A 1-h travel limit is not uncommon however, none of these studies has looked at the importance of proximity to provider 7 – 9. Several studies, including Swedish studies, have limitations as to the travel time from provider for those who would like to administer misoprostol at home 7 – 9. Home administration has either not been allowed or has been restricted to a lower gestational age, most commonly up to 49 days 6.Įxcept for a Swedish study that found home administration of misoprostol just as acceptable at 50–63 days’ gestation as at <50 days’ gestation 7, very few studies from Europe have reported on home treatment beyond 56 days’ gestation. In Europe, on the other hand, except Scandinavia, a more restrictive attitude towardds home administration of medical abortion has prevailed. Home administration of misoprostol for up to 9 weeks’ gestation has been available in the USA since 2000 5. Increasing access to safe and acceptable treatment close to or at home would be an advantage. The population (5 million) is distributed over a large area, with many people living in rural areas far from the nearest hospital. Norway has abortion on request, completely free of charge and easily accessible at every gynecology ward up to 12 weeks of gestation 4. It has become the most common method in Norway since it was introduced in 1998 2, and was in 80.5% of all medical abortions in 2012 3. Medical abortion with mifepristone and misoprostol is a well-established and acceptable method 1.
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