在线获取堕胎药：利用和临床结局的综述。
Online access to abortion medications: a review of utilization and clinical outcomes.
机构信息
Department of Women's and Children's Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Tomtebodavägen 18b, 171 77 Stockholm, Sweden; Department of Public Health, and Women's Health Research Unit, University of Cape Town, Falmouth Road, 7950 Cape Town, South Africa.
Department of Women's and Children's Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Tomtebodavägen 18b, 171 77 Stockholm, Sweden.
出版信息
Best Pract Res Clin Obstet Gynaecol. 2020 Feb;63:74-86. doi: 10.1016/j.bpobgyn.2019.06.009. Epub 2019 Jul 2.
We performed a search in PubMed and Web of Science on the self-use of abortion medication after online access. Studies published between January 1, 1995, and March 31, 2019, were considered. We included studies of online services that were (i) led by healthcare staff (n = 14), (ii) led by non-healthcare staff (n = 4), and (iii) providing noninteractive access (n = 17). Our outcomes were utilization (frequency and demand for services), acceptability for women, safety, and success rate. Key findings: Women are increasingly using the Internet to access abortion medication. Available services are of varying quality. Women accessing noninteractive services report feelings of distress related to the lack of medical guidance, and the demand for interactive guidance through the abortion process is high. Women using services led by healthcare staff report high rates of satisfaction and similar rates of clinical outcomes as those of in-person abortion care.
我们在 PubMed 和 Web of Science 上进行了一项关于在线获取堕胎药物后自行使用的检索。研究时间为 1995 年 1 月 1 日至 2019 年 3 月 31 日。我们纳入了（i）由医护人员主导的在线服务（n=14）、（ii）由非医护人员主导的在线服务（n=4）和（iii）提供非互动式访问的在线服务（n=17）的研究。我们的研究结果是利用度（服务的频率和需求）、对女性的可接受性、安全性和成功率。主要发现：越来越多的女性正在利用互联网获取堕胎药物。现有的服务质量参差不齐。使用非互动式服务的女性报告说，由于缺乏医疗指导而感到痛苦，并且对通过堕胎过程提供互动式指导的需求很高。使用由医护人员主导的服务的女性报告了较高的满意度和与亲自接受堕胎护理相似的临床结果。
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