Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services
Article first published online: 10 JUL 2008
© 2008 The Authors Journal compilation © RCOG 2008 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 115, Issue 9, pages 1171–1178, August 2008
How to Cite
Gomperts, R., Jelinska, K., Davies, S., Gemzell-Danielsson, K. and Kleiverda, G. (2008), Using telemedicine for termination of pregnancy with mifepristone and misoprostol in settings where there is no access to safe services. BJOG: An International Journal of Obstetrics & Gynaecology, 115: 1171–1178. doi: 10.1111/j.1471-0528.2008.01787.x
- Issue published online: 14 JUL 2008
- Article first published online: 10 JUL 2008
- Accepted 25 February 2008.
- buccal misoprostol;
Women on Web is a service that uses telemedicine to help women access mifepristone and misoprostol in countries with no safe care for termination of pregnancy (TOP). This study reviews the telemedicine service. After an online consultation, women with an unwanted pregnancy of up to 9 weeks are referred to a doctor. If there are no contraindications, a medical TOP is conducted by mail. After maximising the follow up from 54.8 to 77.6%, 12.6% decided not to do the TOP and 6.8% of the women who did the medical TOP at home needed a vacuum aspiration. Telemedicine can provide an alternative to unsafe TOP. Outcomes of care are in the same range as TOP provided in outpatient settings.