Narrative Review of Medication-Induced Abortion and Care through Telemedicine

被引:0
作者
Wen, Ao [1 ,2 ,3 ]
Zhou, Kunyan [1 ,2 ]
机构
[1] West China Second Univ Hosp, Dept Obstet & Gynecol, Chengdu 610041, Sichuan, Peoples R China
[2] Sichuan Univ, Key Lab Birth Defects & Related Dis Women & Childr, Minist Educ, Chengdu 610041, Sichuan, Peoples R China
[3] Sichuan Univ, West China Hosp, West China Sch Med, Chengdu 610041, Sichuan, Peoples R China
关键词
telemedicine; abortion care; medication-induced abortion; COVID-19; pandemic; PATIENT EXPERIENCES; EARLY-PREGNANCY; WAITING PERIOD; MIFEPRISTONE; TERMINATION; MISOPROSTOL; SERVICES; EFFICACY; OUTCOMES; SAFETY;
D O I
10.31083/j.ceog5108173
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: This review aims to examine the role of telemedicine in facilitating access to medication-induced abortion services, in the context of legal restrictions, geographical barriers, and the impact of the coronavirus disease 2019 (COVID-19) pandemic on healthcare delivery. Mechanism: This study conducted a narrative literature review focusing on the application of telemedicine in abortion care. It included analyzing various study types and evidence from peer-reviewed articles to evaluate the effectiveness, safety, and patient reception of telemedicine in providing medication-induced abortion. Findings in Brief: Medication-induced abortion via telemedicine is safe, effective, and well received by patients, offering a viable alternative to traditional in-person services. Telemedicine enables remote eligibility assessment, medication prescription, and follow-up care, significantly benefiting isolated or underserved populations. Conclusions: Telemedicine has emerged as a critical innovation in abortion care, enhancing access, safety, and equity in abortion services. It addresses significant barriers such as travel expenses and missed work, providing a patient-centered approach to abortion care. Future directions should focus on optimizing telemedicine protocols and expanding access to underserved populations, ensuring comprehensive abortion care through telemedicine.
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页数:8
相关论文
共 58 条
[1]   Effectiveness, safety and acceptability of no-test medical abortion (termination of pregnancy) provided via telemedicine: a national cohort study [J].
Aiken, A. R. A. ;
Lohr, P. A. ;
Lord, J. ;
Ghosh, N. ;
Starling, J. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2021, 128 (09) :1464-1474
[2]   Demand for self-managed online telemedicine abortion in eight European countries during the COVID-19 pandemic: a regression discontinuity analysis [J].
Aiken, Abigail R. A. ;
Starling, Jennifer E. ;
Gomperts, Rebecca ;
Scott, James G. ;
Aiken, Catherine E. .
BMJ SEXUAL & REPRODUCTIVE HEALTH, 2021, 47 (04) :238-245
[3]   Demand for Self-Managed Online Telemedicine Abortion in the United States During the Coronavirus Disease 2019 (COVID-19) Pandemic [J].
Aiken, Abigail R. A. ;
Starling, Jennifer E. ;
Gomperts, Rebecca ;
Tec, Mauricio ;
Scott, James G. ;
Aiken, Catherine E. .
OBSTETRICS AND GYNECOLOGY, 2020, 136 (04) :835-837
[4]   The impact of Northern Ireland's abortion laws on women's abortion decision-making and experiences [J].
Aiken, Abigail R. A. ;
Padron, Elisa ;
Broussard, Kathleen ;
Johnson, Dana .
BMJ SEXUAL & REPRODUCTIVE HEALTH, 2019, 45 (01) :3-9
[5]   Self reported outcomes and adverse events after medical abortion through online telemedicine: population based study in the Republic of Ireland and Northern Ireland [J].
Aiken, Abigail R. A. ;
Digol, Irena ;
Trussell, James ;
Gomperts, Rebecca .
BMJ-BRITISH MEDICAL JOURNAL, 2017, 357
[6]  
American College of Obstetricians and Gynecologists Committee on Obstetric Practice, 2020, Obstet Gynecol, V136, pe100, DOI [10.1097/aog.0000000000004167, 10.1097/AOG.0000000000004167]
[7]  
[Anonymous], 2020, COVID-19 FAQs for obstetricians-gynecologists, obstetrics
[8]  
[Anonymous], 2022, Abortion Care Guideline
[9]  
[Anonymous], 2020, What Is Telemedicine, Exactly?
[10]   Drug therapy - Medical termination of pregnancy [J].
Christin-Maitre, S ;
Bouchard, P ;
Spitz, IM .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (13) :946-956