A trans-national examination of the impact of the COVID-19 pandemic on abortion requests through a telemedicine service
| Autor: | Kristina Gemzell-Danielsson, Mitzi Waltz, Rebecca Gomperts, Liën Trudi van Ooijen |
|---|---|
| Přispěvatelé: | Athena Institute |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Telemedicine
medicine.medical_specialty sexual health Abortion Logistic regression induced Pregnancy Pandemic Medicine Humans reproductive health Pandemics Health policy Reproductive health Original Research SDG 5 - Gender Equality business.industry Obstetrics and Gynecology COVID-19 Abortion Induced health policy abortion Test (assessment) Contraception Reproductive Medicine Family medicine Female business Cohort study |
| Zdroj: | BMJ sexual & reproductive health, 48(3), 179-184. BMJ Publishing Group van Ooijen, L T, Gemzell-Danielsson, K, Waltz, M & Gomperts, R 2022, ' A trans-national examination of the impact of the COVID-19 pandemic on abortion requests through a telemedicine service ', BMJ sexual & reproductive health, vol. 48, no. 3, pp. 179-184 . https://doi.org/10.1136/bmjsrh-2021-201159 BMJ Sexual & Reproductive Health |
| ISSN: | 2515-2009 |
| DOI: | 10.1136/bmjsrh-2021-201159 |
| Popis: | BackgroundThe COVID-19 pandemic is limiting access to reproductive healthcare worldwide. Substantial research gaps remain regarding the impact of the pandemic on access to abortion care.MethodsWe performed a cohort analysis of abortion requests made through the telemedicine abortion service Women on Web (WoW) between 18 March 2020 and 4 May 2020. We used binary logistic regression analyses to test the association between COVID-19 as a reason for the help request and reporting having had an ultrasound to determine gestation and/or use of contraception. A subanalysis of Italy, Argentina, Malaysia and the United Arab Emirates (UAE) was executed to explore differences between countries.ResultsOf requests made during the study period, 43.5% (n=1972) were COVID-19-related. A negative association was found with having had an ultrasound to determine gestation length and COVID-19-related requests. Italy had the highest percentage (66.5%, n=117) of COVID-19-related requests in the subanalysis, followed by Argentina (55.3%, n=68), Malaysia (51.9%, n=41) and the UAE (44.4%, n=75).ConclusionsAlmost half the women and pregnant people having an abortion through WoW reported experiencing obstacles to abortion care because of COVID-19. Abortion guidelines should be updated to permit abortion services via telemedicine. This is especially urgent during the ongoing pandemic. |
| Databáze: | OpenAIRE |
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