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Self-managed abortion: A systematic scoping review.

Heidi Moseson1, Stephanie Herold2, Sofia Filippa1

  • 1Ibis Reproductive Health, 1736 Franklin Street, Oakland, CA, 94612, USA.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|December 21, 2019
PubMed
Summary
This summary is machine-generated.

Self-managed abortion, using methods like pills or herbs without clinical supervision, is common. Research shows these methods, particularly medication abortion, are highly effective and safe, though more study is needed.

Keywords:
AbortionMisoprostolScoping reviewSelf-induced abortionSelf-managed abortionSystematic review

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Area of Science:

  • Reproductive Health
  • Public Health
  • Medical Research

Background:

  • Self-managed abortion (SMA), performed without clinical supervision, is a recognized model of abortion care globally.
  • Understanding the scope, methods, safety, and effectiveness of SMA is crucial for reproductive health.
  • Existing literature on SMA requires comprehensive synthesis to identify research gaps and inform future studies.

Purpose of the Study:

  • To systematically review and synthesize peer-reviewed research on self-managed abortion.
  • To analyze reported methods, procurement, user characteristics, effectiveness, safety, and experiences associated with SMA.
  • To identify research gaps and provide recommendations for future studies in SMA.

Main Methods:

  • A systematic literature search was conducted in April 2019 across multiple databases (PubMed, Embase, Web of Science, etc.).
  • Studies published in English or Spanish focusing on self-managed abortion were included.
  • 99 studies were selected from 7167 initial records for analysis, covering various aspects of SMA.

Main Results:

  • Numerous methods for SMA were reported, with abortion using pills and herbs being most frequent.
  • Studies on self-managed medication abortion indicated high levels of effectiveness.
  • Data encompassed methods, procurement, user demographics, effectiveness, safety, reasons for SMA, and physical/emotional experiences.

Conclusions:

  • Self-managed abortion, particularly with medication, is an effective method of abortion care.
  • The review highlights the need for further research to address identified gaps in understanding SMA.
  • Recommendations are provided to guide future research and improve support for individuals seeking or undergoing SMA.