{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:56:34Z","timestamp":1773014194133,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early medical abortion (EMA) can be performed by administration of mifepristone and misoprostol in an outpatient setting prior to 63\u2009days gestation in Australia. While this is a flexible, efficacious and safe option for abortion, it requires early identification of pregnancy and efficient access to a clinical service. Outpatient EMA with mifepristone and misoprostol was introduced in Australia in 2012 for gestations &lt;\u200949\u2009days, and extended to 63\u2009days in 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The laws governing abortion in South Australia mandate routine data collection. A retrospective cohort study was conducted of all registered abortions in South Australia from 2012 to 2020. Women undergoing abortion before 7\u2009weeks gestation between 2012 and 2014 and then from 2015 those undergoing abortion before 9\u2009weeks gestation were considered EMA eligible. Demographic characteristics were then compared using multiple logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women who were eligible for EMA were significantly different from those who were ineligible based on gestational age. Women who were ineligible were more likely to be teenagers, live in rural and remote areas and live in areas of socio\u2010economic disadvantage. In multivariable logistic regression teenagers were disproportionately less likely to be EMA eligible, with rural women and socially disadvantaged teenagers having the lowest rates of and eligibility for EMA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Eligibility for EMA was affected by age, rurality and socio\u2010economic disadvantage. Interventions to improve access should investigate and address the specific barriers facing these groups of women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70069","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T04:51:17Z","timestamp":1763441477000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Demographic Factors Influencing Eligibility for\n                    <scp>EMA<\/scp>\n                    in South Australia"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8425-9359","authenticated-orcid":false,"given":"Laura","family":"Slade","sequence":"first","affiliation":[{"name":"Women's and Children's Hospital  North Adelaide South Australia Australia"},{"name":"Robinson Research Institute University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennie","family":"Louise","sequence":"additional","affiliation":[{"name":"Women's and Children's Hospital Research Institute Women's and Children's Hospital  North Adelaide South Australia Australia"},{"name":"South Australian Health and Medical Research Institute  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katina","family":"D'Onise","sequence":"additional","affiliation":[{"name":"School of Public Health University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodie","family":"Dodd","sequence":"additional","affiliation":[{"name":"Women's and Children's Hospital  North Adelaide South Australia Australia"},{"name":"Robinson Research Institute University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH07035"},{"key":"e_1_2_8_3_1","unstructured":"C.Swannell \u201cMedical Abortion Access Extended \u201d(2015) https:\/\/insightplus.mja.com.au\/2015\/2\/medical\u2010abortion\u2010access\u2010extended\/."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12608"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01003-8"},{"issue":"5","key":"e_1_2_8_6_1","article-title":"Medical Methods for First Trimester Abortion","volume":"5","author":"Zhang J.","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51275"},{"issue":"1","key":"e_1_2_8_8_1","article-title":"Barriers Around Access to Abortion Experienced by Rural Women in New South Wales, Australia","volume":"16","author":"Doran F. M.","year":"2016","journal-title":"Rural and Remote Health"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wsif.2021.102470"},{"key":"e_1_2_8_10_1","unstructured":"Parliament of South Australia \u201cTermination of Pregnancy Act 2021 \u201d(2021) https:\/\/www.legislation.sa.gov.au\/__legislation\/lz\/v\/a\/2021\/termination%20of%20pregnancy%20act%202021_7\/2021.7.un.pdf."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(24)00214-7"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12800"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15684"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2021-201259"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.06.010"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.31900"},{"issue":"4","key":"e_1_2_8_17_1","first-page":"238","article-title":"Early Telemedical Abortion, Safeguarding, and Under 18s: A Qualitative Study With Care Providers in England and Wales","volume":"49","author":"Romanis E. 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