Pelvic examination under anesthesia by learners at the time of abortion: Who accepts and who declines?

Contraception. 2024 Jan:129:110301. doi: 10.1016/j.contraception.2023.110301. Epub 2023 Oct 4.

Abstract

Objectives: This study aimed to assess the prevalence of and factors correlated with accepting a pelvic examination under anesthesia (EUA) by learners at the time of surgical abortion.

Study design: Retrospective chart review assessing the prevalence of and comparing factors associated with accepting EUA by learners at the time of abortion.

Results: Most (88%) of the 274 patients accepted EUA by learners. Declining was associated with prior intimate partner violence.

Conclusions: Most patients accept EUA by learners at the time of abortion.

Implications: In adhering to fundamental principles of medical ethics, professional guidelines, and legal mandates, consent prior to pelvic EUA by learners should be obtained universally.

Keywords: Consent; Medical education; Pelvic examination.

MeSH terms

  • Abortion, Induced*
  • Abortion, Spontaneous*
  • Anesthesia*
  • Female
  • Gynecological Examination
  • Humans
  • Pregnancy
  • Retrospective Studies