Starting Points if Patient Chooses Medication Abortion

An evolving legal landscape surrounding medication abortion has left physicians with as many questions as patients. A panel of clinicians at theApproved in 2000, abortion pills have become the most common method for terminating pregnancy in the United States, accounting for, 29 states as of February restrict access to medication abortion, either by limiting or banning the use of the drugs or by curtailing who can prescribe them and under what circumstances.

Mindy Sobota, MD, MS, an internist and associate professor of medicine at the Warren Alpert Medical School of Brown University in Providence, Rhode Island, recommended afor guidance on telehealth services and price information on receiving abortion pills by mail in every state."It's a very reliable and safe clearing house," Sobota said.

Internists should let patients know that whatever their choices are around pregnancy, they are open to discussing those choices and helping them through the process, Sobota said, adding that she makes those statements in annual visits. Alexandra Bachorik, MD, EdM, director of education in the Women's Health Unit and assistant professor of medicine at Boston University Chobanian & Avedisian School of Medicine, Boston, said patients in restrictive states who need financial help related to obtaining abortion services in a less restricted state can visit theFacilitating access to a clinic in a less restrictive state may be helpful to people approaching a gestational age limit, she said.

Adelaide McClintock, MD, an internist and assistant professor of general internal medicine at the University of Washington School of Medicine in Seattle, noted that even clinicians who cannot legally prescribe abortion pills can support their patients by providing resources and counseling on options before, during, and after pregnancy.

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