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• W2032501739 abstract "Medical abortion offers a new option to women seeking to terminate their pregnancies. In particular, the mifepristone-misoprostol regimen consists of simple pills, and is potentially suitable for self-administration. Yet access to and administration of this method of abortion remains tightly controlled. Is this strict control medically necessary? This paper identifies the seven steps women would need to accomplish in order to use mifepristone-misoprostol for abortion without medical supervision: 1) recognise they are pregnant 2) estimate the duration of pregnancy to be sufficiently short 3) select mifepristone-misoprostol as the appropriate regimen; 4) adhere to the correct protocol; 5) manage adverse reactions and seek care for those that warrant medical attention; 6) possibly notice and cope with expulsion of the embryo; and 7) recognise a complete abortion. Data from a large clinical trial of mifepristone-misoprostol medical abortion offer indirect evidence that women maybe able to complete these steps successfully. If so, it is possible that women could use the method safely and effectively with less medical supervision than is currently required in the standard protocols.RésuméL'avortement médical offre une option nouvelle aux femmes souhaitant mettre fin à leur grossesse. Il semble notamment que les femmes pourraient s'administrer elles-mêmes le traitement par mifépristone-misoprostol, qui demande seulement l'absorption de pilules. Pourtant l'accès à ce traitement, et l'administration des pilules, restent étroitement contrôlés. Ce strict contrôle est-il médicalement nécessaire? L'article définit les sept étapes qu'une femme devrait franchir pour utiliser le mifépristone-miso-prostol à des fins abortives sans supervision médicale: 1) reconnâitre sa grossesse; 2) savoir si cette grossesse n'a pas dépassé les délais voulus; 3) choisir pour y mettre fin le traitement par mifépristone-misoprostol; 4) respecter un protocole de traitement correct; 5) veiller aux réactions défavorables, et se faire traiter si elles exigent des soins médicaux; 6) le cas échéant, reconnaître l'expulsion de l'embryon, et agir en conséquence; enfin, 7) reconnaître un avor-tement complet. Les données recueilhes dans un large essai clinique sur l'interruption médicale de grossesse par mifépristone-misoprostol montrent indirectement que des femmes pourraient franchir avec succès ces différentes étapes. Dans ce cas, il est possible que des fernmes puissent utiliser cette méthode avec efficacité et sécurité, sans une surveillance médicale aussi poussée que l'exigent les normes actuelles.ResumenEl aborto médico ofrece una nueva opción a mujeres que desean terminar su embarazo. En particular, el régimen de mifepristone-misoprostol consiste tan sólo de pastillas que podrian ser auto-administradas. Sin embargo el acceso a este método de aborto y a su administración permanece firmemente bajo control médico. ¿Es necesario tal control médico? Este ensayo identifica siete pasos que las mujeres habrian de seguir para poder utilizar mifepristonemisoprostol para abortar sin supervisión médica: 1) reconocer que están embarazadas; 2) estimar que el tiempo que lleva embarazada sea to suficientemente corto; 3) seleccionar mifepristone-misoprostol como el régimen apropiado; 4) adherirse al protocolo correcto; 5) saber que hacer en caso de reacciones adversas y acudir en busca de atención médica en caso que se requiera; 6) ser consciente de la expulsión del embrión, y poder sobreponerse a este hecho; y 7) reconocer cuando un aborto ha sido completo. Los datos obtenidos en una extensa prueba clínica de abortos médicos mifepristonemisoprostol, proveen evidencia indirecta de que las mujeres pueden ser capaces de completar estos pasos con éxito. Si es este el caso, es posible que las mujeres puedan utilizar el metodo de forma segura y efectiva con menos supervision médica de la que ahora se requiere en los protocolos normales." @default.
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• W2032501739 date "1997-01-01" @default.
• W2032501739 modified "2023-10-16" @default.
• W2032501739 title "Can women use medical abortion without medical supervision?" @default.
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• W2032501739 doi "https://doi.org/10.1016/s0968-8080(97)90019-7" @default.
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