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Medical abortion: it is time to lift restrictions

Caroline M Costa, Kirsten I Black and Darren B Russell
Med J Aust 2019; 211 (9): . || doi: 10.5694/mja2.50362
Published online: 4 November 2019

In reply: We thank de Moel‐Mandel and Graham for their letter about our article on access to medical abortion.1 We support their recommendations, particularly around nurse‐led abortion provision.


  • 1 James Cook University, Cairns, QLD
  • 2 University of Sydney, Sydney, NSW
  • 3 Royal Prince Alfred Hospital, Sydney, NSW
  • 4 Cairns Sexual Health Service, Cairns, QLD


Correspondence: caroline.decosta@jcu.edu.au

Competing interests:

No relevant disclosures.

  • 1. de Costa CM, Black KI, Russell DB. Medical abortion: it is time to lift restrictions. Med J Aust 2019; 210: 248–249. https://www.mja.com.au/journal/2019/210/6/medical-abortion-it-time-lift-restrictions.
  • 2. Royal College of Nursing. Termination of pregnancy — an RCN nursing framework. London: RCN, 2017.
  • 3. Sjöstrom S, Kopp Kallner H, Simeonova E, et al. Medical abortion provided by nurse‐midwives or physicians in a high resource setting: a cost‐effectiveness analysis. PLoS One 2016; 11: e0158645.
  • 4. Downing SG, Cashman C, Russell DB. Ten years on: a review of medical terminations of pregnancy performed in a sexual health clinic. Sex Health 2017; 14: 208–212.

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