{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:55:01Z","timestamp":1791374101813,"version":"4.3.1"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T00:00:00Z","timestamp":1628121600000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Misoprostol is a life\u2010savingmedication in obstetric practice but the prevalence of misoprostol\u2010related self\u2010induced abortion is increasing in many communities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the hospital incidence, clinical management, and legal framework of self\u2010induced abortions with misoprostol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This was a prospective observational study conducted over 18\u00a0months. All patients &lt;20\u00a0weeks pregnant who were admitted with a diagnosis of misoprostol\u2010induced abortion were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 186 women with abortion\u2010related admissions during the study period, 51 (27.4%) women reported using misoprostol to induce abortion. The majority were young (27.8\u00a0\u00b1\u00a05.5) married women (32\/51: 62.7%), particularly educated (27\/51: 52.9%) employed women (27\/51: 52.9%), who were not on any contraception (46\/51: 90.1%). Most abortions were induced in the first trimester (39\/51: 76.5%) and patients were admitted because of prolonged bleeding (23\/51: 45.1%). A significant proportion of participants who did not receive the correct dose of misoprostol developed sepsis compared to those who received a correct dose (6\/18 (33.3%) vs 1\/30 (3.3%); <jats:italic>P<\/jats:italic>\u00a0=\u00a00.008).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of misoprostol as an abortifacient is increasing in Papua New Guinea, particularly among educated and employed women. A review of the laws to meet the demand for abortion services and to limit complications of unsafe abortion practices is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13413","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T07:17:33Z","timestamp":1628147853000},"page":"955-960","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Incidence of self\u2010induced abortion with misoprostol, admitted to a provincial hospital in Papua New Guinea: A prospective observational study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1214-9817","authenticated-orcid":false,"given":"John W","family":"Bolnga","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Modilon Hospital Madang Papua New Guinea"},{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elvin","family":"Lufele","sequence":"additional","affiliation":[{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitilam","family":"Teno","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Modilon Hospital Madang Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vero","family":"Agua","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Modilon Hospital Madang Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Ao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Modilon Hospital Madang Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9500-7234","authenticated-orcid":false,"given":"Glen","family":"DL Mola","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology School of Medicine and Health Sciences University of Papua New Guinea Port Moresby Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Pomat","sequence":"additional","affiliation":[{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses","family":"Laman","sequence":"additional","affiliation":[{"name":"Papua New Guinea Institute of Medical Research Goroka Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60696-6"},{"key":"e_1_2_7_3_1","unstructured":"National Statistical Office (NSO) PNG.Papua New Guinea Demographic and Health Survey 2016\u201018.2019."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01116.x"},{"key":"e_1_2_7_5_1","volume-title":"National Health Information Systems","author":"NDoH\u2010NHIS","year":"2009"},{"key":"e_1_2_7_6_1","unstructured":"PNG Go.Criminal Code Act1974pp.;Ordinance No.7 of 1902.revised 1974:Chapter 1262 parts 25 26 80."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0015-x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0110791"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2012.01452.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1363\/48e8516"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/wmh3.289"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S89315"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12022"},{"key":"e_1_2_7_14_1","volume-title":"Modilon Hospital Annual O&G Report","author":"Bolnga J","year":"2017"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.08.012"},{"key":"e_1_2_7_16_1","unstructured":"MolaG.O&G Standard treatment guidelines manual.2016; 8."},{"key":"e_1_2_7_17_1","unstructured":"https:\/\/www.figo.org\/news\/misoprostol\u2010dosage\u2010chart\u2010new\u2010release\u20100015613.2017."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.09.006"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.03.009"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003017"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.01.015"},{"key":"e_1_2_7_22_1","unstructured":"WHO UNICEF U World Bank Group and the United Nations Division.Trends in maternal mortality 1990 to 2015: estimates. 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