Second-trimester medication abortion outside the clinic setting: an analysis of electronic client records from a safe abortion hotline in Indonesia

BMJ Sexual & Reproductive Health
Caitlin GerdtsInna Hudaya

Abstract

Unsafe abortion past the first trimester disproportionately accounts for the majority of global abortion-related morbidity and mortality; research that documents the safety, feasibility and acceptability of existing models for providing information and support to women who self-manage outside of formal clinic settings is needed. This study is a retrospective analysis of anonymised electronic client records from callers to a safe abortion hotline in Indonesia. Between July 2012 and October 2016, a total of 96 women contacted the hotline for information on medication abortion beyond 12 weeks' gestation and are included in this study. Descriptive statistics were calculated regarding pregnancy termination status, client experience with warning signs of potential complications, and medical care seeking and treatment. Ninety-six women with pregnancies beyond the first trimester called the hotline for information on medication abortion; 91 women received counselling support from the hotline. Eighty-three women (91.2%) successfully terminated their pregnancies using medication and did not seek medical care. Five women exhibited warning signs of potential complications and sought medical care; one woman sought care after a failed aborti...Continue Reading

References

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Citations

Dec 14, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Caitlin GerdtsInna Hudaya
Aug 26, 2020·Global Public Health·Alexandra WollumKinga Jelinska
Nov 3, 2020·Studies in Family Planning·Sruthi ChandrasekaranSuchitra Dalvie
Nov 7, 2018·Current Opinion in Obstetrics & Gynecology·Wing Kay Fok, Alice Mark
Oct 29, 2020·Reproductive Health·Heidi MosesonCaitlin Gerdts
Jan 29, 2021·BMJ Sexual & Reproductive Health·Nathalie KappRasha Dabash
Mar 26, 2021·Sexual and Reproductive Health Matters·Lucía Berro Pizzarossa, Rishita Nandagiri
Apr 30, 2021·Sexual and Reproductive Health Matters·Roopan K GillAntonella F Lavelanet
Oct 16, 2021·Health Care for Women International·Sara LarreaCarme Borrell

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