The Green Room: A Podcast from Obstetrics & Gynecology October 2024: Gynecology
Sep 23, 2024
Courtney Kerestes, a complex family planning specialist at The Ohio State University and author on innovative abortion-related research, joins the discussion. She introduces the LMP-SURE self-screening tool that allows patients to assess eligibility for medication abortion without unnecessary ultrasounds. The talk also dives into a multi-site study reviewing this method's impressive accuracy and the significant role of period tracking apps in enhancing LMP dating. This conversation highlights the need for patient-centered approaches in gynecological care.
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Patient Self-Assessment Is Viable
- Telemedicine medication abortion can safely expand when patients accurately self-report last menstrual period and risk factors.
- A concise, patient-facing tool can substitute for routine ultrasound in many cases without compromising safety.
Patients Faced Awkward Ultrasound Journeys
- Patients often had to seek ultrasounds at external clinics or crisis pregnancy centers before teleabortion services were common.
- Those experiences sometimes produced awkward, uncomfortable interactions for patients seeking abortion care.
Use A Minimal Five-Question Screen
- Ask only essential questions: LMP date, certainty, recent IUD use, regular periods, and prior ectopic pregnancy.
- Keep screening short and patient-driven to maximize usability and independent completion.