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10.1136/bmjsrh-2020-200976

http://scihub22266oqcxt.onion/10.1136/bmjsrh-2020-200976
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33542062!7868129!33542062
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suck abstract from ncbi


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pmid33542062      BMJ+Sex+Reprod+Health 2021 ; 47 (4): 246-251
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  • Telemedicine medical abortion at home under 12 weeks gestation: a prospective observational cohort study during the COVID-19 pandemic #MMPMID33542062
  • Reynolds-Wright JJ; Johnstone A; McCabe K; Evans E; Cameron S
  • BMJ Sex Reprod Health 2021[Oct]; 47 (4): 246-251 PMID33542062show ga
  • BACKGROUND: In response to the COVID-19 pandemic, legislation and guidance were introduced in Scotland permitting medical abortion at home by telemedicine for pregnancies at less than 12 weeks' gestation. Women had a telephone consultation with a clinician. Routine ultrasound was not performed. Medications and a low-sensitivity pregnancy test to confirm success of treatment were collected by or delivered to the woman, with telephone support provided as needed. METHODS: A prospective cohort study of 663 women choosing medical abortion at home via the NHS Lothian telemedicine abortion service between 1 April and 9 July 2020. Interviewer-administered questionnaires were completed 4 and 14 days following treatment. Regional hospital databases were reviewed to verify abortion outcomes and complications within 6 weeks. Outcome measures included efficacy, complications and acceptability. RESULTS: Almost all (642/663, 98.2%) the women were under 10 weeks' gestation. For 522/663 (78.7%) women, gestation was determined using last menstrual period alone. Some 650/663 (98%) women had a complete abortion, 5 (0.8%) an ongoing pregnancy and 4 (0.6%) an incomplete abortion. No one was treated inadvertently beyond 12 weeks' gestation, but one woman was never pregnant. One woman who had a pre-abortion ultrasound was later managed as a caesarean scar ectopic. There were two cases of haemorrhage and no severe infections. Some 123 (18.5%) women sought advice by telephone for a concern related to the abortion and 56 (8.4%) then attended a clinic for review. Most (628, 95%) women rated their care as very or somewhat acceptable. CONCLUSIONS: This model of telemedicine abortion without routine ultrasound is safe, and has high efficacy and high acceptability among women.
  • |*COVID-19[MESH]
  • |*Telemedicine[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Mifepristone[MESH]
  • |Pandemics[MESH]
  • |Pregnancy[MESH]
  • |Prospective Studies[MESH]
  • |Referral and Consultation[MESH]
  • |SARS-CoV-2[MESH]


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