Main Findings
This large study including 30344 women from 183 countries using
telemedical medical abortion identified several changes in the use and
outcome of medical abortions over the 10 years of evaluation. A
significant association was found between the year of treatment and
outcome measures. There was a significant increase in reported complete
abortions, a decrease in surgical intervention, and an overall low rate
of ongoing pregnancy and blood transfusions. The service was highly
acceptable and medical abortion was considered an appropriate method in
almost all cases.
There were significant fluctuations in financial hardship but these did
not show a specific trend. There was no significant change in knowledge
about medical abortion over the years.