Evidence map›Paper›PMID 40707273›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Use of Preabortion Ultrasonography Among Telehealth Medication Abortion Patients.

Sylvie T Wilson, Lisa Peters, Leah R Koenig, Suzanne O Bell, Ushma D Upadhyay

Abstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Sylvie T WilsonDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Lisa PetersDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, California.
Leah R KoenigDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, California; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California; Center for Gender and Health Justice, University of California Global Health Institute, Oakland, California.
Suzanne O BellDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Ushma D UpadhyayDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, Oakland, California; Center for Gender and Health Justice, University of California Global Health Institute, Oakland, California. Electronic address: ushma.upadhyay@ucsf.edu.

Funding

Telehealth and Reproductive Health EquityR01HD110659 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Ushma Desai Upadhyay · 2023 to 2026
$2.1M
Protocols to ascertain adverse events after telehealth sexual and reproductive health servicesF31HD111277 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOENIG, LEAH REN-AI · 2023 to 2024
$81k
NICHD NIH HHS F31 HD111277NICHD NIH HHS R01 HD110659
6 · The paper itself

Abstract

backgroundSince 2020, some clinicians have offered telehealth medication abortion care that does not require ultrasonographic screening for eligible patients. However, some telehealth medication abortion patients nonetheless obtain ultrasonography.

objectiveThis study aims to understand which patients obtain ultrasonography before telehealth medication abortion, their reasons for ultrasonography, and where they obtain it. STUDY

designUsing data from the California Home Abortion by Telehealth (CHAT) Study, a cohort study of patients using telehealth abortion services in 2021 and 2022, participants were asked whether they had pre-abortion ultrasonographic imaging, reasons for the ultrasonography, and where they obtained it. We analyzed these responses using chi-squared tests, Fisher's exact tests, and multivariable logistic regression.

resultsAmong 1,775 participants, 11% (n = 194) obtained ultrasonography before their abortion. In the multivariable model, participants who were younger, were food insecure, had a pregnancy duration of 35 days (5 weeks) or more, or were unsure of their pregnancy duration were significantly more likely to obtain pre-abortion ultrasonography. The most common reason for ultrasonography was to assess pregnancy duration (69%). Most participants obtained imaging at a clinic (41%) or at an emergency room or hospital (27%), although some obtained imaging at crisis pregnancy centers (14%). Of those who obtained ultrasonography, 8% were referred by their telehealth provider; the remainder sought ultrasonography on their own initiative.

conclusionHospitals, clinics, and imaging facilities can create policies to increase the accessibility of ultrasonography for those who desire or require pre-abortion ultrasonography.

Indexed as

Abortion, InducedTelemedicineUltrasonography, PrenatalAdultCaliforniaCohort StudiesFemaleHumansPregnancyUltrasonographyYoung Adult

Identifiers

PMID40707273
PMCPMC13167678

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.