Self-Managed Medication Abortion: Implications for Clinical Practice.

IF 0.4 Q4 MEDICAL ETHICS Linacre Quarterly Pub Date : 2023-08-01 Epub Date: 2022-12-12 DOI:10.1177/00243639221128389
Christina A Cirucci
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Abstract

Medication abortion represents more than 50 percent of abortions in the United States (US). Since its approval in the US in 2000, the Food and Drug Administration (FDA) has progressively relaxed the prescribing requirements such that currently, no office visit, in-person dispensing, or ultrasound is required. Obtaining medication for abortion online without medical supervision or evaluation is also possible. This article reviews the complications of medication abortion by examining major studies and delineates the risks specific to self-managed abortion to inform clinicians in caring for women.

Summary: Medication abortion has become the most common abortion method in the United States. This document provides a detailed history of the relaxation requirements on medication abortion and reviews the major studies on medication abortion complications including a discussion of their limitations. Finally, the paper delineates the ease of access to medication abortion without a health care provider and the risks associated with self-managed abortion. This paper is intended to provide information for clinicians who likely will be encountering increasing number of patients with such complications.

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自我管理药物流产:对临床实践的启示。
药物流产占美国堕胎的50%以上。自2000年在美国获得批准以来,美国食品药品监督管理局(FDA)逐步放宽了处方要求,目前不需要去办公室、亲自配药或超声波检查。在没有医疗监督或评估的情况下在线获得堕胎药物也是可能的。本文通过检查主要研究回顾了药物流产的并发症,并描述了自我管理流产的具体风险,以告知临床医生护理妇女。摘要:药物流产已成为美国最常见的堕胎方法。本文件提供了药物流产放松要求的详细历史,并回顾了药物流产并发症的主要研究,包括对其局限性的讨论。最后,该论文描述了在没有医疗保健提供者的情况下获得药物流产的容易程度以及与自我管理流产相关的风险。本文旨在为临床医生提供信息,他们可能会遇到越来越多的此类并发症患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Linacre Quarterly
Linacre Quarterly MEDICAL ETHICS-
CiteScore
0.80
自引率
40.00%
发文量
57
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