Online access to abortion medications: a review of utilization and clinical outcomes

Best Practice & Research. Clinical Obstetrics & Gynaecology
M EndlerK Gemzell-Danielsson

Abstract

We performed a search in PubMed and Web of Science on the self-use of abortion medication after online access. Studies published between January 1, 1995, and March 31, 2019, were considered. We included studies of online services that were (i) led by healthcare staff (n = 14), (ii) led by non-healthcare staff (n = 4), and (iii) providing noninteractive access (n = 17). Our outcomes were utilization (frequency and demand for services), acceptability for women, safety, and success rate. Key findings: Women are increasingly using the Internet to access abortion medication. Available services are of varying quality. Women accessing noninteractive services report feelings of distress related to the lack of medical guidance, and the demand for interactive guidance through the abortion process is high. Women using services led by healthcare staff report high rates of satisfaction and similar rates of clinical outcomes as those of in-person abortion care.

Citations

Jul 11, 2020·The American Journal of Forensic Medicine and Pathology·Daniel C ButlerAngelina Phillips
Dec 29, 2020·BMJ Sexual & Reproductive Health·Sierou BrasCatherine Conlon
May 22, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·Hanna NorténR Gomperts
Jun 25, 2021·BMJ Sexual & Reproductive Health·Lesley Hoggart, Marge Berer
Jul 30, 2021·Clinical Obstetrics and Gynecology·Andrea Henkel, Kate A Shaw
Sep 23, 2021·Journal of Midwifery & Women's Health·Meghan Eagen-Torkko, Susan Yanow

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