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Early medical abortion at home
  1. Louise Massey, FFSRH, FFPH1,
  2. Marilyn Humphries, RGN Dip2,
  3. Kathy Hague, RGN, BSc3
  1. Consultant in Sexual and Reproductive Health, Aneurin Bevan Health Board/Bwrdd Iechyd Aneurin Bevan, Sexual & Reproductive Health Directorate, Gwent, UK; louise.massey@wales.nhs.uk
  2. Team Lead/Nurse Practitioner for the Unplanned Pregnancy Service, Aneurin Bevan Health Board, Gwent, UK; marilyn.humphries@wales.nhs.uk
  3. Team Lead/Nurse Practitioner for the Unplanned Pregnancy Service, Aneurin Bevan Health Board, Gwent, UK; kathrynhague@aol.com

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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 …

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  • Competing interests None.