Self-diagnosing the end of pregnancy after medication abortion

Arey, Whitney; Lerma, Klaira; White, Kari

doi:10.1080/13691058.2023.2212298

Cited by 1 publication

(1 citation statement)

References 44 publications

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“…Medication abortion with mifepristone and misoprostol and misoprostol-only regimens both have high success rates and the majority using medication abortion have successful outcomes independent of in-person follow-up care (Box 1) [38–42]. Yet, faced with possible medication failure with resultant ongoing pregnancy and need for additional travel, patients may want follow-up care for reassurance [43 ▪ ].…”

Section: Considerations For Clinical Practicementioning

confidence: 99%

Travel for abortion care: implications for clinical practice

Lerma,

Coplon,

Goyal

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Traveling long distances to obtain abortion care due to restrictions and scarce availability is associated with significant obstacles. We review clinical strategies that can facilitate abortion access and outline considerations to ensure person-centered and equitable care. Recent findings Establishing a patient's gestational duration prior to travel may be beneficial to ensure they are eligible for their desired abortion method at the preferred facility or to determine if a multiday procedure is required. If a local ultrasound cannot be obtained prior to travel, evidence demonstrates people can generally estimate their gestational duration accurately. If unable to provide care, clinicians should make timely referrals for abortion. Integration of telemedicine into abortion care is safe and well regarded by patients and should be implemented into service delivery where possible to reduce obstacles to care. Routine in-person follow-up care is not necessary. However, for those who want reassurance, formalized pathways to care should be established to ensure people have access to care in their community. To further minimize travel-related burdens, facilities should routinely offer information about funding and practical support, emotional support, and legal resources. Summary There are many opportunities to optimize clinical practice to support those traveling for abortion care.

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Section: Considerations For Clinical Practicementioning

confidence: 99%