title: Medical vs. surgical abortion: the importance of women's choice.
abstract: BACKGROUND
  Using a large national sample of women undergoing an abortion in France, we explore the factors associated with medical or surgical abortion. We draw particular attention to the influence of women's preferences in the decision-making process.
  
  
  METHODS
  The data are drawn from a nationally representative survey of 8,245 women undergoing an elective abortion in France in 2007. Analyses of factors associated with the type of abortion technique were performed among the 4,650 women who were identified as being eligible for the two techniques.
  
  
  RESULTS
  Sixty-eight percent of all abortions were medical procedures among women eligible for both techniques. The type of abortion technique was not dependent on women's age, parity, cohabitation status, socioeconomic circumstances nor on the type of facility providing the abortion (private or public). Conversely, women's participation in the decision-making process was strongly associated with the type of abortion method. Among the 50% of women who reported they had been given a choice, 84% underwent a medical procedure vs. 52% of those who were not offered a choice. Among the 2,286 women who were not involved in the decision, 35% indicated they trusted their doctor to make the best choice for them, while 44% were told it was too late for a medical procedure, although they had consulted before 8 weeks of amenorrhea.
  
  
  CONCLUSIONS
  In this sample of French women who participated in a national survey on abortion, those who were involved in the decision-making process as to whether to have a medical or surgical procedure showed a strong preference for the medical procedure.
authors.affiliation: Gender, Sexual and Reproductive Health, CESP Centre for Research in Epidemiology and Population Health, F-94807, Kremlin Bicêtre, France. caroline.moreau@inserm.fr
authors.forename: Caroline
authors.initials: C
authors.lastname: Moreau
authors.forename: James
authors.initials: J
authors.lastname: Trussell
authors.forename: Julie
authors.initials: J
authors.lastname: Desfreres
authors.forename: Nathalie
authors.initials: N
authors.lastname: Bajos
mesh_terms: D000028:Abortion, Induced / Q000379:methods*; D000293:Adolescent; D000328:Adult; D002755:Choice Behavior; D003657:Decision Making; D005260:Female; D005602:France; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011247:Pregnancy; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014933:Women's Rights; D055815:Young Adult