{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T23:54:08Z","timestamp":1788566048626,"version":"build-2803163510"},"reference-count":31,"publisher":"BMJ","issue":"2","funder":[{"name":"NHS Lothian Sexual Health and Blood Borne Virus Programme Fund."}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2020,6,21]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Between 2017 and 2019, legislation was introduced in the UK that approved the home as a place for self-administration of misoprostol for early medical abortion. While research has shown that early medical abortion at home is as safe as in a clinical setting, women\u2019s experiences in the UK in the light of this change have not yet been investigated. This qualitative research explored the experiences of women in one region of Scotland, UK who accessed early medical abortion with home self-administration of misoprostol.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Qualitative interviews were conducted with 20 women who had recently undergone early medical abortion (\u226469 days' gestation) with home self-administration of misoprostol. The data were analysed thematically using an approach informed by the Framework analytic approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Women appreciated the flexibility that home administration of misoprostol offered, including the opportunity to control the timing of the abortion. This was particularly important for women who sought not to disclose the abortion to others. Most women valued being in the comfort and privacy of the home when preparing for self-administration, although a small number highlighted some concerns about being at home. Most women reported that self-administration of misoprostol was straightforward; however, some expressed concerns around assessing whether their experiences were \u2018normal\u2019.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Women welcomed the opportunity for home self-administration of misoprostol. To further improve women\u2019s early medical abortion experience we suggest that the legislation be amended so that women can self-administer in an appropriate non-clinical setting, not just their home.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2020-200661","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T17:26:37Z","timestamp":1595870797000},"page":"144-149","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Women\u2019s experiences of self-administration of misoprostol at home as part of early medical abortion: a qualitative evaluation"],"prefix":"10.1136","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6011-6254","authenticated-orcid":false,"given":"Jeni","family":"Harden","sequence":"first","affiliation":[{"name":"Usher Institute, The University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Ancian","sequence":"additional","affiliation":[{"name":"Cermes3-IRIS, EHESS, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-2276","authenticated-orcid":false,"given":"Sharon","family":"Cameron","sequence":"additional","affiliation":[{"name":"Chalmers Sexual and Reproductive Health Centre, NHS Lothian, Edinburgh, UK"},{"name":"University of Edinburgh Division of Health Sciences, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2260-8020","authenticated-orcid":false,"given":"Nicola","family":"Boydell","sequence":"additional","affiliation":[{"name":"University of Edinburgh Centre for Population Health Sciences, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,7,27]]},"reference":[{"key":"2025090510501524000_47.2.144.1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.10.084046"},{"key":"2025090510501524000_47.2.144.2","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1111\/1471-0528.14690","article-title":"Self-management of first trimester medical termination of pregnancy: a qualitative study of women's experiences","volume":"124","author":"Purcell","year":"2017","journal-title":"BJOG"},{"key":"2025090510501524000_47.2.144.3","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.rhm.2016.06.008","article-title":"Self-management of medical abortion: a qualitative evidence synthesis","volume":"24","author":"Wainwright","year":"2016","journal-title":"Reprod Health Matters"},{"key":"2025090510501524000_47.2.144.4","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14401"},{"key":"2025090510501524000_47.2.144.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.10.021"},{"key":"2025090510501524000_47.2.144.6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200278"},{"key":"2025090510501524000_47.2.144.7","unstructured":"Department of Health and Social Care . Temporary approval of home use for both stages of early medical abortion. London: Department of Health and Social Care, 2020."},{"key":"2025090510501524000_47.2.144.8","unstructured":"Scottish Government . Abortion \u2013 Covid-19 \u2013 approval for mifepristone to be taken at home and other contingency measures. Edinburgh: Scottish Government Chief Medical Officer Directorate, 2020."},{"key":"2025090510501524000_47.2.144.9","unstructured":"Scottish Government . Abortion - improvement to existing services - approval for misoprostol to be taken at home. 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Healing places. 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