Search
Close this search box.

Contraception Magazine to Feature Results of New TelAbortion Study

  • Home
  • Blog
  • Contraception Magazine to Feature Results of New TelAbortion Study

Contraception Magazine to Feature Results of New TelAbortion Study

A new day for accessing abortion in the first weeks of pregnancy arrived with the abortion pill. It took the procedure out of a clinic and allowed the patient, after lab tests and sonogram, to have one in-person visit with a medical professional, and then go home, take a pill and have the abortion at home. (This is called a medical abortion). Now even that one in-person visit may not be necessary, replaced by a teleconference with a medical professional.  Especially in states with restrictive abortion laws and very few clinics – or none – TelAbortion could mean the difference between life and death – safe abortion or life-threatening illegal procedures.

Choices Women’s Medical Center participated in the study organized by Gynuity Health Project. Esther Prigue, LCSW, and Administrator and Head of Counseling at Choices was part of the TelAbortion Project Team.  The manuscript announcing the study results has been accepted for publication by Contraception Magazine

Upon publication, we will send our readers a link to the entire manuscript. For now, here is a brief description of the study and Abstract.

TelAbortion: evaluation of a direct to patient telemedicine abortion service in the United States.

Some of our key findings and conclusions include:

Medical abortion (medication abortion) can be safely and effectively provided using direct-to-patient telemedicine, which allows patients to obtain the service via videoconference and mail without an in-person visit with an abortion provider.

The TelAbortion service is highly acceptable to patients and can increase access to abortion for people who have difficulty going in person to an abortion clinic.

The U.S. Food and Drug Administration, as well as individual states, should lift legal and regulatory restrictions on abortion so that this service can be provided throughout the entire United States.

Abstract

Objectives

To evaluate the safety, feasibility, and acceptability of a direct-to-patient telemedicine service that enabled people to obtain medical abortion (medication abortion) without visiting an abortion provider in person.

Study design

We offered the service in five states. Each participant had a videoconference with a study clinician and had pre-treatment laboratory tests and ultrasound at facilities of her choice. If the participant was eligible for medical abortion (medication abortion), the clinician sent a package containing mifepristone, misoprostol, and instructions to her by mail. After taking the medications, the participant obtained follow-up tests and had a follow-up consultation with the clinician by telephone or videoconference to evaluate abortion completeness. The analysis was descriptive.

Results

Over 32 months, we conducted 433 study screenings and shipped 248 packages. The median interval between screening and mailing was 7 days (91st percentile 17 days), and no participant took the mifepristone at ≫71 days of gestation. We ascertained abortion outcomes of 190/248 package recipients (77%): 177/190 (93%) had complete abortion without a procedure. Of the 217/248 package recipients who provided meaningful follow-up data (88%), one was hospitalized for postoperative seizure and another for excessive bleeding, and 27 had other unscheduled clinical encounters, 12 of which resulted in no treatment. A total of 159/248 participants who received packages (64%) completed satisfaction questionnaires at study exit; all were satisfied with the service.

Conclusions

This direct-to-patient telemedicine abortion service was safe, effective, efficient, and satisfactory. The model has the potential to increase abortion access by enhancing the reach of providers and by offering people a new option for obtaining care conveniently and privately.

Implications

Provision of medical abortion (medication abortion) by direct-to-patient telemedicine and mail has the potential to increase abortion access by increasing the reach of providers and by offering people the option of obtaining abortion care without an in-person visit to an abortion provider.

Share this on:

Facebook
Twitter
LinkedIn

Schedule Your Appointment

Our team of board-certified medical professionals and support staff offer safe, trusted, comprehensive care and services at the highest level. Our state-of-the-art facility is located in the heart of Jamaica Queens, NY.

Schedule an appointment with CHOICES today.

Recent News

Intern Interviews: Serving Our Patients And Building The New Generation Of Abortion Providers

Following are three interviews with medical students who recently spent …

Read More

Introducing CHOICES’ New Medical Director

Dr. Joseph Ottolenghi I am happy to announce that Dr. …

Read More

Merle is Firing Up the Resistance, State by State

Merle Hoffman discussing her new book, CHOICES – A Post-Roe …

Read More

Q& A WITH THE DOC: THE RSV VACCINE FOR MOMS

Respiratory syncytial virus (RSV) is a contagious virus that infects …

Read More

Veteran Feminists of America (VFA) Honors Merle Hoffman

Choices Founder, President, & CEO, Merle Hoffman is featured In the VFA Pioneer Histories Project, Second Wave activists, sharing her personal history of fighting for women’s health for decades, and the development of the Philosophy of Patient Power.

Read More

Challenges, Courage, and Commitment at CHOICES

This summer has been one to remember. As I began …

Read More

YES, CHOICES is Open and Here for You!

Read More

50 Years of Choices (1971-2021)

It was 1971, 50 years ago, one half of a …

Read More

Choices Is Open – Choices Is Safe

These times are stressful for everyone. We know patients are very concerned…

Read More

Choices for Texas Women

If you live in Texas and need a safe abortion …

Read More

How CHOICES Keeps the Torch of Women’s Healthcare Blazing

Choices Women’s Medical Center has a multitude of programs to …

Read More

Courage, Compassion, and COVID: Choices Moves into its 50th Year

Founded in 1971 (two years prior to Roe V Wade), …

Read More