With increasingly restricted access to facility-based abortion in the United States, pregnant people are increasingly relying on models of care that use history-based or no-test approaches for eligibility assessment. Minimal research has examined the accuracy of abortion patients’ self-assessment of eligibility for medication abortion using their health history. This step is necessary for ensuring optimal access to history-based or no-test models, as well as potential over-the counter access.

This study aimed to examine the accuracy of pregnant people’s eligibility for medication abortion as determined using their self reported health history, compared with clinician assessments using ultrasound and other tests.

In this diagnostic accuracy study, authors recruited people seeking medicati

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