As the Supreme Court appears poised to overturn Roe v. Wade and states are passing abortion restrictions in unprecedented numbers, doctors hope that self-managed medication abortion by telemedicine can help those without access to abortion health care.
that currently prohibit telemedicine abortion. The service requires an online consultation to determine eligibility for using abortion pills, and provides information about how to use abortion pills. Patients in states allowing telemedicine abortion receive care from U.S.-based caregiver who ships medications from Honeybee Health.
One area of concern is that medication abortion outside of the formal US health care system might delay a diagnosis of an ectopic pregnancy—a dangerous conditions where a fertilized egg implants and grow outside of the uterus. But Aiken says that they saw the opposite in the study. “We saw that people actually were diagnosed at the time of contacting Aid Access, which is a really good thing,” she says. No ectopic pregnancies were reported after using the medications.
The research also provided evidence that medication abortion after 10 weeks is effective and safe, although slightly less so than before ten weeks. Of the patients taking abortion pills before 10 weeks of pregnancy, 97 percent successfully ended their pregnancies. The success rate for people taking the pills after 10 weeks was 92 percent. While only .08 percent of patients with pregnancies up to 10 weeks had complications, 2.3 percent after 10 weeks did.
People are self-managing abortion in a variety of ways, including herbs and botanicals, manual vacuum aspiration and pills.
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