A systematic search was conducted of published trials and comparison studies assessing the effectiveness and/or safety of abortion provided by mid-level providers (MLPs), midwives, nurses, and other non physician providers, compared to doctors. The primary outcomes of interest were: (1) incomplete or failed abortion; and (2) measures of safety (adverse events and complications) of abortion procedures administered by MLPs and doctors. There were no statistical differences in incomplete abortion and complications for first trimester surgical and medical abortion up to 9 weeks performed by MLPs compared with physicians.
Ngo, D.T.; Park, H.N.; Free, C. Safety and effectiveness of termination services performed by doctors versus midlevel providers: a systematic review and analysis. International Journal of Women’s Health (2013) (5) 9-17. [DOI: 10.2147/IJWH.S39627]