•• Ralph L, Foster DG, Raifman S, Biggs MA, Samari G, Upadhyay U, et al. Prevalence of Self-Managed Abortion Among Women of Reproductive Age in the United States. JAMA Netw Open. 2020;3(12):e2029245. https://doi.org/10.1001/jamanetworkopen.2020.29245. This large cross-sectional study provided new and important insight on the prevalence of self-managed abortion in the U.S.

Moseson H, Herold S, Filippa S, Barr-Walker J, Baum SE, Gerdts C. Self-managed abortion: A systematic scoping review. Best Pract Res Clin Obstet Gynaecol. 2020;63:87–110. https://doi.org/10.1016/j.bpobgyn.2019.08.002.

Article  PubMed  Google Scholar 

• Upadhyay UD, Cartwright AF, Grossman D. Barriers to abortion care and incidence of attempted self-managed abortion among individuals searching Google for abortion care: A national prospective study. Contraception. 2022;106:49–56. https://doi.org/10.1016/j.contraception.2021.09.009. This prospective cohort study provided new information on current characteristics of those self-managing their abortions and methods used.

• Verma N, Goyal V, Grossman D, Perritt J, Shih G. Self-managed abortion. Society of Family Planning. 2022. These clinical recommendations published by the Society of Family Planning provide an up-to-date overview of data and expert opinion on self-managed abortion.

Aiken ARA, Starling JE, Gomperts R. Factors Associated With Use of an Online Telemedicine Service to Access Self-managed Medical Abortion in the US. JAMA Netw Open. 2021;4(5):e2111852. https://doi.org/10.1001/jamanetworkopen.2021.11852.

Moseson H, Fix L, Gerdts C, Ragosta S, Hastings J, Stoeffler A, et al. Abortion attempts without clinical supervision among transgender, nonbinary and gender-expansive people in the United States. BMJ Sex Reprod Health. 2022;48(e1):e22–30. https://doi.org/10.1136/bmjsrh-2020-200966.

Article  PubMed  Google Scholar 

Poliak A, Satybaldiyeva N, Strathdee SA, Leas EC, Rao R, Smith D, et al. Internet Searches for Abortion Medications Following the Leaked Supreme Court of the United States Draft Ruling. JAMA Intern Med. 2022;182(9):1002–4. https://doi.org/10.1001/jamainternmed.2022.2998.

Article  PubMed  Google Scholar 

Aiken ARA, Starling JE, Scott JG, Gomperts R. Requests for Self-managed Medication Abortion Provided Using Online Telemedicine in 30 US States Before and After the Dobbs v Jackson Women’s Health Organization Decision. JAMA. 2022;328(17):1768–70. https://doi.org/10.1001/jama.2022.18865.

Article  PubMed  Google Scholar 

Aiken ARA, Starling JE, Gomperts R, Tec M, Scott JG, Aiken CE. Demand for Self-Managed Online Telemedicine Abortion in the United States During the Coronavirus Disease 2019 (COVID-19) Pandemic. Obstet Gynecol. 2020;136(4):835–7. https://doi.org/10.1097/AOG.0000000000004081.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Aiken ARA, Starling JE, Scott JG, Gomperts R. Association of Texas Senate Bill 8 With Requests for Self-managed Medication Abortion. JAMA Netw Open. 2022;5(2):e221122. https://doi.org/10.1001/jamanetworkopen.2022.1122.

Singh S, Remez L, Sedgh G, Kwok L, Onda T. Abortion Worldwide 2017: Uneven Progress and Unequal Access. 2018. https://www.guttmacher.org/report/abortion-worldwide-2017. Accessed 26 Apr 2022.

Medication abortion up to 70 days of gestation. ACOG Practice Bulletin No. 225. Obstet Gynecol. 2020;136:31–47.

•• Moseson H, Jayaweera R, Egwuatu I, Grosso B, Kristianingrum IA, Nmezi S, et al. Effectiveness of self-managed medication abortion with accompaniment support in Argentina and Nigeria (SAFE): a prospective, observational cohort study and non-inferiority analysis with historical controls. Lancet Glob Health. 2022;10(1):e105–13. https://doi.org/10.1016/s2214-109x(21)00461-7. This prospective, observational cohort study of 1,051 participants provided new and important data supporting the safety and effectiveness of self-managed abortion with accompaniment group support.

