{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:00:18Z","timestamp":1759564818113,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T00:00:00Z","timestamp":1659052800000},"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":[[2022,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In 2020, abortion was removed from the Crimes Act. Abortions under 20\u2009weeks gestation no longer require an indication and criteria for abortion above 20\u2009weeks gestation has broadened. Prior to law reform, all abortions were provided on licensed premises and the responsible health practitioner was a doctor. Subsequently, any health practitioner with abortion in their scope of practice can provide abortion care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To describe the characteristics of health practitioners who expressed an interest in participating in second trimester abortion care, and to identify and describe the barriers to providing an optimal second trimester abortion service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This was an exponential non\u2010discriminating snowball email survey using tick boxes and open comments. Quantitative data were analysed using descriptive statistics and free\u2010text components were analysed using a general inductive approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 113 respondents included: 38 hospital\u2010based obstetrics and gynaecology doctors, 22 primary care doctors, 13 midwives and 14 nurses\/nurse practitioners. Thirty\u2010three (29.2%) and 62 (54.9%) respondents reported interest in providing second trimester surgical and medical abortion care respectively. The most commonly identified barrier to both surgical and medical second trimester abortion provision was lack of trained staff, followed by an unsupportive work environment. Thematic analysis aligned with these findings and commonly featured difficulty in accessing feticide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We need to actively recruit and train <jats:italic>all<\/jats:italic> health practitioners interested in providing second trimester abortion care to strengthen the workforce. This requires an organisation to oversee an inclusive national framework for abortion training, including feticide, and provide professional supervision.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13602","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T03:53:41Z","timestamp":1659153221000},"page":"779-785","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Willing but not able: A survey of New Zealand health practitioners' interests in providing second trimester abortion care and the obstacles they face"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0252-6236","authenticated-orcid":false,"given":"Rosie","family":"Whiting","sequence":"first","affiliation":[{"name":"RANZCOG Core Trainee, Women's Health Service Capital and Coast DHB  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8240-082X","authenticated-orcid":false,"given":"Helen","family":"Paterson","sequence":"additional","affiliation":[{"name":"Head of Section\/Senior Lecturer, Department of Women's and Children's Health, Dunedin School of Medicine University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6593-5948","authenticated-orcid":false,"given":"Anna","family":"Hudspith","sequence":"additional","affiliation":[{"name":"RANZCOG Advanced Trainee, Women's Health Service Capital and Coast DHB  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coleen","family":"Caldwell","sequence":"additional","affiliation":[{"name":"Clinical Lecturer, Department of Obstetrics and Gynaecology, Christchurch School of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Parliament of New Zealand.Abortion Legislation Act 2020.2020;(6):1\u201317. Available from:https:\/\/www.legislation.govt.nz\/act\/public\/2020\/0006\/latest\/LMS237550.html. Accessed February 6 2022."},{"key":"e_1_2_6_3_1","unstructured":"Ministry of Justice.Crimes Act 1961. 43 [Internet].2012:1\u2013386. Available from:http:\/\/www.legislation.govt.nz\/act\/public\/1961\/0043\/63.0\/DLM327382.html. Accessed February 6 2022."},{"key":"e_1_2_6_4_1","unstructured":"Ministry of Justice.Contraception Sterilisation and Abortion Act 1977.2013. Available from:https:\/\/www.legislation.govt.nz\/act\/public\/1977\/0112\/latest\/whole.html#DLM18513. Accessed February 6 2022."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13454"},{"key":"e_1_2_6_6_1","unstructured":"HollowayL HabibT McIlraithC.Report of the Abortion Supervisory Committee2015;1\u201331. Available from:https:\/\/www.justice.govt.nz\/assets\/Documents\/Publications\/ASC\u2010Annual\u2010Report\u20102019.pdf. Accessed February 6 2022."},{"key":"e_1_2_6_7_1","unstructured":"Abortion statistics: Year ended December 2019 [Internet]. New Zealand Government;2020. Available from:https:\/\/www.stats.govt.nz\/information\u2010releases\/abortion\u2010statistics\u2010year\u2010ended\u2010december\u20102019. Accessed February 26 2022."},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-7-19"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00659.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098214005283748"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S178601"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15218"},{"key":"e_1_2_6_13_1","unstructured":"OneC CriteriaP.Te Tatau o te Whare Kahu Midwifery Council Te Tatau o te Whare Kahu Midwifery Council2007;1\u20136. Available from:https:\/\/www.midwiferycouncil.health.nz\/common\/Uploaded%20files\/Registration\/Competencies%20for%20entry%20to%20the%20Register.pdf. Accessed February 6 2022."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13039"},{"key":"e_1_2_6_15_1","unstructured":"BSCCP.The British Society for Colposcopy and Cervical Pathology.2018. Available from:https:\/\/www.bsccp.org.uk\/. Accessed February 26 2022."},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100862"},{"key":"e_1_2_6_17_1","unstructured":"New Zealand Government.Department of the Prime Minister and Cabinet. Our health and disability system.2021. Available from:https:\/\/dpmc.govt.nz\/sites\/default\/files\/2021\u201004\/htu\u2010factsheet\u2010health\u2010new\u2010zealand\u2010en\u2010apr21.pdf. Accessed February 6 2022."},{"key":"e_1_2_6_18_1","unstructured":"Abortion Supervisory Committee.Standards of care for women requesting abortion in Aotearoa New Zealand.2018. Available from:https:\/\/www.justice.govt.nz\/assets\/Documents\/Publications\/Standards\u2010of\u2010Care\u20102018.pdf. Accessed February 26 2022."},{"key":"e_1_2_6_19_1","unstructured":"RANZCOG.Certification in Maternal Fetal Medicine; Training Programme Handbook.2022. Available from:https:\/\/ranzcog.edu.au\/training\/subspecialist\u2010training\/current\u2010trainees\/training\u2010program\u2010handbooks. Accessed February 26 2022."}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13602","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T13:41:54Z","timestamp":1692625314000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,29]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1111\/ajo.13602"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13602","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2022,7,29]]},"assertion":[{"value":"2021-11-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}