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Abortion patients' perspectives on enhancing a telemedicine model of post-abortion contraception: a qualitative study.
BMJ Sex Reprod Health
December 2024
Usher Institute, Centre for Population Health Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, UK.
Background: Access to post-abortion contraception (PAC) is critical for reducing unintended pregnancies and supporting reproductive decision-making. Patients often face challenges in identifying, accessing and initiating their preferred contraceptive methods post-abortion. This may be particularly so with telemedicine models of care with absence of in-person appointments, and reduced opportunities to provide some contraceptive methods.
View Article and Find Full Text PDFThe impact of the coronavirus disease 2019 pandemic on abortion access and pre-abortion mental health in Shanghai.
Int J Gynaecol Obstet
March 2023
Department of Obstetrics and Gynecology, Shanghai General Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Objective: To understand the barriers to abortion in Shanghai during the COVID-19 pandemic, and to compare pre-abortion mental health status before and during the crisis.
Methods: In this case-control study, two groups of women seeking abortion (age ≥18 years, pregnancy duration <98 days) were recruited from March to September, 2021 (n = 1070) and from February to April 2022 (n = 625). The evaluation included COVID-19-related abortion stress questions, the Symptom Checklist-90 Revised questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Family Environment Scale Chinese version.
Barriers to abortion provision in primary care in New England, 2019-2020: A qualitative study.
Contraception
January 2023
Brigham and Women's Hospital, Department of Obstetrics and Gynecology, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Objective: To assess barriers to and facilitators of abortion provision among abortion-trained primary care providers.
Study Design: We conducted 21 qualitative in-depth interviews with 20 abortion-trained family physicians and one internal medicine physician in five New England states. We dual-coded interviews, using a consensus method to agree upon final coding schema.
Telemedicine for medical abortion service provision in Mexico: A safety, feasibility, and acceptability study.
Contraception
October 2022
Gynuity Health Projects, New York, NY, United States.
Objective: We aimed to obtain evidence about the safety, acceptability, and feasibility of a direct-to-patient telemedicine medical abortion service in Mexico's private health sector.
Study Design: A prospective observational one-group study to evaluate a telemedicine abortion service, referred to as TeleAborto, was conducted at three private clinics and one nonclinician community-based provider. Information about the study was provided by phone, websites, and social media.
Outcomes and Safety of History-Based Screening for Medication Abortion: A Retrospective Multicenter Cohort Study.
JAMA Intern Med
May 2022
Gynuity Health Projects, New York, New York.
Importance: Screening for medication abortion eligibility typically includes ultrasonography or pelvic examination. To reduce physical contact during the COVID-19 pandemic, many clinicians stopped requiring tests before medication abortion and instead screened patients for pregnancy duration and ectopic pregnancy risk by history alone. However, few US-based studies have been conducted on the outcomes and safety of this novel model of care.
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