Abstract：
:The requirement that every woman desiring medical abortion must come in person to a clinical facility to obtain the drugs is a substantial barrier for many women. To eliminate this requirement in the United States, two key components of the standard initial visit would need to be restructured. First, alternatives to ultrasound and pelvic exam would need to be identified for ensuring that gestational age is within the limit for safe and effective treatment. This is probably feasible: for example, data from a large study suggest that in selected patients menstrual history is highly sensitive for this purpose. Second, the Food and Drug Administration would need to remove the medically unwarranted restriction on distribution of mifepristone. These two changes could allow provision of the service by a broader range of providers in nontraditional venues or even by telemedicine. Such options could have profound benefits in reducing cost and expanding access to abortion.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Raymond EG,Grossman D,Wiebe E,Winikoff Bdoi
10.1016/j.contraception.2015.06.020subject
Has Abstractpub_date
2015-09-01 00:00:00pages
190-3issue
3eissn
0010-7824issn
1879-0518pii
S0010-7824(15)00258-9journal_volume
92pub_type
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