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Abortion stays protected after Canada lifted restrictions on the medical abortion capsule mifepristone in November 2017.
That is among the key findings of a UBC-led research revealed within the at the moment New England Journal of Medicine.
The research used intensive authorities well being information to look at 315,000 abortions in Ontario between 2012 and 2020. An evaluation confirmed no enhance in abortion-related well being problems following the lifting of restrictions on mifepristone, acknowledged worldwide because the "gold standard" drug for medical abortion.
"Complications were already very rare, and we found that abortions continued to be safe and effective when mifepristone was prescribed without restrictions," stated Dr. Laura Schummers, lead research writer and postdoctoral fellow within the General Practice Department of UBC. "This is the strongest evidence yet that it is safe to give the abortion pill like most other prescriptions - that is, any doctor or nurse can prescribe it, any pharmacist can dispense it, and patients can take the pills when, when and where you want. "
Canada turned the primary nation on the earth to carry all extra restrictions on the shelling out and administration of mifepristone.
The earlier rules, which got here into pressure when the drug was first authorized in July 2015, offered that medical doctors needed to observe the sufferers whereas they had been taking the drug. In addition, the drug was solely allowed to be given to sufferers by specifically educated medical doctors who had registered with the producer, not by pharmacists.
Many of the restrictions Canada lifted are nonetheless imposed by nations world wide, together with the United States
"Our study is a signal to other countries that restrictions are not necessary to ensure patient safety," says Professor Wendy Norman, lead writer of the research and professor within the Department of Family Medicine at UBC. "There is no scientific justification for the restrictions on mifepristone that make it difficult for people to get the care they need. Canada's experience provides a roadmap for other countries to safely improve access to family planning services."
The outcomes confirmed that acceptance of medical abortions - these carried out with remedy fairly than surgical procedure - was fast after the coverage change. Before mifepristone hit the market, 2.2 % of abortions had been drug-medicated. That proportion rose to 31.4 % two years after the drug turned accessible as an everyday prescription.
At the identical time, the general abortion fee continued to say no after restrictions had been lifted, dropping from 11.9 to 11.3 abortions per 1,000 feminine residents aged 15 to 49.
"We saw that patients and their healthcare providers were quick to choose medical abortion, which can sometimes be preferred to surgical methods by offering care closer to home and earlier in the pregnancy," stated Dr. Sheila Dunn, research co-author, researcher and common practitioner at Women's College Hospital in Toronto. "As other studies have shown, an easier abortion does not increase the number of people wanting an abortion. We found that abortion rates continued to decrease after mifepristone became available as a prescription."
By linking and analyzing authorities well being information on a safe information platform from ICES, a not-for-profit analysis institute in Ontario, researchers created an entire image of abortion well being outcomes, which they imagine present the very best information accessible on abortion security.
"We were able to create a robust provincial safety profile by linking the health records of all doctor visits, hospital visits and outpatient prescriptions," stated co-author Dr. Elizabeth Darling, Assistant Dean of Midwife and Associate Professor at McMaster University, and an ICES scientist. "This paints the most complete picture of abortion safety to date and captures all situations in which a complication would arise. It shows very clearly that restrictions on the abortion pill are not necessary for safety reasons."
Quote: Unrestricted Abortion Pill Prescription is Safe and Effective, Study Results (2021, December 8), accessed December 8, 2021 from https://medicalxpress.com/information/2021-12-abortion-pill-restrictions-safe-effective .html
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