This paper is only available as a PDF. To read, Please Download here.
To investigate the acceptability, feasibility, and effectiveness of dispensing medications for abortion using a mail-order pharmacy following an in-person assessment.
We conducted a prospective cohort study of patients seeking medication abortion services at 11 sites in seven states. Patients interested in and eligible for medication abortion provided consent. Clinicians electronically sent prescribed mifepristone and misoprostol to the mail-order pharmacy, which shipped these medications to participants’ preferred addresses. Participants completed web-based surveys about their experience and outcomes three days and 14 days post-enrollment and had routine clinical follow-up. Clinic staff extracted clinical data from medical records. We performed descriptive analyses to assess outcomes of interest.
Between January 2020 and April 2022, 408 participants enrolled, of which three enrolled for two abortions (total sample: 411 pregnancies among 408 participants). Among the 94% (388/411) who took the medications and for whom clinical outcome data were obtained, 85% (329/388) received the medications within three days, 0.8% (3/388) took mifepristone beyond 70 days’ gestation, and 1.6% (6/388) did not take misoprostol as indicated. Complete medication abortion occurred in 380 cases (97.9%, CI, 96.0–99.1); among the others, 1.8% (7/388) were treated with aspiration and one continued the pregnancy. Almost all, 98% (380/388) and 94% (366/388) completed the day 3 and day 14 surveys, respectively; and reported they were somewhat or very satisfied with mail-order dispensing (96%, 365/380) and the medication abortion overall (92%, 338/366). No adverse events related to mail-order dispensing occurred.
Mail-order pharmacy dispensing of mifepristone for medication abortion is safe, feasible, acceptable, and effective for patients.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Contraception
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
© 2022 Published by Elsevier Inc.