{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:22:32Z","timestamp":1785306152172,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Early abortion care became available in Ireland in January 2019. Service delivery involves two consultations with a medical practitioner, separated by a mandatory 3\u2010day waiting period. The Model of Care for termination of pregnancy initially required in\u2010person visits. The onset of the COVID\u201019 pandemic necessitated significant reductions in in\u2010person interactions in healthcare. A revised Model of Care for termination of pregnancy, issued for the duration of the pandemic, permits delivery of early abortion care by remote consultation. Significantly, this was introduced without amending the 2018 abortion law. The pandemic precipitated a rapid development in the delivery of abortion care that was not anticipated at the time of abortion law reform only 18\u00a0months earlier. We outline the work undertaken to maintain access to abortion care in early pregnancy through the lens of a single community\u2010level provider and explore what these developments may mean for abortion law, policy, and service delivery.<\/jats:p>","DOI":"10.1002\/ijgo.13720","type":"journal-article","created":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T07:55:29Z","timestamp":1619250929000},"page":"379-384","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Early abortion care during the COVID\u201019 public health emergency in Ireland: Implications for law, policy, and service delivery"],"prefix":"10.1002","volume":"154","author":[{"given":"Alison","family":"Spillane","sequence":"first","affiliation":[{"name":"Irish Family Planning Association Dublin Ireland"},{"name":"School of Social Work and Social Policy Trinity College Dublin Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeve","family":"Taylor","sequence":"additional","affiliation":[{"name":"Irish Family Planning Association Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitriona","family":"Henchion","sequence":"additional","affiliation":[{"name":"Irish Family Planning Association Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00f3is\u00edn","family":"Venables","sequence":"additional","affiliation":[{"name":"Irish Family Planning Association Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Conlon","sequence":"additional","affiliation":[{"name":"School of Social Work and Social Policy Trinity College Dublin Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.05.011"},{"key":"e_1_2_9_3_1","unstructured":"Health (Regulation of Termination of Pregnancy) Act 2018 no. No. 31\/2018 Houses of the Oireachtas (2018).http:\/\/www.irishstatutebook.ie\/eli\/2018\/act\/31\/enacted\/en\/pdf. Accessed February 8 2021."},{"key":"e_1_2_9_4_1","volume-title":"Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth","author":"World Health Organization","year":"2010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2008.01787.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2012.12.002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003357"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC19050"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.15684"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.16668"},{"key":"e_1_2_9_11_1","volume-title":"Safe abortion: Technical and Policy Guidance for Health Systems","author":"World Health Organization","year":"2012"},{"key":"e_1_2_9_12_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Best practice in comprehensive abortion care. Best Practice Paper No. 2.2015.https:\/\/www.rcog.org.uk\/globalassets\/documents\/guidelines\/best\u2010practice\u2010papers\/best\u2010practice\u2010paper\u20102.pdf. Accessed February 17 2021."},{"key":"e_1_2_9_13_1","unstructured":"Health Service Executive.Model of Care for Termination of Pregnancy Services[not available online].2018."},{"key":"e_1_2_9_14_1","unstructured":"Houses of the Oireachtas.Emergency Measures in the Public Interest (Covid\u201019) Bill 2020: Committee Amendments.2020.https:\/\/data.oireachtas.ie\/ie\/oireachtas\/bill\/2020\/4\/dail\/3\/amendment\/numberedList\/eng\/b0420d\u2010dnl.pdf. Accessed February 17 2021."},{"key":"e_1_2_9_15_1","unstructured":"Houses of the Oireachtas.Emergency Measures in the Public Interest (Covid\u201019) Bill 2020: Committee and Remaining Stages. D\u00e1il \u00c9ireann debate.2020; Vol. 992 No. 4."},{"key":"e_1_2_9_16_1","unstructured":"Health Service Executive.COVID\u201019 Public Health Emergency: Revised Model of Care for Termination in Early Pregnancy[not available online].2020."},{"key":"e_1_2_9_17_1","unstructured":"British Pregnancy Advisory Service.Pills by Post: Telemedical Abortion at the British Pregnancy Advisory Service.2020.https:\/\/www.bpas.org\/media\/3385\/bpas\u2010pills\u2010by\u2010post\u2010service.pdf. Accessed February 19 2021."},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13377"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh\u20102020\u2010200724"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/jlb\/lsaa027"},{"key":"e_1_2_9_21_1","unstructured":"Houses of the Oireachtas.Abortion Services Provision. D\u00e1il \u00c9ireann debate \u2013 Written Answers (Questions to Health).2020."},{"key":"e_1_2_9_22_1","unstructured":"International Federation of Gynecology and Obstetrics.FIGO Statement: FIGO endorses the permanent adoption of telemedicine abortion services.2021.https:\/\/www.figo.org\/FIGO\u2010endorses\u2010telemedicine\u2010abortion\u2010services. Accessed April 7 2021."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh\u20102020\u2010200849"},{"key":"e_1_2_9_24_1","unstructured":"Department of Health & Social Care.Abortion statistics England and Wales: 2019.2020.https:\/\/www.gov.uk\/government\/statistics\/abortion\u2010statistics\u2010for\u2010england\u2010and\u2010wales\u20102019. Accessed February 23 2021."},{"key":"e_1_2_9_25_1","unstructured":"HollandK.Covid restrictions make it difficult for Irish women seeking abortions to travel. The Irish Times.2020.https:\/\/www.irishtimes.com\/news\/social\u2010affairs\/covid\u2010restrictions\u2010make\u2010it\u2010difficult\u2010for\u2010irish\u2010women\u2010seeking\u2010abortions\u2010to\u2010travel\u20101.4391601. Accessed February 23 2021."},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.07.003"},{"key":"e_1_2_9_27_1","unstructured":"Office of the High Commissioner for Human Rights.Information series on sexual and reproductive health and rights: abortion. United Nations.2020.https:\/\/www.ohchr.org\/Documents\/Issues\/Women\/WRGS\/SexualHealth\/INFO_Abortion_WEB.pdf. Accessed March 3 2021."},{"key":"e_1_2_9_28_1","unstructured":"Department of Health.2019 Annual Report on Notifications under the Health (Regulation of Termination of Pregnancy) Act 2018.2020.https:\/\/www.gov.ie\/en\/publication\/b410b\u2010health\u2010regulation\u2010of\u2010termination\u2010of\u2010pregnancy\u2010act\u20102018\u2010annual\u2010report\u2010on\u2010notifications\u20102019\/. 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