Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services
Abstract
Women on Web is a service that uses telemedicine to help women access mifepristone and misoprostol in countries with no safe care for termination of pregnancy (TOP). This study reviews the telemedicine service. After an online consultation, women with an unwanted pregnancy of up to 9 weeks are referred to a doctor. If there are no contraindications, a medical TOP is conducted by mail. After maximising the follow up from 54.8 to 77.6%, 12.6% decided not to do the TOP and 6.8% of the women who did the medical TOP at home needed a vacuum aspiration. Telemedicine can provide an alternative to unsafe TOP. Outcomes of care are in the same range as TOP provided in outpatient settings.
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Based on the findings, telemedicine can provide an alternative to unsafe abortion in countries with restrictive abortion laws.
“Based on the findings, the authors concluded that telemedicine can provide an alternative to unsafe abortion in countries with restrictive abortion laws.”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [46]
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Unsafe abortion and postabortion care - an overview
RASCH, V. (2011) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01165.x · Cited by 94 · see citing works
Telemedicine applications in obstetrics and gynecology
GREINER, A. L. (2017) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000328 · Cited by 74 · see citing works
- Authors
- Gomperts, R., Jelinska, K., Davies, S., Gemzell‐Danielsson, K., & Kleiverda, G.
- Affiliations
- Karolinska Institutet (SE)
- Flevoziekenhuis (NL)
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2008-07-14
- Volume
- 115
- Issue
- 9
- Pages
- 1171-1178
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W1973062736
- Cited by
- 170
- References
- 0
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 8 · 2023: 11 · 2022: 17 · 2021: 19 · 2020: 16 · 2019: 9 · 2018: 12 · 2017: 16 · 2016: 5 · 2015: 6 · 2014: 10 · 2013: 8 · 2012: 7
- FWCI
- 4.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- telemedicine, abortion, abortion pills, mifepristone, misoprostol, unsafe abortion, home abortion, teleconsultation, follow-up, vacuum aspiration
- MeSH terms
- Abortifacient Agents, Steroidal, Abortion, Induced, Administration, Buccal, Administration, Oral, Adolescent, Adult, Drug Therapy, Combination, Female, Health Services Accessibility, Humans, Middle Aged, Pregnancy, Pregnancy Outcome, Mifepristone, Misoprostol, Telemedicine, Internet
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