预堕胎超声-从患者角度看。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2023-10-01 Epub Date: 2023-09-12 DOI:10.1080/13625187.2023.2249158
Volodymyr Podolskyi, Kristina Gemzell-Danielsson, Lena Marions, Rebecca Gomperts
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引用次数: 1

摘要

目的:探讨女性对远程医疗服务提供的药物流产前超声扫描需求的看法。方法:我们通过网站www.womenonweb.org分析了2019年1月1日至2020年10月5日期间女性的药物流产请求。在接受堕胎药物进行自我管理的药物流产之前,女性接受了在线咨询,并被要求完成一项关于堕胎前超声扫描的在线调查,以及是否进行超声扫描的原因。最初的数据集包括来自207个国家的62641个条目。每个条目对应一个人的药物流产请求。女性只报告了一个或多个原因没有进行堕胎前超声波扫描。结果:在59648名要求药物流产的女性中,45653人(76.54%)没有进行任何流产前超声扫描,并说明了原因。没有进行堕胎前超声波扫描的女性比例最高的国家是泰国、波兰、北爱尔兰、墨西哥、韩国、日本、智利、印度尼西亚、德国和巴西。没有进行流产前超声扫描的主要原因是对妊娠期长短有信心;因此,10910/34390名妇女(31.7%)表示不需要扫描,10589/33490名妇女(30.8%)表示缺乏资源,6472/3490名妇女(18.8%)表示存在隐私问题。结论:大多数通过远程医疗选择药物流产的妇女没有进行堕胎前超声扫描。所述的主要原因是妇女认为没有必要、缺乏资源和隐私问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preabortion ultrasound - a patient perspective.

Purpose: To explore women's perception of the need for an ultrasound scan before medical abortion provided by telemedicine services.

Methods: We have analysed women's requests for medical abortion through the website www.womenonweb.org from the 1st of January 2019 to the 5th of October 2020. Before receiving abortion drugs for self-managed medical abortion, women received online counselling and were asked to complete an online survey on pre-abortion ultrasound scan and the reasons for having or not having one. The initial dataset included 62641 entries from 207 countries. Each entry corresponded to a person's request for medical abortion. Women reported only one or multiple reasons for not having a pre-abortion ultrasound scan.

Results: Among 59648 women requesting a medical abortion, 45653 (76,54%) did not have any pre-abortion ultrasound scan and specified a reason for that. The countries with the highest rates of women not having a pre-abortion ultrasound scan were Thailand, Poland, Northern Ireland, Mexico, South Korea, Japan, Chile, Indonesia, Germany, and Brazil. The main reasons for not having a pre-abortion ultrasound scan were being confident regarding pregnancy length; and thus, no need for a scan stated by 10910/34390 women (31.7%), lack of resources stated by 10589/34390 women (30.8%), and privacy issues stated by 6472/34390 women (18.8%).

Conclusion: Most women opting for medical abortion through telemedicine did not undergo a pre-abortion ultrasound scan. The main reason stated was that women did not find it necessary, lack of resources and privacy issues.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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