{"id":"https://openalex.org/W7128620249","doi":"https://doi.org/10.1080/13625187.2026.2625138","title":"Medical habit or necessity? Investigating misoprostol use for IUD insertion in Europe","display_name":"Medical habit or necessity? Investigating misoprostol use for IUD insertion in Europe","publication_year":2026,"publication_date":"2026-02-11","ids":{"openalex":"https://openalex.org/W7128620249","doi":"https://doi.org/10.1080/13625187.2026.2625138","pmid":"https://pubmed.ncbi.nlm.nih.gov/41672075"},"language":"en","primary_location":{"id":"doi:10.1080/13625187.2026.2625138","doi":"https://doi.org/10.1080/13625187.2026.2625138","is_oa":false,"landing_page_url":"https://doi.org/10.1080/13625187.2026.2625138","pdf_url":null,"source":{"id":"https://openalex.org/S31672787","display_name":"The European Journal of Contraception & Reproductive Health Care","issn_l":"1362-5187","issn":["1362-5187","1473-0782"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Contraception & Reproductive Health Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000321218","display_name":"Lisa Eggebrecht","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210163139","display_name":"Berlin Center for Epidemiology and Health Research","ror":"https://ror.org/05fzfv584","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210163139"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Lisa Eggebrecht","raw_affiliation_strings":["Center for Epidemiology and Health Research, ZEG Berlin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Epidemiology and Health Research, ZEG Berlin","institution_ids":["https://openalex.org/I4210163139"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012736942","display_name":"Manuel Rizzo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210163139","display_name":"Berlin Center for Epidemiology and Health Research","ror":"https://ror.org/05fzfv584","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210163139"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Manuel Rizzo","raw_affiliation_strings":["Center for Epidemiology and Health Research, ZEG Berlin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Epidemiology and Health Research, ZEG Berlin","institution_ids":["https://openalex.org/I4210163139"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053054320","display_name":"Moritz Klinghardt","orcid":"https://orcid.org/0000-0002-7139-0427","observed_orcids":["https://orcid.org/0000-0002-7139-0427"]},"institutions":[{"id":"https://openalex.org/I4210163139","display_name":"Berlin Center for Epidemiology and Health Research","ror":"https://ror.org/05fzfv584","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210163139"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Moritz Klinghardt","raw_affiliation_strings":["Center for Epidemiology and Health Research, ZEG Berlin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Epidemiology and Health Research, ZEG Berlin","institution_ids":["https://openalex.org/I4210163139"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022189424","display_name":"Tanja Boehnke","orcid":"https://orcid.org/0009-0001-1489-5779","observed_orcids":["https://orcid.org/0009-0001-1489-5779"]},"institutions":[{"id":"https://openalex.org/I4210163139","display_name":"Berlin Center for Epidemiology and Health Research","ror":"https://ror.org/05fzfv584","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210163139"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Tanja Boehnke","raw_affiliation_strings":["Center for Epidemiology and Health Research, ZEG Berlin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Epidemiology and Health Research, ZEG Berlin","institution_ids":["https://openalex.org/I4210163139"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006398630","display_name":"Clare Barnett","orcid":"https://orcid.org/0000-0001-9236-1396","observed_orcids":["https://orcid.org/0000-0001-9236-1396"]},"institutions":[{"id":"https://openalex.org/I4210163139","display_name":"Berlin Center for Epidemiology and Health Research","ror":"https://ror.org/05fzfv584","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210163139"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Clare Barnett","raw_affiliation_strings":["Center for Epidemiology and Health Research, ZEG Berlin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Epidemiology and Health Research, ZEG Berlin","institution_ids":["https://openalex.org/I4210163139"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028051803","display_name":"Klaas Heinemann","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210163139","display_name":"Berlin Center for Epidemiology and Health Research","ror":"https://ror.org/05fzfv584","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210163139"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Klaas