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10.1016/j.conx.2020.100049

http://scihub22266oqcxt.onion/10.1016/j.conx.2020.100049
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suck abstract from ncbi


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pmid33305255      Contracept+X 2020 ; 2 (ä): 100049
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  • Adoption of no-test and telehealth medication abortion care among independent abortion providers in response to COVID-19 #MMPMID33305255
  • Upadhyay UD; Schroeder R; Roberts SCM
  • Contracept X 2020[]; 2 (ä): 100049 PMID33305255show ga
  • OBJECTIVE: Access to abortion care in the United States (US) is restricted by numerous logistical and financial barriers, which have been further intensified by the COVID-19 pandemic. We sought to understand the ways in which COVID-19 prompted changes in clinical practices in abortion care among independent abortion clinics. STUDY DESIGN: We surveyed independent US abortion clinics and documented changes in practice regarding the provision of abortion since March 1, 2020. RESULTS: Among about 153 independent clinics invited, 100 clinics contributed relevant data and were included in the analytic sample. A total of 87% reported changes in protocols in response to the COVID-19 pandemic. Reported changes included moving to telehealth (phone or video) for follow-up (71%), starting or increasing telehealth for patient consultations and screening (41%), reducing Rh testing (43%) and other tests (42%), and omitting the preabortion ultrasound (15%). A total of 20% reported allowing quick pickup of medication abortion pills, and 4% began mailing medications directly to patients after a telehealth consultation. Clinical practice changes were reported throughout all regions of the US, but facilities in the Northeast (73%) were more likely to report starting or increasing telehealth than facilities in the South (23%, p?
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