Prescribing the abortion pill without restrictions is safe and effective, study finds

Researchers say Canada's experience offers a roadmap for other countries

Date: December 8, 2021
Source: University of British Columbia

Abortion remains safe after Canada removed restrictions on the medical abortion pill mifepristone in November 2017.

That's one of the key findings from a UBC-led study published today in the New England Journal of Medicine.

Continued: https://www.sciencedaily.com/releases/2021/12/211208182541.htm


Canada – Abortion expert urges Nova Scotia to drop ultrasound rule if access slowed

Abortion expert urges Nova Scotia to drop ultrasound rule if access slowed

Carly Weeks
Published September 26, 2018

The lead author of Canada’s national guidelines on drug-induced abortion says Nova Scotia should drop the practice of insisting on an ultrasound when it results in delays in providing the procedure.

The issue was raised this week after The Globe and Mail reported that Nova Scotia’s only abortion clinic is not allowed to perform ultrasounds to determine how far along a pregnancy is, leaving women to wait days or weeks for an appointment at the hospital’s diagnostic imaging unit. In an essay published Saturday, reporter Jessica Leeder outlined the challenges she faced earlier this year in obtaining a medical abortion. Ms. Leeder was told she would need to wait about two weeks for an ultrasound before a doctor could prescribe the abortion drug Mifegymiso. She eventually travelled out of province and paid out of pocket to have a timelier abortion.

Continued: https://www.theglobeandmail.com/canada/article-abortion-expert-urges-nova-scotia-to-drop-ultrasound-rule-if-access/


Online Abortion Service Women on Web: a vital alternative

Online Abortion Service Women on Web: a vital alternative

May 17th, 2017
A new scientific study published today in the BMJ shows that telemedical abortions are highly effective.

The study was conducted by researchers from the University of Texas in Austin, Princeton University and the University of Edinburgh. They looked at the data of 1,000 women in Ireland and Northern Ireland who used the service of Women on Web. Women on Web is an online service of telemedicine initiated ten years ago by Women on Waves. Women living in countries where access to safe abortions is restricted can use it to access information and be referred to a medical doctor to receive a medical abortion.
For more information about Women on Web: +31624195506 or info@womenonwaves.org

Press release by BMJ:

Online abortion service offers vital alternative to unsafe methods to end pregnancy

Results support growing calls for reform of highly restrictive abortion laws

Early medical abortion using online telemedicine offers a highly effective alternative to unsafe methods to end a pregnancy for women in countries where access to safe abortion is restricted, finds a study published by The BMJ today.
The findings, based on reports from women living in the Republic of Ireland and Northern Ireland where abortion laws are among the most restrictive in the world, show that rates of adverse events are low and that women are able to identify potentially serious complications and seek medical attention when advised.
The results provide the best safety evidence to date for self sourced medical abortion through telemedicine - and have important implications for millions of women worldwide, say the researchers.
About a quarter of the world's population lives in countries with highly restrictive abortion laws. Globally, each year an estimated 43,000 women die as a result of lack of access to safe legal abortion services through their countries' formal healthcare systems. Millions more have complications.
Yet little is known about the safety and effectiveness of medical abortion provided through online clinics.
So a team of international researchers led by Abigail Aiken at the University of Texas, analysed self reported outcome data submitted to a telemedicine clinic by 1,000 women four weeks after receiving and using the drugs mifepristone and misoprostol to end an early pregnancy.
Almost 95% reported successfully ending their pregnancy. Seven women (0.7%) reported receiving a blood transfusion and 26 (2.6%) reported receiving antibiotics. No deaths were reported.
Ninety three women (9.3%) reported experiencing any symptom for which they were advised to seek medical attention and, of these 87 (95%) sought attention.
None of the five women who did not seek medical attention reported experiencing an adverse outcome.
The researchers highlight some study limitations that could have introduced bias and say their results might not be generalisable to all settings. However, key strengths include the large sample size and high follow-up rate.
"For the millions of women worldwide living in areas where access to abortion is restricted, the findings show the vital role played by self sourced medical abortion in providing an option with high effectiveness rates and few reported adverse outcomes," they conclude.
In a linked editorial, researchers in Canada say, while findings from self reported data must always be treated with some degree of caution, these "reassuring study data support growing calls for reform."
They point out that repeal of legal restrictions "would support the safest and most equitable abortion care for women in Irish jurisdictions.
Until then, for the first time in history, women of all social classes in a legally restricted yet high resource setting have equitable access to a reasonable alternative: medical abortion guided by physicians through telemedicine," they conclude.
Note to Editors:
 
