The Lancet Global Health: New study shows self-managed abortion with medication is safe and no less effective than clinician-managed medication abortion in a clinical setting

CAMBRIDGE, Mass., Nov. 18, 2021 /PRNewswire/ --SAFE Study Highlights:

Self-managed abortion (SMA) with medications is very safe and effective:

93.8% of those who used the mifepristone + misoprostol regimen had a complete abortion without surgical intervention.

98.8% of those who used the misoprostol-alone regimen had a complete abortion without surgical intervention.

SMA with medication isA no less effective than clinician-managed medication abortion in a clinical setting, for pregnancies <9 weeks duration.

No deaths or major adverse events took place among SAFE study participants.

Today, the Studying Accompaniment Model Feasibility and Effectiveness (SAFE) study was published in The Lancet Global Health. Safe abortion advocates at Colectiva Feminista La Revuelta de NeuquA©n (Argentina), GIWYN (Nigeria), and in Southeast Asia, together with researchers at Ibis Reproductive Health (South Africa and USA), designed and implemented the SAFE study. The SAFE study, the first study of its kind, recruited over 1,000 people who contacted a safe abortion accompaniment group in Argentina or Nigeria, followed them for approximately one month, and measured outcomes on their self-managed abortion experiences, with abortion completion without surgical intervention as the primary outcome.Self-managed medication abortion involves the use of one of two medication regimens to end a pregnancy without clinical supervision recommended by the World Health Organization (WHO). The WHO-recommended medication regimens of mifepristone in combination with misoprostol, or misoprostol alone, are established safe and effective methods of terminating pregnancy in clinical settings. A self-managed abortion with accompaniment involves non-clinically trained abortion counselors who provide evidence-based information about the use of medication abortion, as well as compassionate emotional (and sometimes physical support), throughout an individual's self-managed medication abortion process. Abortion accompaniment is provided over the phone, through secure digital messaging platforms, and/or in person.
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