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10‐year evaluation of the use of medical abortion through telemedicine: a retrospective cohort study
Ist Teil von
BJOG : an international journal of obstetrics and gynaecology, 2022-01, Vol.129 (1), p.151-159
Ort / Verlag
England: Wiley Subscription Services, Inc
Erscheinungsjahr
2022
Link zum Volltext
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Objective
To provide a descriptive overview and evaluate changes in the use and outcome of abortions provided worldwide by telemedicine in the past 10 years.
Design
Retrospective cohort study.
Setting
Multi‐country.
Population/Sample
30 344 women who completed the follow‐up survey of the telemedical abortion service Women on Web from January 2009 till January 2020.
Methods
Analyses of follow‐up surveys, binary logistic regressions to test the association between year and outcomes.
Main outcome measures
Rate of complete abortions, surgical interventions, ongoing pregnancies, blood transfusions per year, socio‐economic situation, knowledge on medical abortion, acceptability of receiving service, appropriateness of method and the likelihood of recommending the service to a friend.
Results
Medical abortions were provided to 81 683 women, of whom 30 344 (37.2%) completed the follow‐up survey. In total, 26 076 women reported doing the medical abortion, of whom 1.5% reported an ongoing pregnancy, 10.2% a surgical intervention and 0.6% a blood transfusion. Acceptability of the service was 99%, and 59.2% of the users reported previous knowledge of medical abortion. We found a significant increase in complete abortions in 2019 (odds ratio 1.92; 95% CI 1.59–2.31) and decrease in surgical interventions (odds ratio 0.49; 95% CI 0.40–0.60) compared with 2009.
Conclusion
Low follow‐up rates present a limitation in analysing trends in telemedical abortion usage. However, our findings suggest that it is a highly acceptable method around the world and that there has been an increase in complete abortions by telemedical abortions and a decrease in surgical interventions in the last 10 years.
Tweetable
In the last 10 years, there has been an increase in complete abortions and decrease in surgical interventions of telemedical abortion.
Tweetable
In the last 10 years, there has been an increase in complete abortions and decrease in surgical interventions of telemedical abortion.
Linked article This article is commented on by Patricia A. Lohr, p. 160–161 in this issue. To view this mini commentary visit https://doi.org/10.1111/1471-0528.16905.