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To evaluate feasibility and acceptability of a medical abortion service that offers: a telemedicine visit (in place of an in-person visit) during a mandatory waiting period, and at-home follow-up with the use of multi-level pregnancy tests (MLPT). Participants were screened for eligibility in clinic, and during the waiting period, received a telephone call to confirm desire to proceed with the service. Participants were mailed a study package containing mifepristone, misoprostol, two multi-level pregnancy tests, and instructions for their use. Follow-up consultation took place by phone to evaluate abortion completeness. The analysis was descriptive. One-hundred twenty-two participants were enrolled in the study, and 120 chose to proceed with the abortion after the waiting period and were sent a study package. One participant was lost to follow up. The majority of participants did not experience problems receiving the study package (94.1%,  n  = 112), took mifepristone (100%,  n  = 119), misoprostol (99.2%,  n  = 118), and MLPTs (99.1%,  n  = 116) as instructed, and forwent additional clinic visits (91.6%,  n  = 109). All participants were satisfied with the service. Most participants had a complete abortion without a procedure (95.8%,  n  = 114). The adapted telemedicine medical abortion service was feasible and satisfactory to participants and has the potential to make medical abortion more patient-centered where waiting periods are mandated.

Telemedicine medical abortion service in Georgia: an evaluation of a strategy with reduced number of in-Clinic visits