{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:15:15Z","timestamp":1777673715134,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health&amp;#65533;Serv&amp;#65533;Insights"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Unsafe abortion is a major contributor to maternal mortality in low- and middle-income countries. Despite the legalization of abortion and expanded access to services in Nepal, data on abortion practices and patient satisfaction remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to assess abortion methods, their management, and patient satisfaction among women seeking safe abortion services at a tertiary care hospital in Kathmandu, Nepal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A hospital-based cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study was conducted from December 2023 to May 2024 among 285 women aged \u2a7e18\u2009years with gestational age of up to 12\u2009weeks. Data were collected through face-to-face interviews and clinical records, followed by 7-day post-abortion assessment via in-person visits or phone calls. Pearson\u2019s chi-square test and binary logistic regression were performed at a 5% level of significance to identify factor associated with patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>Among 285 women, 76.8% underwent medical abortion with oral mifepristone followed by misoprostol via sublingual, buccal, or vaginal routes, while 23.2% received surgical abortion through vacuum aspiration after misoprostol pre-treatment and local anesthesia. Discharge medications commonly included analgesics (paracetamol and ibuprofen) and antibiotics (ciprofloxacin, and metronidazole). Post-abortion contraceptive uptake was 79.3%, with implants (28.8%) and condoms (28.4%) being the most chosen methods. Overall, 50.2% of women reported satisfaction with the abortion services received. Logistic regression analysis showed that higher education (AOR: 5.63; 95% CI: 2.40-13.16), extended family structure (AOR: 7.25; 95% CI: 3.11-16.91), and no history of live birth (AOR: 4.20; 95% CI: 1.48-11.93) were significantly associated with higher satisfaction, while age \u2a7e35\u2009years was negatively associated (AOR: 0.52; 95% CI: 0.28-0.95).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Medical abortion was the preferred method, and overall management was aligned with WHO guidelines. However, patient satisfaction was moderate. Improving infrastructure, ensuring privacy, reducing waiting times, enhancing post-abortion counseling, and providing tailored health education with regular service evaluations are needed to improve the quality of abortion care and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786329251406022","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T06:10:42Z","timestamp":1766556642000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Abortion Methods, Management, and Patient Satisfaction Among Women Seeking Safe Abortion Services in a Tertiary Care Hospital, Nepal"],"prefix":"10.1177","volume":"18","author":[{"given":"Sonika","family":"Thapa","sequence":"first","affiliation":[{"name":"Department of Pharmacy, CiST College, Pokhara University, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4353-382X","authenticated-orcid":false,"given":"Nirmal Raj","family":"Marasine","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, CiST College, Pokhara University, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shishir","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Public Health, CiST College, Pokhara University, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sagun","family":"Thapa","sequence":"additional","affiliation":[{"name":"Safe Abortion Service Clinic of Paropakar Maternity and Women\u2019s Hospital, Thapathali, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabina","family":"Sankhi","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Shree College of Technology, Bharatpur, Chitwan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prayas","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, CiST College, Pokhara University, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization (WHO). Maternal Mortality. 2024. Accessed April 4 2025. https:\/\/www.who.int\/en\/news-room\/fact-sheets\/detail\/maternal-mortality"},{"key":"e_1_3_3_3_2","first-page":"1","article-title":"Women\u2019s satisfaction with comprehensive abortion care and associated factors in public health facilities of Mojo Town, East Ethiopia","volume":"16","author":"Oda T","year":"2023","unstructured":"Oda T, Sento M, Negera A. Women\u2019s satisfaction with comprehensive abortion care and associated factors in public health facilities of Mojo Town, East Ethiopia. Health Serv Insights. 2023;16:1-18.","journal-title":"Health Serv Insights"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03139-3"},{"key":"e_1_3_3_5_2","volume-title":"Unsafe Abortion\u2014Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality","author":"WHO","year":"2008","unstructured":"WHO. Unsafe Abortion\u2014Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality. 6th ed. WHO; 2008.","edition":"6"},{"key":"e_1_3_3_6_2","unstructured":"National Abortion Federation. Clinical Policy Guidelines for Abortion Care. 2024. Accessed April 4 2025. https:\/\/prochoice.org\/wp-content\/uploads\/2024-CPGs-FINAL-1.pdf"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2024.1400359"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czab065"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40834-018-0079-4"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2011-y"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0734-1"},{"key":"e_1_3_3_12_2","unstructured":"Ipas. Nepal to Provide Free Abortion Services at Public Health Facilities. 2015. Accessed April 6 2025. https:\/\/www.ipas.org\/news\/nepal-to-provide-free-abortion-services-atpublic-health-facilities\/"},{"key":"e_1_3_3_13_2","unstructured":"Nepal Law Commission. The Public Health Service Act 2075. 2018. Accessed April 6 2025. https:\/\/lawcommission.gov.np\/content\/12880\/12880-the-public-health-service-act\/"},{"key":"e_1_3_3_14_2","unstructured":"Law Commission. Right to Safe Motherhood and Reproductive Health Act 2075. 2018. Accessed April 6 2025. https:\/\/lpr.adb.org\/sites\/default\/files\/resource\/%5Bnid%5D\/nepal-the-right-to-safe-motherhood-and-reproductive-health-act-2075-2018-english_0.pdf"},{"key":"e_1_3_3_15_2","volume-title":"National Population and Housing Census 2021: National Report","author":"National Statistics Office","year":"2021","unstructured":"National Statistics Office. National Population and Housing Census 2021: National Report. National Statistics Office; 2021"},{"key":"e_1_3_3_16_2","unstructured":"Paropakar Maternity and Women\u2019s Hospital. Ministry of Health and Population (Nepal). Accessed April 6 2025. https:\/\/pmwh.gov.np\/"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.11648\/j.jgo.20210903.13"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0259-0"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-022-00897-0"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1201\/9781315366906"},{"key":"e_1_3_3_21_2","unstructured":"World Health Organization. Abortion Care Guideline. World Health Organization; 2022. Accessed April 6 2025. https:\/\/www.who.int\/publications\/i\/item\/9789240039483"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.3126\/kumj.v20i1.49897"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0096-6"},{"issue":"2","key":"e_1_3_3_24_2","first-page":"96","article-title":"Assessment of post-abortion care services in two health facilities in Conakry, Guinea","volume":"24","author":"Millimouno TM","year":"2020","unstructured":"Millimouno TM, Leno JP, Sidib\u00e9 S, Bah OH, Delamou A, Hyjazi Y. Assessment of post-abortion care services in two health facilities in Conakry, Guinea. Afr J Reprod Health. 2020;24(2):96-105.","journal-title":"Afr J Reprod Health"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.4172\/2327-4972.1000140"}],"container-title":["Health Services Insights"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11786329251406022","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11786329251406022","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11786329251406022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:09:28Z","timestamp":1777450168000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11786329251406022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":24,"alternative-id":["10.1177\/11786329251406022"],"URL":"https:\/\/doi.org\/10.1177\/11786329251406022","relation":{},"ISSN":["1178-6329","1178-6329"],"issn-type":[{"value":"1178-6329","type":"print"},{"value":"1178-6329","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"article-number":"11786329251406022"}}