Preabortion ultrasound - a patient perspective

PURPOSE: To explore women's perception of the need for an ultrasound scan before medical abortion provided by telemedicine services.

METHODS: We have analysed women's requests for medical abortion through the website www.womenonweb.org from the 1st of January 2019 to the 5th of October 2020. Before receiving abortion drugs for self-managed medical abortion, women received online counselling and were asked to complete an online survey on pre-abortion ultrasound scan and the reasons for having or not having one. The initial dataset included 62641 entries from 207 countries. Each entry corresponded to a person's request for medical abortion. Women reported only one or multiple reasons for not having a pre-abortion ultrasound scan.

RESULTS: Among 59648 women requesting a medical abortion, 45653 (76,54%) did not have any pre-abortion ultrasound scan and specified a reason for that. The countries with the highest rates of women not having a pre-abortion ultrasound scan were Thailand, Poland, Northern Ireland, Mexico, South Korea, Japan, Chile, Indonesia, Germany, and Brazil. The main reasons for not having a pre-abortion ultrasound scan were being confident regarding pregnancy length; and thus, no need for a scan stated by 10910/34390 women (31.7%), lack of resources stated by 10589/34390 women (30.8%), and privacy issues stated by 6472/34390 women (18.8%).

CONCLUSION: Most women opting for medical abortion through telemedicine did not undergo a pre-abortion ultrasound scan. The main reason stated was that women did not find it necessary, lack of resources and privacy issues.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception - 28(2023), 5 vom: 12. Okt., Seite 268-273

Sprache:

Englisch

Beteiligte Personen:

Podolskyi, Volodymyr [VerfasserIn]
Gemzell-Danielsson, Kristina [VerfasserIn]
Marions, Lena [VerfasserIn]
Gomperts, Rebecca [VerfasserIn]

Links:

Volltext

Themen:

0E43V0BB57
320T6RNW1F
First trimester
Journal Article
Medical abortion
Mifepristone
Misoprostol
Self-management
Telemedicine
Ultrasound

Anmerkungen:

Date Completed 31.10.2023

Date Revised 31.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13625187.2023.2249158

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361959028