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Obstetrician-gynecologists' practices related to long-acting contraception and abortion: A national survey

Daniel Grossman, MD, Ibis Reproductive Health

Project abstract

Very little research has documented obstetrician-gynecologists' practices related to long-acting reversible contraceptive (LARC) methods or abortion. The last national survey of practices related to LARC methods is almost five years old, and in the intervening period extensive efforts have been made to improve uptake of these methods. The last national survey of practices related to abortion is six years old, and that survey provided few practice details.

To fill this knowledge gap, we propose to perform a nationally representative survey of members of the American College of Obstetricians and Gynecologists (ACOG) about their practices related to provision of LARC methods and abortion, including referral for abortion. We will partner with ACOG, which will select a nationally representative, random sample of 2,000 ACOG members to complete the online survey; non-responders will be re-contacted by both email and regular mailings. We aim to achieve a response rate of at least 55%, as has been achieved in prior ACOG surveys.

The analysis will aim to estimate the proportion of practicing obstetrician-gynecologists who provide IUDs, subdermal implants, and medical and surgical abortion, as well as sociodemographic, training, and practice characteristics associated with provision. We will also explore certain practices that could reduce barriers to the IUD, such as same-day insertion and provision to nulliparous women, as well as document referral practices for abortion and reasons for not providing abortion. The results will be used to tailor future educational and advocacy activities aimed at improving access to LARC methods and safe abortion.

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