Self-managed abortion in the literature: a systematic scoping review
Data files
May 31, 2019 version files 103.48 KB
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Appendix 1 - SMA Lit review.docx
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Appendix 2 - SMA Lit review.docx
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Table 3 - SMA Lit review.docx
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Table 4 - SMA Lit review.docx
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Table 5 - SMA Lit review.docx
May 31, 2019 version files 103.25 KB
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Appendix 1 - Systematic review search strategy.docx
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Appendix 2 - Methods of self-managed abortion reported in the literature, and information on how methods.docx
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Table 3 - Sociodemographic and other characteristics reported in the literature about people who self managed.docx
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Table 4 - Reasons reported in included studies for self-managing an abortion.docx
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Table 5 - Emotional experiences with self-managed abortion reported in included studies.docx
Nov 04, 2019 version files 93.23 KB
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Appendix 1 - Systematic review search strategy.docx
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Table_3_-_Sociodemographic_and_other_characteristics_reported_in_the_literature_about_people_who_self_managed_10.8.19.docx
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Table_4_-_Reasons_reported_in_included_studies_for_self-managing_an_abortion_10.8.19.docx
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Table_5_-_Emotional_experiences_with_self-managed_abortion_repoted_in_included_studies_10.8.19.docx
Abstract
Self-managed abortion, when a person performs their own abortion without clinical supervision, is a model of abortion care used across a range of settings. To provide a comprehensive synthesis of the available literature on self-managed abortion, we conducted a systematic search for peer-reviewed research in April 2019 in PubMed, Embase, Web of Science, Popline, PsycINFO, Google Scholar, Scielo, and Redalyc. We included studies that had a research question focused on self-managed abortion; and were published in English or Spanish. The combined search returned 7,167 studies; after screening, 99 studies were included in the analysis. Included studies reported on methods, procurement, characteristics of those who self-managed, effectiveness, safety, reasons for self-managed abortion, and emotional and physical experiences. Numerous abortion methods were reported, most frequently abortion with pills and herbs. Eight out of nine studies reported an effectiveness of 70% or higher for self-managed medication abortion with misoprostol alone or in combination with mifepristone, at gestations ranging from <7 to >13 weeks. We identify gaps in the research, and make recommendations to address those gaps.
Usage notes
Table 3: Sociodemographic and other characteristics reported in the literature about people who self-managed an abortion
Table 4: Reasons reported in included studies for self-managing an abortion
Table 5: Emotional experiences with self-managed abortion reported in included studies
Appendix 1: Systematic review search strategy