Acceptability of home-based medical abortion among Hong Kong women undergoing an abortion: a cross-sectional study

The new WHO Abortion Care Guideline published in 2022 highlighted the need for quality person-centred service, including a recommendation for the self-management of medical abortions at gestational ages under 12 weeks.1 International studies have found that home-based medical abortions were as safe and effective as institution-based care and that this service mode was well accepted by women.2 However, this option is currently unavailable in Hong Kong, as abortions can only legally be conducted at one of 20 gazetted institutions, including the Family Planning Association of Hong Kong (FPAHK), where one-third of the legal abortions were performed. Few studies have examined women’s opinions on medical abortion in Hong Kong since two pilot studies in the 1990s when this abortion method was first introduced for research purposes.3 4 We sought to assess whether a home-based medical abortion service would be accepted by potential service…

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