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Demand for Self-Managed Online Telemedicine Abortion in the United States During the Coronavirus Disease 2019 (COVID-19) Pandemic.

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Aiken, Abigail RA 
Starling, Jennifer E 
Gomperts, Rebecca 
Tec, Mauricio 
Scott, James G 


For many in the United States, abortion care is already difficult to access,1 and the coronavirus disease 2019 (COVID-19) pandemic has created yet more potential barriers—including infection risk at clinics and state policies limiting in-clinic services. The severity of these state policies varies, but, in the most extreme case, Texas effectively suspended all abortions for approximately 4 weeks.2 As a result, people may increasingly be seeking self-managed abortion outside the formal health care system. Using data from Aid Access, the sole online abortion telemedicine service in the United States, we assessed whether demand for self-managed medication abortion increased as in-clinic access became more challenging.



Abortifacient Agents, Abortion, Induced, Ambulatory Care Facilities, Betacoronavirus, COVID-19, Change Management, Communicable Disease Control, Coronavirus Infections, Female, Health Services Needs and Demand, Humans, Obstetrics, Pandemics, Pneumonia, Viral, Policy Making, Pregnancy, SARS-CoV-2, Self-Management, Telemedicine, United States

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Obstetrics and Gynecology

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Lippincott, Williams & Wilkins