Table 4 Physicians’ practices in abortion care. Brazil, 2021–2025.

From: Knowledge, attitudes, and practices of Brazilian physicians regarding abortion care: a nationwide cross-sectional study

Practices/Region

North

(N = 136)

n (%)

Northeast

(N = 346)

n (%)

Southeast

(N = 492)

n (%)

South

(N = 182)

n (%)

Midwest

(N = 111)

n (%)

Brazil

(N = 1,267)

n (%)

p value a

Existence of a clinical guideline for abortion care

72 (54.7)

169 (49.5)

338 (69.1)

117 (64.3)

61 (55.6)

757 (60.4)

< 0.001

Team use of the clinical guideline b

      

0.002

 Always

31 (42.4)

79 (46.9)

217 (64.4)

71 (60.8)

37 (59.5)

435 (57.4)

 

 Occasionally

38 (53.4)

79 (47.0)

112 (33.1)

39 (33.1)

22 (36.4)

291 (38.4)

 

 Never/Dont´t know

3 (4.2)

10 (6.1)

9 (2.5)

7 (6.0)

2 (4.1)

31 (4.1)

 

Availability of MVA

      

< 0.001

 Always

37 (27.2)

135 (39.1)

206 (41.9)

58 (31.8)

72 (64.7)

508 (40.1)

 

 Occasionally

56 (41.1)

77 (22.2)

92 (18.6)

39 (21.4)

15 (13.2)

278 (21.9)

 

 Never/Dont´t know

43 (31.7)

134 (38.7)

194 (39.5)

85 (46.7)

25 (22.1)

481 (38.0)

 

Use of MVA when available c

89 (96.4)

196 (93.7)

271 (91.2)

83 (85.9)

80 (93.6)

719 (92.1)

0.066

Use of electric aspiration if MVA is not available

19 (14.0)

28 (8.0)

39 (7.9)

11 (6.2)

6 (5.7)

103 (8.2)

0.095

Has ever cared for women who likely terminated their pregnancies

116 (86.5)

303 (88.2)

421 (86.5)

157 (86.2)

91 (83.0)

1,087 (86.6)

0.539

Feeling towards women who likely terminated their pregnancies d

      

0.006

 Empathy

57 (49.3)

128 (42.8)

210 (50.3)

64 (41.0)

38 (41.8)

497 (46.0)

 

 Recrimination/Indifference/Ambivalence

54 (47.4)

144 (48.4)

196 (46.8)

88 (56.0)

46 (51.1)

528 (49.0)

 

 Not informed

4 (3.3)

26 (8.9)

12 (2.9)

5 (3.0)

6 (7.1)

53 (5.0)

 

Conduct towards women who likely terminated their pregnancies d

      

0.033

 Keeps confidentiality

93 (80.7)

274 (90.6)

358 (86.2)

129 (82.4)

72 (78.8)

926 (85.7)

 

 Report to the legal authorities (always or in some cases)

19 (16.3)

19 (6.4)

44 (10.6)

21 (13.6)

13 (14.0)

116 (10.8)

 

 Not informed

4 (3.0)

9 (3.0)

13 (3.2)

6 (4.0)

7 (7.3)

39 (3.6)

 

Women hospitalized for abortion suffer prejudice

      

0.391

 No

89 (64.7)

230 (66.5)

325 (66.1)

123 (67.7)

66 (59.4)

833 (66.4)

 

 Yes (from some or most professionals)

23 (16.6)

40 (11.6)

75 (15.2)

18 (10.0)

19 (17.3)

175 (13.8)

 

 Don´t know

25 (18.7)

76 (21.9)

92 (18.7)

40 (22.2)

26 (23.3)

259 (20.5)

 
  1. a chi-square test; b When clinical guideline is available; c When MVA is always or occasionally available; dFor professionals who have already cared for women who likely terminated their pregnancies. MVA= Manual Intrauterine Vacuum Aspiration.