{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T20:21:51Z","timestamp":1776111711226,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"3","funder":[{"DOI":"10.13039\/100018270","name":"Health Services Executive","doi-asserted-by":"crossref","award":["16123"],"award-info":[{"award-number":["16123"]}],"id":[{"id":"10.13039\/100018270","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2020,12,8]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>After having one of the most restrictive abortion laws worldwide, Ireland legalised abortion in January 2019. We examine how legalisation impacted on demand for online telemedicine outside the jurisdiction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We analysed anonymised data from 534 people from Ireland seeking online telemedicine abortion prior to legalisation (January\u2013March and October\u2013December 2018) and in the first 3\u2009months following legalisation (January\u2013March 2019). Numbers, characteristics and reasons for seeking the service before and after legalisation were compared. Content analysis of emails from people seeking the service following legalisation explored reasons for seeking care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Half as many people contacted Women on Web in the 3\u2009months immediately after legalisation as compared with contacts 12 months prior (103 vs 221). Of these, the proportion receiving the service reduced, from 72% prior to legalisation to 26% after legalisation (p\u22640.001). After legalisation, access related reasons for seeking online telemedicine featured less while reasons relating to privacy, stigma and avoiding protestors featured more.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>People continued to seek abortion through online telemedicine after legalisation, though the number of contacts reduced by half and the proportion receiving the service decreased considerably. To address access issues, policy measures should promote normalisation of abortion, legislate for safe zones around providers, and consider access in situations of coercive control or abuse including the role of telemedicine in the local model of care. Abortion provided through online telemedicine continues to be an important part of providing safe, accessible abortion even after legalisation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2020-200849","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T16:47:20Z","timestamp":1608742040000},"page":"200-204","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Accessing abortion outside jurisdiction following legalisation of abortion in the Republic of Ireland"],"prefix":"10.1136","volume":"47","author":[{"given":"Sierou","family":"Bras","sequence":"first","affiliation":[{"name":"Women on Web, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Gomperts","sequence":"additional","affiliation":[{"name":"Women on Web, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Kelly","sequence":"additional","affiliation":[{"name":"London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1555-3025","authenticated-orcid":false,"given":"Abigail R A","family":"Aiken","sequence":"additional","affiliation":[{"name":"Lyndon B Johnson (LBJ) School of Public Affairs, University of Texas at Austin, Austin, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6744-7382","authenticated-orcid":false,"given":"Catherine","family":"Conlon","sequence":"additional","affiliation":[{"name":"School of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,23]]},"reference":[{"key":"2025090511265145000_47.3.200.1","unstructured":"Health Regulation of Termination of Pregnancy Act 2018 No. 31 of 2018. Dublin: Houses of the Oireachtas, 2018. Available: http:\/\/www.irishstatutebook.ie\/eli\/2018\/act\/31\/enacted\/en\/print [Accessed 28 Jul 2020]."},{"key":"2025090511265145000_47.3.200.2","unstructured":"Health Service Executive (HSE) . How to get an abortion. 4. Hospitals providing abortion services, 2019. Available: https:\/\/www2.hse.ie\/conditions\/abortion\/how-to-get-an-abortion\/hospitals-providing-services.html [Accessed 18 Feb 2019]."},{"key":"2025090511265145000_47.3.200.3","unstructured":"Irish Human Rights Equality Commission (IHREC) . Submission to the United Nations Committee on the Elimination of Discrimination Against Women on the follow-up procedure to Ireland\u2019s combined sixth and seventh periodic report. Available: https:\/\/www.ihrec.ie\/documents\/submission-to-the-united-nations-committee-on-the-elimination-of-discrimination-against-women-on-the-follow-up-procedure-to-irelands-combined-sixth-and-seventh-periodic-report\/ [Accessed 16 Oct 2020]."},{"key":"2025090511265145000_47.3.200.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j2011"},{"key":"2025090511265145000_47.3.200.5","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1080\/13691058.2014.886724","article-title":"Restricted access to abortion in the Republic of Ireland and Northern Ireland: exploring abortion tourism and barriers to legal reform","volume":"16","author":"Bloomer","year":"2014","journal-title":"Cult Health Sex"},{"key":"2025090511265145000_47.3.200.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01787.x"},{"key":"2025090511265145000_47.3.200.7","unstructured":"Women on Web . About Women on Web, 2019. Available: https:\/\/www.womenonweb.org\/en\/page\/521\/about-women-on-web [Accessed 28 Jul 2020]."},{"key":"2025090511265145000_47.3.200.8","unstructured":"World Health Organization . Medical management of abortion, 2018. Available: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/278968\/9789241550406-eng.pdf?ua=1 [Accessed 2 Feb 2019]."},{"key":"2025090511265145000_47.3.200.9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.bpobgyn.2019.06.009","article-title":"Online access to abortion medications: a review of utilization and clinical outcomes","volume":"63","author":"Endler","year":"2020","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2025090511265145000_47.3.200.10","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14401"},{"key":"2025090511265145000_47.3.200.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200113"},{"key":"2025090511265145000_47.3.200.12","unstructured":"Department of Health & Social Care . Abortion statistics, England and Wales: 2019, 2019. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/891405\/abortion-statistics-commentary-2019.pdf [Accessed 21 Jul 2020]."}],"updated-by":[{"DOI":"10.1136\/bmjsrh-2020-200849corr1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000}}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2020-200849","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:51:38Z","timestamp":1757098298000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2020-200849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,23]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,7,12]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bmjsrh-2020-200849"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2020-200849","relation":{"correction":[{"id-type":"doi","id":"10.1136\/bmjsrh-2020-200849corr1","asserted-by":"object"}]},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"value":"2515-1991","type":"print"},{"value":"2515-2009","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,23]]}}}