• Aiken ARA, Romanova EP, Morber JR, Gomperts R. Safety and effectiveness of self-managed medication abortion provided using online telemedicine in the United States: A population based study. Lancet Reg Health Am. 2022;10. https://doi.org/10.1016/j.lana.2022.100200. This large, retrospective study provided built on prior data to demonstrate the safety and efficacy of self-managed abortion specifically in the United States.

Ralph LJ, Ehrenreich K, Barar R, Biggs MA, Morris N, Blanchard K, et al. Accuracy of self-assessment of gestational duration among people seeking abortion. Am J Obstet Gynecol. 2022;226(5):710 e1- e21. https://doi.org/10.1016/j.ajog.2021.11.1373.

Whitehouse KC, Shochet T, Lohr PA. Efficacy of a low-sensitivity urine pregnancy test for identifying ongoing pregnancy after medication abortion at 64 to 70 days of gestation. Contraception. 2022;110:21–6. https://doi.org/10.1016/j.contraception.2022.02.005.

Article  PubMed  Google Scholar 

Andersen KL, Fjerstad M, Basnett I, Neupane S, Acre V, Sharma S, et al. Determination of medical abortion success by women and community health volunteers in Nepal using a symptom checklist. BMC Pregnancy Childbirth. 2018;18(1):161. https://doi.org/10.1186/s12884-018-1804-3.

Article  PubMed  PubMed Central  Google Scholar 

Raymond EG, Grossman D, Mark A, Upadhyay UD, Dean G, Creinin MD, et al. Commentary: No-test medication abortion: A sample protocol for increasing access during a pandemic and beyond. Contraception. 2020;101(6):361–6. https://doi.org/10.1016/j.contraception.2020.04.005.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Biggs MA, et al. Comprehension of an Over-the-Counter Drug Facts Label Prototype for a Mifepristone and Misoprostol Medication Abortion Product. Obstet Gynecol. 2022;10(1097).

Gerdts C, Jayaweera RT, Baum SE, Hudaya I. Second-trimester medication abortion outside the clinic setting: an analysis of electronic client records from a safe abortion hotline in Indonesia. BMJ Sex Reprod Health. 2018. https://doi.org/10.1136/bmjsrh-2018-200102.

Article  PubMed  PubMed Central  Google Scholar 

Endler M, Beets L, Gemzell Danielsson K, Gomperts R. Safety and acceptability of medical abortion through telemedicine after 9 weeks of gestation: a population-based cohort study. BJOG. 2019;126(5):609–18. https://doi.org/10.1111/1471-0528.15553.

Article  CAS  PubMed  Google Scholar 

Moseson H, Bullard KA, Cisternas C, Grosso B, Vera V, Gerdts C. Effectiveness of self-managed medication abortion between 13 and 24 weeks gestation: A retrospective review of case records from accompaniment groups in Argentina, Chile, and Ecuador. Contraception. 2020;102(2):91–8. https://doi.org/10.1016/j.contraception.2020.04.015.

Article  CAS  PubMed  Google Scholar 

Fuentes L, Baum S, Keefe-Oates B, White K, Hopkins K, Potter J, et al. Texas women’s decisions and experiences regarding self-managed abortion. BMC Womens Health. 2020;20(1):6. https://doi.org/10.1186/s12905-019-0877-0.

Article  PubMed  PubMed Central  Google Scholar 

Aiken ARA, Broussard K, Johnson DM, Padron E, Starling JE, Scott JG. Knowledge, interest, and motivations surrounding self-managed medication abortion among patients at three Texas clinics. Am J Obstet Gynecol. 2020;223(2):238 e1- e10. https://doi.org/10.1016/j.ajog.2020.02.026.

