ArticleBMJ sexual & reproductive health2018
Second-trimester medication abortion outside the clinic setting: an analysis of electronic client records from a safe abortion hotline in Indonesia.
Article in BMJ sexual & reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- How, when and where? A systematic review on abortion decision making in legally restricted settings in sub-Saharan Africa, Latin America, and the Caribbean.BMC women's health · 2022Pooled it
- Article
- Understanding the support needs and preferences of people who self-managed abortion with accompaniment group support in Argentina, Nigeria, and Southeast Asia: a prospective, observational cohort study.Reproductive health · 2025Observational
- Self-Managed Medication Abortion: History, Evidence, Models of Care, and Policy Considerations.American journal of public health · 2025Article
- Self-managed abortion as a humanitarian revolution: accounts of a telehealth pilot in the Middle East.Conflict and health · 2025Article
- Seeking abortion medications online: experiences from a mystery client study in Colombia.BMJ open · 2025Article
- Predictors and experiences of seeking abortion services from pharmacies in Nepal.PLOS global public health · 2024Article
- Reach, experience, and acceptability of an abortion self-care intervention in Bolivia: a mixed-methods evaluation.Sexual and reproductive health matters · 2023Article
- Self-managed abortion via the internet: Analysis of one year of service delivery data from Women Help Women.Gates open research · 2023Article
- Self-Managed Abortion in the United States.Current obstetrics and gynecology reports · 2023Review
- A qualitative exploration of how the COVID-19 pandemic shaped experiences of self-managed medication abortion with accompaniment group support in Argentina, Indonesia, Nigeria, and Venezuela.Sexual and reproductive health matters · 2022Article
- Overcoming challenges in research on self-managed medication abortion: lessons from a collaborative activist-researcher partnership.Sexual and reproductive health matters · 2022Article
- Abortion beyond 13 weeks in Argentina: healthcare seeking experiences during self-managed abortion accompanied by the Socorristas en Red.Reproductive health · 2022Article
- Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond.Frontiers in global women's health · 2022Article
- Abortion attempts without clinical supervision among transgender, nonbinary and gender-expansive people in the United States.BMJ sexual & reproductive health · 2022Article
- "I just have to hope that this abortion should go well": Perceptions, fears, and experiences of abortion clients in Nigeria.PloS one · 2022Article
- Abortion hotlines around the world: a mixed-methods systematic and descriptive review.Sexual and reproductive health matters · 2021Review
- Self-managed abortion: a constellation of actors, a cacophony of laws?Sexual and reproductive health matters · 2021Article
- Women's experiences using drugs to induce abortion acquired in the informal sector in Colombia: qualitative interviews with users in Bogotá and the Coffee Axis.Sexual and reproductive health matters · 2021Article
- Addressing the urgent global need for later abortion care during COVID-19 and beyond.BMJ sexual & reproductive health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUnsafe abortion past the first trimester disproportionately accounts for the majority of global abortion-related morbidity and mortality; research that documents the safety, feasibility and acceptability of existing models for providing information and support to women who self-manage outside of formal clinic settings is needed.
methodsThis study is a retrospective analysis of anonymised electronic client records from callers to a safe abortion hotline in Indonesia. Between July 2012 and October 2016, a total of 96 women contacted the hotline for information on medication abortion beyond 12 weeks' gestation and are included in this study. Descriptive statistics were calculated regarding pregnancy termination status, client experience with warning signs of potential complications, and medical care seeking and treatment.
resultsNinety-six women with pregnancies beyond the first trimester called the hotline for information on medication abortion; 91 women received counselling support from the hotline. Eighty-three women (91.2%) successfully terminated their pregnancies using medication and did not seek medical care. Five women exhibited warning signs of potential complications and sought medical care; one woman sought care after a failed abortion. Two women were lost to follow-up and the outcomes of their pregnancies are unknown.
conclusionsEvidence from our analysis suggests that a model of remote provision of support for abortions later in pregnancy by non-medically trained, skilled abortion counsellors could be a safe alternative for women in need of abortions beyond 12 weeks' gestation in a legally restrictive context. Further examination and documentation of the model is warranted.
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