Objectives In an attempt to understand the demand and main drivers of telemedicine abortion, we analysed the requests that Women on Web (WoW), an online telemedicine abortion service operating worldwide, received from France throughout 2020. Methods We conducted a parallel, convergent, mixed-methods study among 809 consultations received from France at WoW between 1 January and 31 December 2020. We performed a cross-sectional study of data obtained from the WoW consultation survey and a manifest content analysis of anonymised email correspondence of 140 women consulting with the WoW helpdesk from France. Findings We found that women encounter macro-level, individual-level and provider-level constraints while trying to access abortion in France. The preferences and needs over secrecy (n=356, 46.2%), privacy (n=295, 38.3%) and comfort (n=269, 34.9%) are among the most frequent reasons for women from France to choose telemedicine abortion through WoW. The COVID-19 pandemic seems to be an important driver for resorting to telemedicine (n=236, 30.6%). The lockdowns had a significant impact on the number of consultations received at WoW from France, increasing from 60 in March to 128 in April during the first lockdown and from 54 in October to 80 in November during the second lockdown. Conclusions The demand for at-home medical abortion via teleconsultation increased in France during the lockdowns. However, drivers of telemedicine abortion are multidimensional and go beyond the conditions unique to the pandemic. All original data are available upon reasonable request to the researchers.

中文翻译：

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为什么法国女性选择通过远程咨询在家堕胎：COVID-19 大流行期间及之后远程医疗堕胎的驱动因素

目标 为了了解远程医疗堕胎的需求和主要驱动因素，我们分析了全球在线远程医疗堕胎服务 Women on Web (WoW) 在 2020 年从法国收到的请求。 -对2020年1月1日至12月31日期间在法国收到的809份咨询进行了方法研究。我们对从WoW咨询调查中获得的数据进行了横断面研究，并对140名向WoW咨询的女性的匿名电子邮件通信进行了明显内容分析来自法国的帮助台。研究结果 我们发现，法国女性在尝试堕胎时遇到了宏观层面、个人层面和服务提供者层面的限制。对保密性（n=356, 46.2%）、隐私（n=295, 38.3%）和舒适性（n=269, 34.9%）的偏好和需求是法国女性通过 WoW 选择远程医疗堕胎的最常见原因。COVID-19 大流行似乎是诉诸远程医疗的重要推动力（n=236，30.6%）。封锁对魔兽世界收到的来自法国的咨询数量产生了重大影响，第一次封锁期间从 3 月的 60 份增加到 4 月的 128 份，第二次封锁期间从 10 月的 54 份增加到 11 月的 80 份。结论 在封锁期间，法国通过远程咨询进行家庭药物流产的需求有所增加。然而，远程医疗堕胎的驱动因素是多方面的，并且超出了大流行独有的条件。所有原始数据均可根据研究人员的合理要求提供。