Reviewer ’s report  
 
Title: Trends in Comprehensive Abortion Care (CAC) and Characteristics of Women Receiving  
abortion care in Tertiary Hospital in Nepal.  
 
Version: 4 Date: 15 Nov 2018  
 
Reviewer: Sam Rowlands  
 
Reviewer's report:  
 
The author has generally responded to the major points raised by the reviewers. However, I was 
disappointed by the lack of attention paid to the language. Below I have listed some of major 
corrections that are needed, but this is no t complete; the author needs to check every sentence of 
the manuscript.  
 
 
Title  
 
Trends in comprehensive abortion care and characteristics of women receiving abortion care at a 
tertiary hospital in Nepal  
 
 
Abstract  
 
 
Method: add definite article to Nursing Depa rtment  
 
 
Results: A total of 2,367 women    A majority of service providers  
 
 
Conclusions: The number of women receiving CAC was relatively constant over the ten -year 
period  ... a larger population in need  
 
 
Keywords  
Need to be written in full  
 
 
Introduction  
 
Page 7 lines 9/10: In low -resource countries, 78.2% of abortions are unsafe, compared to 17.8% 
in high -resource countries.  
 
Page 7 line 13: 580 deaths per 100,000 in 1995  
Page 7 lines 19/20: Among the facilities providing postabortion care, the largest propor tion was 
covered by the private sector ...  
 
Page 7 line 22: mortality was due to direct causes  
 
Page 7 line 23: was done  
 
Page 7 line 31: a serious threat  
 
Page 7 line 41: trial in South Africa and Vietnam  
 
Page 7 line 45: safely and effectively   To reduce the  country's ...  
 
Page 7 line 46: Creating an enabling environment for ...  
 
Page 7 line 54: the policy sets out ...  
 
Page 8 line 9: possess the stated clinical skills  
 
Page 8 line 12: decision -making by the woman  
 
Page 8 line 13: must be maintained  
 
Page 8 line 32: in the middle of Kathmandu  
 
Page 8 line 37: the Obstetrics and Gynaecology Department has the highest patient throughput in 
the hospital (is this what the author means?)  
 
Page 9 lines 7/8: the woman is discharged with her choice of contrace ption (or contraception 
supplied to her)  
 
Page 9 line 39: since it was a retrospective review  
 
Page 13 line 7: showed a similar pattern  
 
Page 13 line 30 This is a judgemental sentence. Suggest change to: This finding is an indicator 
that much greater efforts  are needed to increase the delivery of contraception to women 
immediately following the abortion procedure.  
 
Page 14 line 10: preferred nurses to physicians  
 
Page 14 line 18: to perform self -induced abortions  
 
Page 14 line 35: The current study was done ...  
 
 
Figure 3: Key needed for red and blue columns  
 
Sections after the main text: Raw data were collected from the CAC register, transferrred to a 
manual datasheet ...    All work was done for the author's ...  
 
 
 
 
Are the methods appropriate and well described ? 
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an  
additional statistical review?  
If an additional statistical review is recommended, please specify wh at aspects require further  
assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Not suitable for publication unless extensi vely edited  
 
 
 
 
Declaration  of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an  
organisation that may in any way gain or lose fin ancially from the publication of this  
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you  hold or are you currently applying for any patents relating to the content of the  
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds  or has applied for patents relating to the content of the manuscript ? 
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
 
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is ye s to any, please give details below.  
 
I declare that I have no competing interests  
 
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on my report to the authors and, if the manuscript is accepted for publication, my named report  
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