Research: Self reported outcomes and adverse events after medical abortion through online telemedicine: population based study in the Republic of Ireland and Northern Ireland
Editorial: Abortion by telemedicine: an equitable option for Irish women
Journal: The BMJ

For more information, please contact:

Abigail R A Aiken, LBJ School of Public Affairs, University of Texas at Austin, TX, USA - Research

Email: araa2@utexas.edu

Wendy V Norman, Associate Professor, University of British Columbia, Vancouver, BC, Canada - Editorial

Email: wendy.norman@ubc.ca

-----------------------------

Source: Women on Waves: https://www.womenonwaves.org/en/page/6985/online-abortion-service-women-on-web--a-vital-alternative


Abortion by telemedicine: an equitable option for Irish women

Abortion by telemedicine: an equitable option for Irish women

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2237. Cite this as: BMJ 2017;357:j2237
Published 16 May 2017
Wendy V Norman, associate professor, Bernard M Dickens, professor emeritus of health law and policy

Reassuring study data support growing calls for reform

Women’s need for abortion is no less in countries where abortion is legally restricted. Globally, a quarter of all pregnancies end in abortion, with higher rates in countries with severe legal restrictions than in countries offering safe legal abortion.1 In 1969 the United Nations affirmed the rights of parents to determine the number and spacing of their children.2 Half a century later a key component of this right is not equitably accessible.

Continued at source: BMJ: http://www.bmj.com/content/357/bmj.j2237


Abortion pills accessed online are as safe, effective as clinics: study

Abortion pills accessed online are as safe, effective as clinics: study
Telemedicine may be option in countries where service is restricted, researchers suggest

CBC News Posted: May 16, 2017

Medical abortions done at home using pills and an online telemedicine service appear to be just as safe and effective as those done at legal clinics, a new study has found. And it's an approach that the Canadian health-care system may be able to learn from, the author of an accompanying editorial says.

To conduct the study, researchers analyzed the outcomes of 1,023 women in Ireland and Northern Ireland who sought medical abortion services through Women on Web, a non-profit organization that provides access to medications used to induce abortion, between 2010 and 2012. Outcomes were known for 1,000 of those women, and nearly all the women were less than nine weeks into their pregnancy.

Continued at source: CBC: http://www.cbc.ca/news/health/medical-abortion-telemedicine-1.4118688


Canada: Abortion pill available in less than half of all Canadian provinces three months after rollout

Abortion pill available in less than half of all Canadian provinces three months after rollout
Ashley Csanady | March 30, 2017

The abortion pill is available in less than half of all Canadian provinces and territories three months after it first went on sale in Canada.

Medical experts and advocates had hoped Mifegymiso — the official name of the two-medication drug also know as mifepristone or RU-486 — would help close the gaping urban-rural divide in access to abortion care services in Canada. But three months in, experts warn a strict regulatory regime could further entrench that divide and only existing abortion providers will be willing or able to distribute the pill.

Just five provinces and one territory have requested the drug since its late-January launch, according to its manufacturer: Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

continued: http://news.nationalpost.com/news/canada/abortion-pill-available-in-less-than-half-of-all-canadian-provinces-three-months-after-rollout


Will this new pill make abortion more accessible in Canada?

Mifegymiso can widen access to abortion care by providing a non-surgical option that doesn't have to be administered in a hospital or clinic. (Charlie Neibergall/AP Photo)

Published on Aug 12, 2016

by Terri Coles
TVO.org

Ontario doctors may be able to prescribe and distribute a Health Canada-approved abortion drug by as early as this fall, but some activists and researchers say federal conditions on its use will do little to make pregnancy termination available to the many women who live far from clinics or hospitals that provide abortions.

Mifepristone, also known as RU-486, is a drug that induces a medical abortion by blocking progesterone, a hormone needed to maintain pregnancy. In Canada, where it is sold under the brand name Mifegymiso, federal regulations allow the drug to be taken up to 49 days past a woman’s last menstrual period. Unlike Plan B, which prevents the implantation of a fertilized egg and is meant to be taken within a couple days of having unprotected sex, mifepristone terminates a pregnancy. The drug can widen access to abortion care by providing a non-surgical option that doesn’t have to be administered in a hospital or clinic.

“The nature of the existing restrictions on mifepristone suggest that the motivations to regulate it go beyond considerations for the women’s health,” says Rachael Johnstone, an assistant professor of politics and gender studies at Queen’s University who specializes in Canadian abortion access. “The amount of oversight that’s required is somewhat condescending, and it’s not clear that it’s [medically] required.”

Source: TVO.org