Main Findings
This large study including 30344 women from 183 countries using telemedical medical abortion identified several changes in the use and outcome of medical abortions over the 10 years of evaluation. A significant association was found between the year of treatment and outcome measures. There was a significant increase in reported complete abortions, a decrease in surgical intervention, and an overall low rate of ongoing pregnancy and blood transfusions. The service was highly acceptable and medical abortion was considered an appropriate method in almost all cases.
There were significant fluctuations in financial hardship but these did not show a specific trend. There was no significant change in knowledge about medical abortion over the years.