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Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services
Author(s) -
Gomperts RJ,
Jelinska K,
Davies S,
GemzellDanielsson K,
Kleiverda G
Publication year - 2008
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2008.01787.x
Subject(s) - misoprostol , mifepristone , vacuum aspiration , telemedicine , medical abortion , medicine , medical emergency , pregnancy , service (business) , obstetrics , abortion , family medicine , family planning , business , health care , population , genetics , environmental health , marketing , economics , research methodology , biology , economic growth
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.