Remote Provision of Medication Abortion and Contraception Through Telemedicine.

Pearlman Shapiro, Marit; Myo, Melissa; Chen, Tracy; Nathan, Alexanna; Raidoo, Shandhini · Obstet Gynecol · 2023

review · Level V

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Abstract

This Narrative Review describes the remote provision of family planning services, including medication abortion and contraception, through telemedicine. The coronavirus disease 2019 (COVID-19) pandemic was a catalyst to shift toward telemedicine to maintain and expand access to crucial reproductive health services when public health measures necessitated social distancing. There are legal and political considerations when providing medication abortion through telemedicine, along with unique challenges, even more so after the Dobbs decision starkly limited options for much of the country. This review includes the literature describing the logistics of telemedicine and modes of delivery for medication abortion and details special considerations for contraceptive counseling. Health care professionals should feel empowered to adopt telemedicine practices to provide family planning services to their patients.

Medical subject headings