{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:32:22Z","timestamp":1783488742122,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/N022556\/1"],"award-info":[{"award-number":["MR\/N022556\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the experiences of women in Scotland who accessed medical abortion at home up to 12\u00a0weeks\u2019 gestation, delivered via a telemedicine abortion service implemented in response to the coronavirus (COVID\u201019) pandemic, to identify areas for improvement and inform service provision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative interview study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Abortion service in one National Health Service health board in Scotland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population or sample<\/jats:title><jats:p>Twenty women who accessed telemedicine abortion services and self\u2010administered mifepristone and misoprostol at home up to 12\u00a0weeks\u2019 gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thematic analysis of semi\u2010structured qualitative interviews, informed by the Framework analytic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Women\u2019s experiences of accessing telemedicine for medical abortion at home, specifically: acceptability of the telephone consultation and remote support; views on no pre\u2010abortion ultrasound scan; and self\u2010administration of abortion medications at home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Novel study findings were three\u2010fold: (1) participants valued the option of accessing abortion care via telemedicine and emphasised the benefits of providing a choice of telephone and in\u2010person consultation to suit those with different life circumstances; (2) the quality of abortion care was enhanced by the telemedicine service in relation to access, comfort and flexibility, and ongoing telephone support; (3) participants described being comfortable with, and in some cases a preference for, not having an ultrasound scan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This research demonstrates support for the continuation of telemedicine abortion services beyond the temporary arrangements in place during COVID\u201019, and lends weight to the argument that offering the option of telemedicine abortion care can enable women to access this essential health service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>#Telemedicine provision of medical #abortion at home up to 12\u00a0weeks\u2019 gestation is acceptable and highly valued by #women #Research #SRHR @nbw80 @doctorjjrw @jeniharden @cameronsharon @mrc_crh @edinuniusher.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16813","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T12:47:22Z","timestamp":1623934042000},"page":"1752-1761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Women\u2019s experiences of a telemedicine abortion service (up to 12\u00a0weeks) implemented during the coronavirus (COVID\u201019) pandemic: a qualitative evaluation"],"prefix":"10.1111","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2260-8020","authenticated-orcid":false,"given":"N","family":"Boydell","sequence":"first","affiliation":[{"name":"Usher Institute University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6597-1666","authenticated-orcid":false,"given":"JJ","family":"Reynolds\u2010Wright","sequence":"additional","affiliation":[{"name":"NHS Lothian Edinburgh UK"},{"name":"MRC Centre for Reproductive Healthcare University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-2276","authenticated-orcid":false,"given":"ST","family":"Cameron","sequence":"additional","affiliation":[{"name":"NHS Lothian Edinburgh UK"},{"name":"MRC Centre for Reproductive Healthcare University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6011-6254","authenticated-orcid":false,"given":"J","family":"Harden","sequence":"additional","affiliation":[{"name":"Usher Institute University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200278"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2020-200661"},{"key":"e_1_2_7_4_1","article-title":"Abortion regulation in Europe in the era of COVID\u201019: a spectrum of policy responses","volume":"19","author":"Moreau C","year":"2020","journal-title":"BMJ Sex Reprod Health"},{"key":"e_1_2_7_5_1","volume-title":"The Abortion Act 1967\u2014Approval of a Class of Place for Treatment for the Termination of Pregnancy (Wales) 2020","year":"2020"},{"key":"e_1_2_7_6_1","volume-title":"The Abortion Act 1967 (Place for Treatment for the Termination of Pregnancy) (Approval) (Scotland) 2020"},{"key":"e_1_2_7_7_1","volume-title":"The Abortion Act 1967\u2014Approval of a Class of Places","year":"2020"},{"key":"e_1_2_7_8_1","volume-title":"Coronavirus (COVID\u201019) infection and Abortion Care: Information for Healthcare Professionals","author":"Royal College of Obstetricians and Gynaecologists","year":"2020"},{"key":"e_1_2_7_9_1","volume-title":"Termination of Pregnancy: Year Ending December 2018","author":"Information Services Division","year":"2019"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2019-200568"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13944"},{"key":"e_1_2_7_12_1","volume-title":"Scottish Abortion Care Providers. 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