Heinemann","raw_affiliation_strings":["Center for Epidemiology and Health Research, ZEG Berlin"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Epidemiology and Health Research, ZEG Berlin","institution_ids":["https://openalex.org/I4210163139"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5000321218"],"corresponding_institution_ids":["https://openalex.org/I4210163139"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08572905,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"3","first_page":"230","last_page":"236"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13942","display_name":"International Human Rights and Reproductive Law","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/misoprostol","display_name":"misoprostol","score":0.9990000128746033},{"id":"https://openalex.org/keywords/intrauterine-devices","display_name":"intrauterine devices","score":0.8880000114440918},{"id":"https://openalex.org/keywords/iud-insertion","display_name":"IUD insertion","score":0.9610000252723694},{"id":"https://openalex.org/keywords/prescribing-patterns","display_name":"prescribing patterns","score":0.8610000014305115},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.7419999837875366},{"id":"https://openalex.org/keywords/cervical-preparation","display_name":"cervical preparation","score":0.8489999771118164},{"id":"https://openalex.org/keywords/cervical-spinal-stenosis","display_name":"cervical stenosis","score":0.7820000052452087},{"id":"https://openalex.org/keywords/nulliparity","display_name":"nulliparity","score":0.9300000071525574},{"id":"https://openalex.org/keywords/insertion-failure","display_name":"insertion failure","score":0.5260000228881836},{"id":"https://openalex.org/keywords/contraceptive-care","display_name":"contraceptive care","score":0.4830000102519989},{"id":"https://openalex.org/keywords/professional-education","display_name":"professional education","score":0.4099999964237213}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9577999711036682},{"id":"https://openalex.org/C2779199973","wikidata":"https://www.wikidata.org/wiki/Q416025","display_name":"Misoprostol","level":4,"score":0.9555000066757202},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5593000054359436},{"id":"https://openalex.org/C2781185258","wikidata":"https://www.wikidata.org/wiki/Q6671830","display_name":"Long-acting reversible contraception","level":5,"score":0.4666999876499176},{"id":"https://openalex.org/C2779560327","wikidata":"https://www.wikidata.org/wiki/Q2604964","display_name":"Medical abortion","level":5,"score":0.4205999970436096},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4065000116825104},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.38679999113082886},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.383899986743927},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.37599998712539673},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.33309999108314514},{"id":"https://openalex.org/C2993312423","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medical practice","level":2,"score":0.31619998812675476},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3142000138759613},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.31279999017715454},{"id":"https://openalex.org/C44670240","wikidata":"https://www.wikidata.org/wiki/Q1299714","display_name":"Habit","level":2,"score":0.311599999666214},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.30309998989105225},{"id":"https://openalex.org/C2776810592","wikidata":"https://www.wikidata.org/wiki/Q899868","display_name":"Intrauterine device","level":5,"score":0.2985000014305115},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.29330000281333923},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.288100004196167},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.25380000472068787}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007434","descriptor_name":"Intrauterine Devices","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007434","descriptor_name":"Intrauterine Devices","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010120","descriptor_name":"Oxytocics","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D010120","descriptor_name":"Oxytocics","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D010120","descriptor_name":"Oxytocics","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D010120","descriptor_name":"Oxytocics","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016595","descriptor_name":"Misoprostol","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D016595","descriptor_name":"Misoprostol","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D016595","descriptor_name":"Misoprostol","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D016595","descriptor_name":"Misoprostol","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019983","descriptor_name":"Guideline