Review| Volume 201, P209-210, June 2016

European Board and College of Obstetrics and Gynaecology (EBCOG)

      The provision of safe abortion is crucial to the public health of all communities. WHO advises that the choice of abortion should be readily available to women in all national healthcare systems [
      • WHO
      Health worker roles in providing safe abortion care and post-abortion contraception.
      ]. For more than 25 years medical abortion with combined mifepristone and misoprostol has proved to be safe, effective and acceptable. Non-surgical methods of abortion have been developed for both first and second trimester abortion. Medical abortion not only increases access but there is evidence that abortions are done at lower gestations, which is both safer and more acceptable to women. (The risks of terminating a pregnancy increase with gestation.) Furthermore medical abortion in the early first trimester offers the possibility of having the abortion at home or in a primary healthcare clinic, while medical abortion at later gestations provides an alternative to highly skilled surgery which is not always available.
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