{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:35:09Z","timestamp":1747182909387,"version":"3.40.5"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"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":[[2025,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The barriers to comprehensive abortion care in Australian metropolitan tertiary hospitals are under\u2010researched. Previous work has suggested that negative practitioner attitudes and lack of training may play a large role; however, this remains poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to survey doctors practicing obstetrics and gynaecology to better understand their views, training experience and confidence in abortion care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The method involved a cross\u2010sectional study via an anonymous survey at a single metropolitan tertiary hospital not providing substantive abortion services in Melbourne, Australia. Inclusion criterion was obstetric and gynaecology medical staff working at that hospital. Data were collected regarding views, training experiences and confidence in first\u2010trimester medical and surgical abortion, and second\u2010trimester surgical abortion. Data were analysed according to levels of training, categorised as RANZCOG (Royal Australian and New Zealand College of Obstetricians and Gynaecologists) Fellows, prevocational\/vocational trainees and general practitioner specialists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010one valid responses were received from 90 eligible participants (response rate 68%). An overwhelming majority (96%) supported abortion services. The majority of RANZCOG Fellows felt confident performing first\u2010trimester surgical abortion (89%) and first\u2010trimester medical abortion (71%); however, only half felt confident performing second\u2010trimester surgical abortion (50%). Prevocational\/vocational trainees were overall less confident but overwhelmingly expressed interest in gaining further experience in abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Doctors are generally confident in providing first\u2010trimester abortion services (medical or surgical) in the metropolitan tertiary setting. However, further work is required to understand ongoing barriers to comprehensive abortion care. There may also be a skills shortage for second\u2010trimester surgical abortion, requiring significant improvements in abortion training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13852","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T10:39:45Z","timestamp":1719484785000},"page":"107-113","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A survey of obstetric and gynaecology doctors at an Australian metropolitan tertiary hospital to understand their views, training and confidence in abortion care"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1777-4662","authenticated-orcid":false,"given":"Laura C.","family":"Phung","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Joan Kirner Women's and Children's at Sunshine Hospital Western Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6263-0030","authenticated-orcid":false,"given":"Joanne M.","family":"Said","sequence":"additional","affiliation":[{"name":"Maternal Fetal Medicine, Joan Kirner Women's and Children's at Sunshine Hospital Western Health  Melbourne Victoria Australia"},{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9969-4131","authenticated-orcid":false,"given":"Aekta","family":"Neel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Joan Kirner Women's and Children's at Sunshine Hospital Western Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,27]]},"reference":[{"volume-title":"Induced Abortion in Australia: 2000\u20132020","year":"2021","author":"Wright SM","key":"e_1_2_6_2_1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anzjph.2023.100046"},{"volume-title":"International Classification of Diseases, Eleventh Revision (ICD\u201011); 2019\/2021","year":"2019","author":"World Health Organization","key":"e_1_2_6_4_1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302973"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12641"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH15235"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-020-00982-z"},{"volume-title":"Clinical Guideline for Abortion Care: An Evidence\u2010Based Guideline on Abortion Care in Australia and Aotearoa New Zealand","year":"2023","author":"RANZCOG","key":"e_1_2_6_9_1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wsif.2021.102470"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51274"},{"volume-title":"Fellowship of RANZCOG Training Program Handbook","year":"2024","author":"RANZCOG","key":"e_1_2_6_12_1"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12949"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100862"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51275"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2016.1276162"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY20288"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY22194"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12162"},{"key":"e_1_2_6_20_1","article-title":"Legal and non\u2010legal barriers to abortion in Ireland and the United Kingdom","volume":"5","author":"Calkin S","year":"2021","journal-title":"J Med Access"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2022.100090"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12154"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.02.003"},{"key":"e_1_2_6_24_1","unstructured":"1800MyOptions. 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