{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:27:22Z","timestamp":1761391642085,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2015,7,1]]},"published-print":{"date-parts":[[2016,4]]},"abstract":"\n Background<\/jats:title>\n Community sexual and reproductive health (SRH) services are well placed to deliver abortion assessment services and early medical abortion (EMA), but comparative data on safety and acceptability from both settings are important for future service planning.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Retrospective review of computerised records of 1342 women undergoing outpatient EMA (\u22649\u2005weeks) in a community SRH or hospital department of gynaecology in the same city, and a self-completed, anonymous survey of 303 women requesting abortion at both sites. Primary outcome was safety in terms of re-attendance rates for a complication related to EMA. Secondary outcomes were telephone contact with each site for an EMA-related concern and satisfaction with information about abortion (defined as score out of 10) received at each site.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There was no difference in re-attendance rates to either service for a complication following outpatient EMA (2.7%). A higher proportion of women undergoing EMA at the SRH site made telephone contact compared to women at the hospital site (18.8% vs 10.8%; p<\/jats:italic>=0.033). Women rated both settings highly in terms of information received before abortion (9.2 and 9.6 out of 10) at the hospital and SRH sites, respectively.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study suggests that provision of outpatient EMA in a community SRH setting is as safe as that delivered from a hospital setting, and that women are similarly satisfied with the information they receive about abortion from each setting. More abortion assessment and outpatient EMA services in Great Britain could shift from hospital to community SRH settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/jfprhc-2015-101177","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T22:49:12Z","timestamp":1438901352000},"page":"127-132","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Shifting abortion care from a hospital to a community sexual and reproductive health care setting"],"prefix":"10.1136","volume":"42","author":[{"given":"Sharon T","family":"Cameron","sequence":"first","affiliation":[{"name":"Consultant, Chalmers Sexual Health Clinic, Edinburgh, and Department of Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Glasier","sequence":"additional","affiliation":[{"name":"Honorary Professor, Department of Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Johnstone","sequence":"additional","affiliation":[{"name":"Clinical Research Nurse, Department of Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,8,6]]},"reference":[{"key":"2025090511110748000_42.2.127.1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1080\/13625180500035231","article-title":"Accessibility and availability of abortion in six European countries","volume":"10","author":"Pinter","year":"2005","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025090511110748000_42.2.127.2","unstructured":"NHS Scotland Information Services Division. Abortion Statistics 2013. May 2014. https:\/\/isdscotland.scot.nhs.uk\/Health-Topics\/Sexual-Health\/Publications\/2014-05-27\/2014-05-27-Abortions2013-Report.pdf?74364870787 [accessed 12 December 2014]."},{"key":"2025090511110748000_42.2.127.3","unstructured":"Department of Health. Abortion Statistics, England and Wales: 2013. 2014. https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/319460\/Abortion_Statistics__England_and_Wales_2013.pdf [accessed 14 January 2015]."},{"key":"2025090511110748000_42.2.127.4","unstructured":"Royal College of Obstetricians and Gynaecologists. Survey of Training 2008. RCOG Trainees\u2019 Committee. 2009. http:\/\/www.rcog.org.uk\/files\/rcog-corp\/uploaded-files\/RCOGSurveyof Training2008.pdf [accessed 14 January 2015]."},{"key":"2025090511110748000_42.2.127.5","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2012-100563"},{"key":"2025090511110748000_42.2.127.6","doi-asserted-by":"publisher","DOI":"10.1783\/147118910793048719"},{"key":"2025090511110748000_42.2.127.7","unstructured":"Department of Health. Evaluation of Early Medical Abortion (EMA) Pilot Sites. Final Report. May 2008. http:\/\/eprints.soton.ac.uk\/185967\/1\/dh_084617.pdf [accessed 20 June 2015]."},{"key":"2025090511110748000_42.2.127.8","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.contraception.2014.09.009","article-title":"Can women determine the success of early medical termination of pregnancy themselves?","volume":"91","author":"Cameron","year":"2015","journal-title":"Contraception"},{"key":"2025090511110748000_42.2.127.9","unstructured":"McLoone P . Carstairs Scores for Scottish Postcode Sectors from the 2001 Census. 2004. http:\/\/www.sphsu.mrc.ac.uk\/library\/other%20reports\/Carstairs_report.pdf [accessed 4 December 2014]."},{"key":"2025090511110748000_42.2.127.10","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2011-100149"},{"key":"2025090511110748000_42.2.127.11","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.contraception.2010.01.015","article-title":"Benefits of using a digital video disk for providing information about abortion to women requesting termination of pregnancy","volume":"81","author":"Powell-Jackson","year":"2010","journal-title":"Contraception"},{"key":"2025090511110748000_42.2.127.12","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100863"},{"key":"2025090511110748000_42.2.127.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03407.x"},{"key":"2025090511110748000_42.2.127.14","doi-asserted-by":"publisher","DOI":"10.1783\/147118907781004886"},{"key":"2025090511110748000_42.2.127.15","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.contraception.2013.02.006","article-title":"The benefits of family planning training: a 10-year review of the Ryan Residency Training Program","volume":"88","author":"Steinauer","year":"2013","journal-title":"Contraception"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2015-101177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:36:36Z","timestamp":1757097396000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2015-101177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,6]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2016,4,11]]},"published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1136\/jfprhc-2015-101177"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2015-101177","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2015,8,6]]}}}