Diverse models of self-managed medication abortion exist—ranging from some interaction with medical personnel to completely autonomous abortion. In this commentary, we propose a new classification of self-managed medication abortion and describe the different modalities. We highlight autonomous abortion accompanied by feminist activists, called “acompañantes,” as a community- and rights-based strategy that can be a safe alternative to clinical abortion services in clandestine as well as legal settings. To improve access, abortion needs to be decriminalized and governments must acknowledge and facilitate the diversity of safe abortion options so women may choose where, when, how, and with whom to abort.

中文翻译：

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在自我管理药物流产的范围内定位由女权主义活动家伴随的自主流产

存在多种自我管理的药物流产模型——从与医务人员的一些互动到完全自主的流产。在本评论中，我们提出了一种新的自我管理药物流产分类并描述了不同的方式。我们强调由被称为“acompañantes”的女权主义活动家陪同的自主流产，这是一种基于社区和权利的策略，可以作为秘密和法律环境中临床流产服务的安全替代方案。为了提高堕胎的可及性，需要将堕胎合法化，政府必须承认和促进安全堕胎选择的多样性，以便妇女可以选择在何处、何时、如何以及与谁进行堕胎。