Telemedicine for medical abortion: a systematic review.
Medical abortion
telemedicine
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
accepted:
04
03
2019
pubmed:
15
3
2019
medline:
14
8
2019
entrez:
15
3
2019
Statut:
ppublish
Résumé
Telemedicine is increasingly being used to access abortion services. To assess the success rate, safety, and acceptability for women and providers of medical abortion using telemedicine. We searched PubMed, EMBASE, ClinicalTrials.gov, and Web of Science up until 10 November 2017. We selected studies where telemedicine was used for comprehensive medical abortion services, i.e. assessment/counselling, treatment, and follow up, reporting on success rate (continuing pregnancy, complete abortion, and surgical evacuation), safety (rate of blood transfusion and hospitalisation) or acceptability (satisfaction, dissatisfaction, and recommendation of the service). Quantitative outcomes were summarised as a range of median rates. Qualitative data were summarised in a narrative synthesis. Rates relevant to success rate, safety, and acceptability outcomes for women ≤10 Based on a synthesis of mainly self-reported data, medical abortion through telemedicine seems to be highly acceptable to women and providers, success rate and safety outcomes are similar to those reported in literature for in-person abortion care, and surgical evacuation rates are higher. A systematic review of medical abortion through telemedicine shows outcome rates similar to in-person care.
Sections du résumé
BACKGROUND
Telemedicine is increasingly being used to access abortion services.
OBJECTIVE
To assess the success rate, safety, and acceptability for women and providers of medical abortion using telemedicine.
SEARCH STRATEGY
We searched PubMed, EMBASE, ClinicalTrials.gov, and Web of Science up until 10 November 2017.
STUDY CRITERIA
We selected studies where telemedicine was used for comprehensive medical abortion services, i.e. assessment/counselling, treatment, and follow up, reporting on success rate (continuing pregnancy, complete abortion, and surgical evacuation), safety (rate of blood transfusion and hospitalisation) or acceptability (satisfaction, dissatisfaction, and recommendation of the service).
DATA COLLECTION AND ANALYSIS
Quantitative outcomes were summarised as a range of median rates. Qualitative data were summarised in a narrative synthesis.
MAIN RESULTS
Rates relevant to success rate, safety, and acceptability outcomes for women ≤10
CONCLUSION
Based on a synthesis of mainly self-reported data, medical abortion through telemedicine seems to be highly acceptable to women and providers, success rate and safety outcomes are similar to those reported in literature for in-person abortion care, and surgical evacuation rates are higher.
TWEETABLE ABSTRACT
A systematic review of medical abortion through telemedicine shows outcome rates similar to in-person care.
Identifiants
pubmed: 30869829
doi: 10.1111/1471-0528.15684
pmc: PMC7496179
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1094-1102Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : Swedish Foundation for Medical Research
Pays : International
Organisme : Swedish Society for Medical Research
Pays : International
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2019 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.
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