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.
引用
收藏
页数:8
相关论文
共 58 条
[11]  
Cleland K, 2013, OBSTET GYNECOL, V121, P166, DOI [10.1097/AOG.0b013e3182755763, http://10.1097/AOG.0b013e3182755763]
[12]   Clinical Outcomes and Women's Experiences before and after the Introduction of Mifepristone into Second-Trimester Medical Abortion Services in South Africa [J].
Constant, Deborah ;
Harries, Jane ;
Malaba, Thokozile ;
Myer, Landon ;
Patel, Malika ;
Petro, Gregory ;
Grossman, Daniel .
PLOS ONE, 2016, 11 (09)
[13]   Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond [J].
Contreras, Carlo M. ;
Metzger, Gregory A. ;
Beane, Joal D. ;
Dedhia, Priya H. ;
Ejaz, Aslam ;
Pawlik, Timothy M. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2020, 24 (07) :1692-1697
[14]   A randomized comparison of misoprostol 6 to 8 hours versus 24 hours after mifepristone for abortion [J].
Creinin, MD ;
Fox, MC ;
Teal, S ;
Chen, A ;
Schaff, EA ;
Meyn, LA .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (05) :851-859
[15]   Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes A Systematic Review [J].
DeNicola, Nathaniel ;
Grossman, Daniel ;
Marko, Kathryn ;
Sonalkar, Sarita ;
Tobah, Yvonne S. Butler ;
Ganju, Nihar ;
Witkop, Catherine T. ;
Henderson, Jillian T. ;
Butler, Jessica L. ;
Lowery, Curtis .
OBSTETRICS AND GYNECOLOGY, 2020, 135 (02) :371-382
[16]   Two routes of administration for misoprostol in the treatment of incomplete abortion: a randomized clinical trial [J].
Diop, Ayisha ;
Raghavan, Sheila ;
Rakotovao, Jean-Pierre ;
Comendant, Rodica ;
Blumenthal, Paul D. ;
Winikoff, Beverly .
CONTRACEPTION, 2009, 79 (06) :456-462
[17]   Telemedicine Abortion [J].
Dunlop, Hayley ;
Sinay, Anne-Marie ;
Kerestes, Courtney .
CLINICAL OBSTETRICS AND GYNECOLOGY, 2023, 66 (04) :725-738
[18]   Spatial dimensions of telemedicine and abortion access: a qualitative study of women's experiences [J].
Ehrenreich, Katherine ;
Marston, Cicely .
REPRODUCTIVE HEALTH, 2019, 16 (1)
[19]   Women's Experiences Using Telemedicine to Attend Abortion Information Visits in Utah: A Qualitative Study [J].
Ehrenreich, Katherine ;
Kaller, Shelly ;
Raifman, Sarah ;
Grossman, Daniel .
WOMENS HEALTH ISSUES, 2019, 29 (05) :407-413
[20]   Telemedicine for medical abortion: a systematic review [J].
Endler, M. ;
Lavelanet, A. ;
Cleeve, A. ;
Ganatra, B. ;
Gomperts, R. ;
Gemzell-Danielsson, K. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2019, 126 (09) :1094-1102