Medical abortions performed by specialists in private practice

Area of Science:

• Gynecology and Obstetrics
• Reproductive Health Services
• Medical Interventions

Background:

• Abortion services in Norway were traditionally limited to public hospitals.
• A pilot project allowed contracted specialists in obstetrics and gynecology to offer medication abortion.
• This initiative aimed to increase access and choice for women seeking early-term abortions.

Purpose of the Study:

• To evaluate the safety and patient satisfaction of medication abortion provided by contracted specialists.
• To assess women's experiences with a new model of early-term abortion care.
• To gather data on the feasibility and reception of this expanded service.

Main Methods:

• A prospective study included 476 pregnant women seeking medication abortion from contracted specialists.
• Participants underwent ultrasound assessment for gestational age less than 63 days.
• A two-drug regimen (mifepristone followed by misoprostol) was administered, with follow-up questionnaires.

Main Results:

• A majority of women reported moderate to severe pain (66%) and bleeding (79%) during the procedure.
• Most women felt safe undergoing the abortion process at home.
• High satisfaction rates were reported, with 96% willing to choose the service again and 97% recommending it.

Conclusions:

• Medication abortion provided by contracted specialists was perceived as safe and satisfactory by women.
• The service enhanced choice and patient autonomy for women seeking abortions.
• The pilot project demonstrated a positive reception and high willingness for future use and recommendation.