{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T03:58:43Z","timestamp":1783396723451,"version":"3.54.6"},"reference-count":23,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"name":"Center for International Reproductive Health Training (CIRHT)."}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dilation and evacuation is a method of second trimester pregnancy termination introduced recently in Ethiopia. However, little is known about the safety and effectiveness of this method in an Ethiopian setting. Therefore, the study is intended to determine the safety and effectiveness of dilation and evacuation for surgical abortion as compared to medical abortion between 13\u201320 weeks\u2019 gestational age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a quasi-experimental study of women receiving second trimester termination of pregnancy between 13\u201320 weeks. Patients were allocated to either medical or surgical abortion based on their preference. A structured questionnaire was used to collect demographic information and clinical data upon admission. Procedure related information was collected after the procedure was completed and before the patient was discharged. Additionally, women were contacted 2 weeks after the procedure to evaluate for post-procedural complications. The primary outcome of the study was a composite complication rate. Data were collected using Open Data Kit and then analyzed using Stata version 14.2. Univariate analyses were performed using means (standard deviation), or medians (interquartile range) when the distribution was not normal. Multiple logistic regression was also performed to control for confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two hundred nineteen women chose medical abortion and 60 chose surgical abortion. The composite complication rate is not significantly different among medical and surgical abortion patients (15% versus 10%; p = 0.52). Nine patients (4.1%) in the medical arm required additional intervention to complete the abortion, while none of the surgical abortion patients required additional intervention. Median (IQR) hospital stay was significantly longer in the medical group at 24 (12\u201324) hours versus 6(4\u20136) hours in the surgical group p&lt;0.001.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>From the current study findings, we concluded that there is no difference in safety between surgical and medical methods of abortion. This study demonstrates that surgical abortion can be used as a safe and effective alternative to medical abortion and should be offered equivalently with medical abortion, per the patient\u2019s preference.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0249529","type":"journal-article","created":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T14:02:30Z","timestamp":1617285750000},"page":"e0249529","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of surgical versus medical termination of pregnancy between 13-20 weeks of gestation in Ethiopia: A quasi-experimental study"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8623-9113","authenticated-orcid":true,"given":"Tesfaye Hurissa","family":"Tufa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Prager","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mekitie","family":"Wondafrash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikur","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Byl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Bell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,4,1]]},"reference":[{"issue":"1","key":"pone.0249529.ref001","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1363\/4000608","article-title":"Abortion in the United States: incidence and access to services, 2005","volume":"40","author":"RK Jones","year":"2008","journal-title":"Perspect Sex Reprod Health"},{"issue":"3","key":"pone.0249529.ref002","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1363\/42e1816","article-title":"The Estimated Incidence of Induced Abortion in Ethiopia, 2014: Changes in the Provision of Services Since 2008","volume":"42","author":"AM Moore","year":"2016","journal-title":"Int Perspect Sex Reprod Health"},{"issue":"39","key":"pone.0249529.ref003","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/S0968-8080(12)39623-7","article-title":"Safe abortion: technical and policy guidance for health systems","volume":"20","author":"World Health Organization","year":"2012","journal-title":"Reprod Health Matters"},{"issue":"7","key":"pone.0249529.ref004","first-page":"505","article-title":"Morbidity and mortality from second-trimester abortions","volume":"30","author":"DA Grimes","year":"1985","journal-title":"J Reprod Med"},{"issue":"9595","key":"pone.0249529.ref005","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1016\/S0140-6736(07)61575-X","article-title":"Induced abortion: estimated rates and trends worldwide","volume":"370","author":"G Sedgh","year":"2007","journal-title":"Lancet"},{"key":"pone.0249529.ref006","doi-asserted-by":"crossref","unstructured":"Singh S, Remez L, Sedgh G, Kwok L, Onda T. 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