We write in support of using mifepristone at the first visit for early medical abortion (EMA), without an obligatory cooling-off period.1

In our service in South East Wales, we have been providing home EMA since 2007 in a setting very similar to that described in the pilot study reported by Cameron et al.2 Similarly, patients attending our service are able to have mifepristone administered at their first visit. Patients return 48 hours later to obtain misoprostol, then …