{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:42:49Z","timestamp":1778856169238,"version":"3.51.4"},"reference-count":20,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2024,2,5]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The primary objective of this study was to assess the feasibility of initiating medical abortions in a large, academic emergency department (ED) in the United States.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective case series analysis was conducted to evaluate a protocol for initiating medical abortion in the ED implemented from January 2020 to October 2023 at an academic, tertiary care hospital in California, USA. Participants included ED patients diagnosed with pregnancies in the first trimester that were undesired and who opted for medical abortion. The medical abortion protocol was collaboratively designed by a multidisciplinary team and follow-up was conducted by our institution\u2019s gynaecology department. Data were sourced from a data repository of electronic health records and subjected to descriptive statistical analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 27 eligible patients initiated medical abortions in the ED during the study period. The cohort was diverse in terms of racial and ethnic backgrounds and almost evenly split between private and public insurance. No patients had significant complications identified in the medical record. Two patients required uterine aspiration by the gynaecology team; one patient in clinic and one during a return visit to the ED.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Data from this case series suggest that initiating medical abortion in the ED is feasible. The ED may be considered as an additional access point for abortion care services, especially in areas where other care options are not readily available. Educational, legal and regulatory frameworks that allow emergency physicians to take a greater role in providing this care should be considered.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2023-202149","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T13:25:52Z","timestamp":1708089952000},"page":"236-241","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Initiating medical abortion in an emergency department in the United States"],"prefix":"10.1136","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3856-0068","authenticated-orcid":false,"given":"Carl","family":"Preiksaitis","sequence":"first","affiliation":[{"name":"Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Saxena","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9029-2737","authenticated-orcid":false,"given":"Andrea","family":"Henkel","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Stanford University School of Medicine, Palo Alto, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"2025090511253876000_50.4.236.1","unstructured":"Preiksaitis C , Saxena M , Henkel A . Prevalence and characteristics of emergency department visits by pregnant people: an analysis of a national emergency department sample (2010-2020). JMIR Prepr Submitt 2020. 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Availability of mifepristone in California pharmacies after modifications to the risk evaluation and mitigation strategy program. 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Rape-related pregnancies in the 14 US States with total abortion bans. 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