Ralph L, Ehrenreich K, Kaller S, Biggs MA. A cross-sectional study examining consideration of self-managed abortion among people seeking facility-based care in the United States. Reprod Health. 2022;19(1):176. https://doi.org/10.1186/s12978-022-01486-8.

Article  PubMed  PubMed Central  Google Scholar 

Raifman S, Ralph L, Biggs MA, Grossman D. “I’ll just deal with this on my own”: a qualitative exploration of experiences with self-managed abortion in the United States. Reprod Health. 2021;18(1):91. https://doi.org/10.1186/s12978-021-01142-7.

Article  PubMed  PubMed Central  Google Scholar 

Aiken ARA, Broussard K, Johnson DM, Padron E. Motivations and Experiences of People Seeking Medication Abortion Online in the United States. Perspect Sex Reprod Health. 2018;50(4):157–63. https://doi.org/10.1363/psrh.12073.

Article  PubMed  PubMed Central  Google Scholar 

If/When/How: Roe’s unfinished promise: 2019 update. 2019.https://www.ifwhenhow.org/resources/roes-unfinished-promise-2019-update/. Accessed 22 Apr 2022.

If/When/How. Self-Care, Criminalized: August 2022 Preliminary Findings. 2022. https://www.ifwhenhow.org/resources/self-care-criminalized-preliminary-findings/. Accessed 2 Mar 2023.

Raifman S, Biggs MA, Ralph L, Ehrenreich K, Grossman D. Exploring Attitudes About the Legality of Self-Managed Abortion in the US: Results from a Nationally Representative Survey. Sex Res Soc Policy. 2021;19(2):574–87. https://doi.org/10.1007/s13178-021-00572-z.

Article  Google Scholar 

Kerestes CA, Stockdale CK, Zimmerman MB, Hardy-Fairbanks AJ. Abortion providers’ experiences and views on self-managed medication abortion: an exploratory study. Contraception. 2019;100(2):160–4. https://doi.org/10.1016/j.contraception.2019.04.006.

Article  PubMed  Google Scholar 

Labandera A, Gorgoroso M, Briozzo L. Implementation of the risk and harm reduction strategy against unsafe abortion in Uruguay: From a university hospital to the entire country. Int J Gynecol Obstet. 2016;134(S1):S7–11. https://doi.org/10.1016/j.ijgo.2016.06.007.

Article  Google Scholar 

Briozzo L, Gomez Ponce de Leon R, Tomasso G, Faundes A. Overall and abortion-related maternal mortality rates in Uruguay over the past 25 years and their association with policies and actions aimed at protecting women's rights. Int J Gynaecol Obstet. 2016;134(S1):S20-S3. https://doi.org/10.1016/j.ijgo.2016.06.004.

Tasset J, Harris LH. Harm Reduction for Abortion in the United States. Obstet Gynecol. 2018;131(4):621–4. https://doi.org/10.1097/AOG.0000000000002491.

Article  PubMed  Google Scholar 

• Harris LH, Grossman D. Complications of Unsafe and Self-Managed Abortion. N Engl J Med. 2020;382(11):1029–40. https://doi.org/10.1056/NEJMra1908412. This review walks clinicians through care of patients who have self-managed their abortions and provides useful decision-making tools.

Grossman D, Perritt J, Grady D. The Impending Crisis of Access to Safe Abortion Care in the US. JAMA Intern Med. 2022;182(8):793–5. https://doi.org/10.1001/jamainternmed.2022.2893.

Article  PubMed  Google Scholar 

Grossman D, Verma N. Self-managed Abortion in the US. JAMA. 2022;328(17):1693–4. https://doi.org/10.1001/jama.2022.19057.

Article  PubMed  Google Scholar 

Raifman S, Baum SE, White K, Hopkins K, Ogburn T, Grossman D. Perspectives on self-managed abortion among providers in hospitals along the Texas-Mexico border. BMC Womens Health. 2021;21(1):132. https://doi.org/10.1186/s12905-021-01281-w.

Article  PubMed  PubMed Central  Google Scholar 

If/When/How: Repro Legal Helpline. https://www.ifwhenhow.org/repro-legal-helpline/. Accessed 18 Dec 2022.