_1_2_12_34_1","unstructured":"Inequity in U.S. Abortion Rights and Access: The End of Roe is Deepening Existing Divides. Guttmacher Institute.2023. Accessed February 28 2024.https:\/\/www.guttmacher.org\/2023\/01\/inequity\u2010us\u2010abortion\u2010rights\u2010and\u2010access\u2010end\u2010roe\u2010deepening\u2010existing\u2010divides"},{"key":"e_1_2_12_35_1","unstructured":"GoldRB.Lessons From Before Roe: Will Past be Prologue?2003. The Guttmacher Report on Public Policy. 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