What are the basic health system requirements for safe and effective delivery of Medabon®?
The basic requirements for medical abortion service delivery include trained staff, referral services for vacuum aspiration, blood transfusions, and fluid replacement in rare cases of emergency or incomplete abortion, as well as a consistent supply of Medabon®.20Antibiotics should be available to treat existing infection as well as in case an infection develops during the follow-up period. Staff should include those who are able to determine eligibility, confirm that the woman is no longer pregnant after taking Medabon®, assess that her post-abortion condition is satisfactory and that bleeding is not excessive, and provide and/or refer women for emergency back-up care (these may include staff already in place). Ultrasonography can be useful for gestational-age dating and identifying pregnancy abnormalities, but using it for confirming completion of abortion may lead to unnecessary interventions.20 Ultrasound services should not be a prerequisite for abortion in settings where they are