@article {Gerdts286, author = {Caitlin Gerdts and Ruvani T Jayaweera and Sarah E Baum and Inna Hudaya}, title = {Second-trimester medication abortion outside the clinic setting: an analysis of electronic client records from a safe abortion hotline in Indonesia}, volume = {44}, number = {4}, pages = {286--291}, year = {2018}, doi = {10.1136/bmjsrh-2018-200102}, publisher = {British Medical Journal Publishing Group}, abstract = {Introduction Unsafe 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.Methods This 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{\textquoteright} 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.Results Ninety-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.Conclusions Evidence 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{\textquoteright} gestation in a legally restrictive context. Further examination and documentation of the model is warranted.}, issn = {2515-1991}, URL = {https://srh.bmj.com/content/44/4/286}, eprint = {https://srh.bmj.com/content/44/4/286.full.pdf}, journal = {BMJ Sexual \& Reproductive Health} }