Re: Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services.
نویسنده
چکیده
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.
منابع مشابه
Misoprostol Alone or in Combination with Methotrexate for Termination of Pregnancy at First Trimester
Abortion is an important problem in obstetrics throughout the world. The common and standard method for pregnancy termination at first trimester is surgery (curettage). Nowadays, an effective method of pregnancy termination at first trimester is medical treatments. The aim of this study is to compare misoprostol alone or in combination with methotrexate for pregnancy termination at first trimes...
متن کاملMisoprostol Alone or in Combination with Methotrexate for Termination of Pregnancy at First Trimester
Abortion is an important problem in obstetrics throughout the world. The common and standard method for pregnancy termination at first trimester is surgery (curettage). Nowadays, an effective method of pregnancy termination at first trimester is medical treatments. The aim of this study is to compare misoprostol alone or in combination with methotrexate for pregnancy termination at first trimes...
متن کاملComparison between 24 and 48 Hours Interval between Mifepristone and Misoprostol for Induction of Abortion
Provision of safe abortion to the full extent of the law is an important component of reproductive health services. The development of methods of inducing abortion by medical means has created alternative options to make abortion available to women in health-care settings. Ideally, any method of medical abortion should have an overall efficacy comparable to that of surgical method, i.e. a rate ...
متن کاملErratum to: Improving access to safe abortion in a rural primary care setting in India: experience of a service delivery intervention
BACKGROUND Abortion services were legalized in India in 1972, however, the access to safe abortion services is restricted, especially in rural areas. In 2002, medical abortion using mifepristone- misoprostol was approved for termination of pregnancy, however, its use has been limited in primary care settings. METHODS This paper describes a service delivery intervention for women attending wit...
متن کاملIntegrating medical abortion into safe abortion services: experience from three pilot sites in South Africa.
BACKGROUND AND METHODOLOGY South Africa's Choice on Termination of Pregnancy Act of 1996 provides for safe termination of pregnancy (TOP) in designated facilities in the public and private health sectors. In 2001, mifepristone-misoprostol medical abortion was approved for TOP up to 56 days, but this method is not yet available in the public sector. Information on the operational requirements fo...
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عنوان ژورنال:
- BJOG : an international journal of obstetrics and gynaecology
دوره 115 9 شماره
صفحات -
تاریخ انتشار 2008