Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services

被引：117

作者：

Gomperts, R. J. ^{[1
]}

Jelinska, K. ^{[2
]}

Davies, S. ^{[3
]}

Gemzell-Danielsson, K. ^{[4
]}

Kleiverda, G. ^{[5
]}

机构：

[1] Women Waves, NL-1001 ND Amsterdam, Netherlands

[2] Womens Wallet, Amsterdam, Netherlands

[3] Women Web, Minneapolis, MN USA

[4] Karolinska Inst, Dept Woman & Child Hlth, Stockholm, Sweden

[5] Flevoziekenhuis, Dept Obstet & Gynaecol, Almere, Netherlands

来源：

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2008年 / 115卷 / 09期

关键词：

abortion; buccal misoprostol; e-health; home-use; mifepristone; self-administration; telemedicine;

D O I：

10.1111/j.1471-0528.2008.01787.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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 all 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 call provide an alternative to unsafe TOP. Outcomes of care are in the same range as TOP provided in outpatient settings.

引用

页码：1171 / 1175

页数：5

共 8 条

[1] A comparison of women's, providers' and ultrasound assessments of pregnancy duration among termination of pregnancy clients in South Africa [J].