Can women use medical abortion without medical supervision

摘要: Abstract Medical abortion offers a new option to women seeking terminate their pregnancies. In particular, the mifepristone-misoprostol regimen consists of simple pills, and is potentially suitable for self-administration. Yet access administration this method remains tightly controlled. Is strict control medically necessary? This paper identifies seven steps would need accomplish in order use without medical supervision: 1) recognise they are pregnant 2) estimate duration pregnancy be sufficiently short 3) select as appropriate regimen; 4) adhere correct protocol; 5) manage adverse reactions seek care those that warrant attention; 6) possibly notice cope with expulsion embryo; 7) complete abortion. Data from large clinical trial offer indirect evidence maybe able these successfully. If so, it possible could safely effectively less supervision than currently required standard protocols.