Introduction of medical abortion in Bulgaria

Introduction of medical abortion in Bulgaria

Poster

Dimitar Marinov1, Petko Salchev2, Evgeni Grigorov 1,2
1National Center of Public Health and Analyses, Sofia, Bulgaria
2Department of Organization and economics of pharmacy, Faculty of Pharmacy, Medical University „Prof. D-r Paraskev Stoyanov”, Varna, Bulgaria

Introduction: The Medical abortion provides women with a safe and elegant alternative for termination of pregnancy. It has revolutionized the way of termination of pregnancy so that the patient has to be aware with the method, has to know how the medicines work, has to know what, when, why has to be done in order the method to be successful. and the women has to participate actively in the process. According to the Bulgarian legislation, Medical abortion is made only by Obstetrics and Gynecology doctors in medical practice, center or hospital. Materials and Methods: The aim of this study was to demonstrate the strengths, weaknesses, opportunities and threats (SWOT) analysis of the Medical abortion in Bulgaria. We identify relevant economic, psychological and societal issues for the assessment of its sustainable penetration. Results: As a major strength can be reported that Medical abortion is affordable, preferable and convenient method offering safety, competitive price and the possibility of private termination of pregnancy not demanding the presence of experienced surgeon and anesthesiologist. But as a weakness can be mentioned that it needs the active participation of the women and the procedure is more time-consuming. Conclusion: To satisfy women in today’s competitive health care, Ob/Gyn doctors in Bulgaria have already an alternative way of termination of pregnancy to offer. To do this, most of them would be aimed at achieving the following key points - responsiveness, reliability, ease of use, communication and access.
Key words: mifepristone, misoprostol, medical abortion