Self-managed abortion: Exploring synergies between institutional medical systems and autonomous health movements

Yanow, Susan; Pizzarossa, Lucía Berro; Jelinska, Kinga

doi:10.1016/j.contraception.2021.06.006

Cited by 10 publications

(9 citation statements)

References 15 publications

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“…We show that high quality abortions—safe, effective, supported—are taking place outside of institutional systems of medical care. Thus, in line with this evidence and the most recent technical and human rights standards, governments must fully decriminalize the practice and provide a supportive enabling environment for self-managed abortion 41 . In the context of a global backlash against abortion rights, self-managed abortion is an integral part of a spectrum of options for abortion care that must be made available to all.…”

Section: Discussionmentioning

confidence: 85%

Self-managed abortion via the internet: Analysis of one year of service delivery data from Women Help Women

Shochet

Pizzarossa²,

Larrea³

et al. 2023

Gates Open Res

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Background: To better comprehend the demand for online medication abortion and to inform service delivery practice, we conducted an analysis of Women Help Women (WHW) service delivery statistics. The primary goals were to understand their user profile, evaluate self-reported outcomes and use of other medical services, and assess the overall experience both with the abortion itself and with the counseling and care provided by WHW. Methods: We retrospectively evaluated user characteristics, abortion outcomes, and acceptability of both the medication abortion and WHW’s services, using consultation data and corresponding evaluation data from a one-year period. For users who did not complete the evaluation form, WHW staff reviewed email correspondences to identify key outcomes. Results: From August 2016-July 2017, 3,307 individuals received abortion pills from WHW. Users were geographically located in thirty countries and correspondence was conducted in seven languages. Most reported their gestational age to be less than eight weeks. Of the 2,295 who took the pills and provided outcome information, almost all (99.1%, n=2275) reported that they were no longer pregnant. The majority (84.1%, n=1576/1875) used symptoms to confirm outcome; one fourth (22.8%, n=428) sought an ultrasound and one sixth (18.0%, n=338) used urine and/or serum testing. One in eight users (12.6%, n=292/2317) reported seeking additional medical care after taking the abortion pills. Most (87.5%, n=1551/1773) reported being satisfied or very satisfied with the abortion. Conclusions: Our study confirms that self-managed abortion is a process that people can do safely and effectively with community support and without medical supervision. In the context of a global backlash against abortion rights, self-managed abortion is an integral part of a spectrum of options for abortion care that must be made available to all.

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Section: Discussionmentioning

confidence: 85%

Self-managed abortion via the internet: Analysis of one year of service delivery data from Women Help Women

Shochet

Pizzarossa²,

Larrea³

et al. 2023

Gates Open Res

Self Cite

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“…En cuanto al vínculo con el sistema de salud formal o institucional, que caracteriza a las Socorristas en Red de Argentina descripto en nuestro estudio y mostrado también en otros estudios (36,37) , es proactivo desde las socorristas hacia el sistema de salud institucional, y comenzó centrado en la necesidad de recurrir si hay complicaciones o para situaciones pendientes en el posaborto y la anticoncepción. Ese vínculo deseado y estimulado no es fácil, y es una construcción que, desde Neuquén, las socorristas de La Revuelta llevaron adelante, lo promovieron en la red nacional y lo sostienen en la actualidad.…”

Section: Los Hallazgos En Relación Con La Red Nacionalunclassified

Socorristas en red: Soporte comunitario a la autogestión del aborto en Argentina

Luchetti,

Albardonedo,

Alfonso

2024

SCOL

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La disponibilidad de medicamentos para producir un aborto, sobre todo en contextos de acceso restringido, transformó las prácticas y permitió que las propias mujeres y/o sus organizaciones comunitarias ayuden a otras mujeres a abortar, interactuando o no con el sistema de salud. Este estudio recupera la experiencia de una organización feminista de la comunidad que, desde la provincia de Neuquén, se extiende a todo el país, generando una red de cuidados comunitarios. Se realizó un estudio exploratorio descriptivo, con enfoque cualitativo con el propósito de analizar las experiencias de las mujeres que facilitan el acceso al aborto permitido en Argentina. A través de entrevistas en profundidad a tres líderes de la colectiva feminista La Revuelta y de entrevistas semiestructuradas a 33 integrantes de las grupas socorristas, realizadas entre noviembre de 2019 y diciembre de 2020, describimos su historia y los procesos de trabajo y crecimiento; exploramos sus motivaciones y sentimientos y caracterizamos las interacciones de dichas organizaciones con los sistemas de salud público y privado. Los resultados de este trabajo coinciden con la conversación y la producción bibliográfica internacional acerca de estas organizaciones y sus particularidades y con la necesidad de incorporar estos cuidados a los sistemas de salud institucionales.

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“…Growing evidence supports the safety, effectiveness and high levels of user satisfaction with medication abortion outside of the traditional medical SMMA in the US 741 paradigm. 2,18,23 The 2022 World Health Organization guidelines recognize the importance of self-empowerment through SMMA among individuals <12 weeks in gestational duration, comprised of 3 major components: self-assessment of eligibility; self-administration of medication(s); self-assessment of success and completeness. 7 For some individuals, self-management of either part or all of the abortion process may be the most feasible option due to circumstances; for others, this may be an active choice.…”

Section: Self-managed Medication Abortionmentioning

confidence: 99%

“…Thus, we focus this review on various approaches to SMMA, ranging from self-management of the abortion process in part or whole. Growing evidence supports the safety, effectiveness and high levels of user satisfaction with medication abortion outside of the traditional medical paradigm 2,18,23 . The 2022 World Health Organization guidelines recognize the importance of self-empowerment through SMMA among individuals ˂12 weeks in gestational duration, comprised of 3 major components: self-assessment of eligibility; self-administration of medication(s); self-assessment of success and completeness 7 .…”

Section: Self-managed Medication Abortionmentioning

confidence: 99%

Self-managed Medication Abortion in the United States

Jung,

Nippita

2023

Clinical Obstetrics &Amp; Gynecology

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Self-managed abortion (SMA) is ending a pregnancy without medical supervision, either by obtaining medications (known as self-managed medication abortion) or through other means. Many factors influence a person’s decision to pursue self-managed abortion, such as time constraints, financial considerations, and local availability of abortion services. We present on the prevalence, methods and best practices for clinicians in the United States who may interface with individuals undergoing self-managed medication abortion at any point in the process through a harm reduction approach.

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Self-managed abortion: Exploring synergies between institutional medical systems and autonomous health movements

Cited by 10 publications

References 15 publications

Self-managed abortion via the internet: Analysis of one year of service delivery data from Women Help Women

Self-managed abortion via the internet: Analysis of one year of service delivery data from Women Help Women

Socorristas en red: Soporte comunitario a la autogestión del aborto en Argentina

Self-managed Medication Abortion in the United States

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