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Induction termination as a method of abortion: an opportunity for expanding access

Mark Wilcox, MD, University of California, San Francisco

Access to dilation and evacuation (D&E) is limited in most of the United States. Induction termination (also referred to as medical abortion or labor induction) is an acceptable alternative to D&E as a method for second-trimester abortion and may be preferable to D&E for some patients. Induction termination is typically offered to patients terminating for anomalies, complications, or fetal demise and is less likely to be offered to women terminating for other reasons. We know very little about whether women who are terminating for other reasons would consider induction termination instead of D&E and what circumstances would alter that willingness to consider induction. In this study, we propose comparing women's willingness to undergo induction termination among women who recently underwent D&E in two geographic areas where access to D&E is more versus less restricted.

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