Regional differences in surgical intervention following medical termination of pregnancy provided by telemedicine

@article{Gomperts2012RegionalDI,
  title={Regional differences in surgical intervention following medical termination of pregnancy provided by telemedicine},
  author={Rebecca Gomperts and Sabine A M Petow and Kinga Jelinska and Louis Steen and Kristina Gemzell‐Danielsson and Gunilla Kleiverda},
  journal={Acta Obstetricia et Gynecologica Scandinavica},
  year={2012},
  volume={91}
}
Objective. Analysis of factors influencing surgical intervention rate after home medical termination of pregnancy (TOP) by women in countries without access to safe services using the telemedical service ‘Women on Web’. Design. Cohort study. Setting. Women with an unwanted pregnancy less than nine weeks pregnant who used the telemedicine service of Women on Web between February 2007 and September 2008 and provided follow‐up information. Sample. Women who used medical TOP with a known follow up… Expand
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References

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TLDR
Telemedicine can provide an alternative to unsafe TOP and outcomes of care are in the same range as TOP provided in outpatient settings. Expand
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The available evidence suggests that medical treatment, with misoprostol, and expectant care are both acceptable alternatives to routine surgical evacuation given the availability of health service resources to support all three approaches. Expand
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Medical abortion at 9-13 weeks' gestation is an effective alternative to surgery and medical methods should be offered routinely at these gestations, thus increasing women's choice. Expand
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TLDR
Efficacy, acceptability and preference for future place of administration of misoprostol, were women to have another abortion, did not differ between women with gestation below 50 days or between 50 and 63 days as compared with shorter gestations. Expand
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TLDR
Vacuum aspiration is safe, quick to perform, and less painful than sharp curettage, and should be recommended for use in the management of incomplete abortion. Expand
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TLDR
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