{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:37:38Z","timestamp":1784194658874,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate safety, feasibility, and acceptability of a telemedicine medical abortion service without pre\u2010treatment in\u2010person tests in Ukraine, Uzbekistan, and Azerbaijan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted an open\u2010label, prospective, observational clinical study at five clinics in the three countries. Interested and eligible participants scheduled a telemedicine consultation with a study provider by phone or video. Medical abortion pills could be obtained by mail or courier or picked up at the study clinic or a pharmacy. Study providers contacted participants 1\u2009week after mifepristone ingestion to assess abortion outcomes based on symptoms, and 3\u2009weeks later to review the result of an at\u2010home, high\u2010sensitivity, urine pregnancy test. Participants were referred to in\u2010person visit based on symptoms, urine pregnancy test results, or initiative by the participant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 300 women participated in the study. Almost all participants received medical abortion medications the same day as their first contact with the study clinic, and the majority (<jats:italic>n<\/jats:italic>\u2009=\u2009297, 99.0%) did not experience any problems receiving them. All except two women (0.67%) followed provider instructions on administration of medications. The majority of participants had a complete abortion without a procedure (Ukraine: <jats:italic>n<\/jats:italic>\u2009=\u2009115, 95.8%; Uzbekistan: <jats:italic>n<\/jats:italic>\u2009=\u2009127, 97.7%; Azerbaijan: <jats:italic>n<\/jats:italic>\u2009=\u200949, 98.0%), few had in\u2010person visits (Ukraine: <jats:italic>n<\/jats:italic>\u2009=\u200930, 25.0%; Uzbekistan: <jats:italic>n<\/jats:italic>\u2009=\u20093, 2.3%; Azerbaijan: <jats:italic>n<\/jats:italic>\u2009=\u20094, 8.0%), and most were very satisfied or satisfied with the service (Ukraine: <jats:italic>n<\/jats:italic>\u2009=\u2009116, 96%; Uzbekistan: <jats:italic>n<\/jats:italic>\u2009=\u2009128, 98%; Azerbaijan: <jats:italic>n<\/jats:italic>\u2009=\u200945, 90%). No serious adverse events occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Telemedicine medical abortion using the no\u2010test protocol is safe, feasible and acceptable for women in Ukraine, Uzbekistan, and Azerbaijan.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15708","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T01:47:45Z","timestamp":1716860865000},"page":"804-809","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of telemedicine medical abortion using a no\u2010test protocol in the Eastern Europe and Central Asian region: Evidence from Ukraine, Uzbekistan, and Azerbaijan"],"prefix":"10.1002","volume":"167","author":[{"given":"Tamar","family":"Tsereteli","sequence":"first","affiliation":[{"name":"Gynuity Health Projects  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrida","family":"Platais","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York New York USA"},{"name":"New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahlet","family":"Maru","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galyna","family":"Maystruk","sequence":"additional","affiliation":[{"name":"Charitable Foundation Women Health and Family Planning  Kyiv Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilfuza","family":"Kurbanbekova","sequence":"additional","affiliation":[{"name":"Women's Wellness Center  Tashkent Uzbekistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulnara","family":"Rzayeva","sequence":"additional","affiliation":[{"name":"Scientific\u2010Research Institute of Obstetrics and Gynecology  Baku Azerbaijan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverly","family":"Winikoff","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2020.1746065"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200724"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200954"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200972"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12800"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2019.05.013"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.03.019"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.08.008"},{"key":"e_1_2_9_10_1","volume-title":"Abortion Care Guideline","author":"World Health Organization","year":"2022"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.04.005"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.04.010"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.03.025"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16668"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.07.108"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15684"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/rfc2.3"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2023.2170710"},{"issue":"3","key":"e_1_2_9_19_1","first-page":"CD013181","article-title":"Self\u2010administered versus provider\u2010administered medical abortion","volume":"3","author":"Gambir K","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.02.004"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16813"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.06.009"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200976"}],"container-title":["International Journal of Gynecology &amp; 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