Adherence","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019983","descriptor_name":"Guideline Adherence","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1080/13625187.2026.2625138","doi":"https://doi.org/10.1080/13625187.2026.2625138","is_oa":false,"landing_page_url":"https://doi.org/10.1080/13625187.2026.2625138","pdf_url":null,"source":{"id":"https://openalex.org/S31672787","display_name":"The European Journal of Contraception & Reproductive Health Care","issn_l":"1362-5187","issn":["1362-5187","1473-0782"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Contraception & Reproductive Health Care","raw_type":"journal-article"},{"id":"pmid:41672075","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41672075","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320307771","display_name":"Bayer","ror":"https://ror.org/04hmn8g73"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W2007659722","https://openalex.org/W2096830683","https://openalex.org/W2135191168","https://openalex.org/W2277457299","https://openalex.org/W2460381334","https://openalex.org/W2999361177","https://openalex.org/W4367321787","https://openalex.org/W4401351605","https://openalex.org/W4401358776","https://openalex.org/W4408464793","https://openalex.org/W4410388648"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,79,197],"routine":[2],"use":[3],"of":[4,9,19,24,36,46,130,184],"misoprostol":[5,28,47,135,194],"prior":[6,48],"to":[7,49,140,188,221],"insertion":[8,51,138,174,203,237],"intrauterine":[10],"devices":[11],"(IUDs)":[12],"is":[13,62],"not":[14],"recommended.":[15],"Despite":[16],"this":[17],"lack":[18],"recommendations,":[20],"a":[21,37,63,182,190],"notable":[22],"proportion":[23],"IUD":[25,50,107,120,137,202,236],"users":[26,108],"received":[27,134],"without":[29],"any":[30,125],"apparent":[31],"indication":[32,241],"within":[33],"the":[34,98,155,210,256],"framework":[35],"large":[38],"non-interventional":[39,64],"study.":[40],"Here":[41],"we":[42],"describe":[43],"prescribing":[44],"patterns":[45],"and":[52,76,97,109,112,116,124,151,205,216,242,252,254],"assess":[53],"their":[54],"alignment":[55,260],"with":[56,70,143,261],"guideline-based":[57],"indications.":[58],"DESIGN:":[59],"Our":[60],"study":[61,66,80,132],"cohort":[65],"that":[67],"enrolled":[68],"women":[69],"newly":[71],"inserted":[72],"IUDs":[73],"between":[74,200,250],"2014":[75],"2023.":[77],"SETTING:":[78],"was":[81,102,232],"conducted":[82],"in":[83,180],"ten":[84],"European":[85],"countries:":[86],"Austria,":[87],"Czech":[88],"Republic,":[89],"Finland,":[90],"France,":[91],"Germany,":[92],"Italy,":[93],"Poland,":[94],"Spain,":[95],"Sweden,":[96],"United":[99],"Kingdom.":[100],"Data":[101],"captured":[103],"via":[104],"questionnaires":[105],"from":[106],"inserting":[110],"physicians,":[111],"included":[113],"medication":[114],"type":[115],"cervical":[117,176],"preparation":[118],"before":[119,136,235],"insertion,":[121],"uterine":[122],"anatomy,":[123],"procedural":[126],"complications.":[127],"RESULTS:":[128],"13.2%":[129],"97,189":[131],"participants":[133],"(unrelated":[139],"pregnancy":[141],"termination),":[142],"usage":[144,166],"varying":[145],"significantly":[146],"across":[147,246],"countries.":[148],"Austria":[149],"(48.0%)":[150],"Germany":[152],"(35.3%)":[153],"had":[154],"highest":[156],"rates,":[157],"followed":[158],"by":[159],"Spain":[160],"(7.1%)":[161],"while":[162],"other":[163],"countries":[164],"reported":[165],"below":[167],"2.5%.":[168],"Anatomical":[169],"risk":[170],"factors":[171],"for":[172,193,212,258],"failed":[173],"(e.g.":[175],"stenosis)":[177],"were":[178],"present":[179],"only":[181],"minority":[183],"participants.":[185],"Nulliparity":[186],"seemed":[187],"be":[189],"determining":[191],"factor":[192],"use.":[195],"CONCLUSIONS:":[196],"observed":[198],"discrepancies":[199,249],"local":[201],"practices":[204],"current":[206],"best-practice":[207],"guidelines":[208,253],"highlight":[209],"need":[211,257],"ongoing":[213],"professional":[214],"education":[215],"may":[217],"inform":[218],"future":[219],"updates":[220],"evidence-based":[222,262],"contraceptive":[223],"care":[224],"protocols.":[225],"TRIAL":[226],"REGISTRATION:":[227],"NCT02146950.":[228],"SHORT":[229],"CONDENSATION:":[230],"Misoprostol":[231],"frequently":[233],"used":[234],"despite":[238],"lacking":[239],"medical":[240],"showing":[243],"wide":[244],"variation":[245],"Europe,":[247],"revealing":[248],"practice":[251],"highlighting":[255],"better":[259],"care.":[263]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-02-12T00:00:00"}