loading page

Attitudes and experiences with termination of pregnancy among Irish obstetrics & gynaecology trainees in the context of recent legal change: a survey study
  • +4
  • Bianca Stifani,
  • Brendan McDonnell,
  • Gillian Corbett,
  • Karina Avila,
  • Wendy Chavkin,
  • Noirin Russell,
  • Nerys Benfield
Bianca Stifani
Albert Einstein College of Medicine

Corresponding Author:[email protected]

Author Profile
Brendan McDonnell
Coombe Women and Infants University Hospital
Author Profile
Gillian Corbett
Coombe Women and Infants University Hospital
Author Profile
Karina Avila
Albert Einstein College of Medicine
Author Profile
Wendy Chavkin
Columbia University
Author Profile
Noirin Russell
Cork University Maternity Hospital
Author Profile
Nerys Benfield
Albert Einstein College of Medicine
Author Profile

Abstract

Objective: The objective of this study was to examine Irish obstetrics and gynaecology trainees’ experiences with and opinions of termination of pregnancy (ToP) after legal change. Design: this is a cross-sectional web-based survey study. Setting: Republic of Ireland. Population: We invited obstetrics & gynaecology non-consultant hospital doctors (NCHDs) to participate in a web-based survey through a professional e-mail listserv. Methods: We conducted descriptive statistical analyses of responses using Stata SE Version 16. Main outcome measures: Irish NCHDs’ reported future willingness to provide ToP. Results: A total of 102/202 (50.5%) trainees responded to the survey. Of these, 61.8% believe that ToP should be allowed on request up to 12 weeks and in limited circumstances thereafter (in line with current Irish law), and 19.6% believe ToP should be allowed on request even after 12 weeks. Knowledge about the abortion law was high (70.6% achieved a perfect knowledge score). Since the new law came into effect, 61.8% of trainees reported having participated in abortion care, though only 25.5% have performed surgical procedures. More than 75% of respondents would like to receive more training in all clinical skills related to ToP (early pregnancy ultrasound, first and second trimester medical and surgical abortion). In the future, 67.6% of respondents would be willing to provide TOP in all circumstances allowed by law. Conclusions: Irish obstetrics & gynaecology trainees are generally supportive of the legislation. Few trainees have performed surgical abortions, and most would like to receive additional training in clinical skills related to abortion care.