Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services
- PMID: 18637010
- DOI: 10.1111/j.1471-0528.2008.01787.x
Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services
Abstract
Women on Web is a service that uses telemedicine to help women access mifepristone and misoprostol in countries with no safe care for termination of pregnancy (TOP). This study reviews the telemedicine service. After an online consultation, women with an unwanted pregnancy of up to 9 weeks are referred to a doctor. If there are no contraindications, a medical TOP is conducted by mail. After maximising the follow up from 54.8 to 77.6%, 12.6% decided not to do the TOP and 6.8% of the women who did the medical TOP at home needed a vacuum aspiration. Telemedicine can provide an alternative to unsafe TOP. Outcomes of care are in the same range as TOP provided in outpatient settings.
Comment in
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Termination of pregnancy by telemedicine: an ethicist's viewpoint.BJOG. 2008 Aug;115(9):1071-3. doi: 10.1111/j.1471-0528.2008.01790.x. Epub 2008 Jul 10. BJOG. 2008. PMID: 18637009 No abstract available.
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Re: Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services.BJOG. 2008 Nov;115(12):1578-9. doi: 10.1111/j.1471-0528.2008.01923.x. BJOG. 2008. PMID: 19035995 No abstract available.
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Re: Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services.BJOG. 2008 Nov;115(12):1587-8; author reply 1588-9. BJOG. 2008. PMID: 19054856 No abstract available.
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