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Pharmacist provision of medication abortion: A pilot study
Selina Sandoval1, Sally Rafie2, Gennifer Kully1
1Division of Complex Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, San Diego, CA, United States.
Pharmacists can successfully provide medication abortion services. Patient satisfaction was high, with few complications, indicating a viable new model for reproductive healthcare access.
Area of Science:
- Pharmacy Practice
- Reproductive Health
- Medication Abortion
Background:
- Pharmacist-led medication abortion services are an emerging area in reproductive healthcare.
- Implementation of new service models requires assessment of feasibility and patient experience.
Purpose of the Study:
- To assess the feasibility and patient satisfaction of pharmacist-provided medication abortion.
- To evaluate the effectiveness and safety of a medication abortion implementation toolkit.
Main Methods:
- Pharmacists received specialized training on medication abortion protocols.
- A pilot study involved pharmacists providing medication abortion using a "no-test" protocol and an implementation toolkit.
- Patient outcomes, including abortion completion and complications, were assessed through surveys and interviews.
Main Results:
- Nine out of ten patients achieved complete abortions.
- One patient required an in-office aspiration, and one sought emergency care for pain management.
- No serious adverse events were reported; all patients expressed high satisfaction with the care received.
Conclusions:
- Pharmacists can effectively provide medication abortion services.
- High patient satisfaction and low complication rates support this model for expanded access.
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