PURPOSE OF REVIEW Traveling long distances to obtain abortion care due to restrictions and scarce availability is associated with significant obstacles. We review clinical strategies that can facilitate abortion access and outline considerations to ensure person-centered and equitable care. RECENT FINDINGS Establishing a patient's gestational duration prior to travel may be beneficial to ensure they are eligible for their desired abortion method at the preferred facility or to determine if a multiday procedure is required. If a local ultrasound cannot be obtained prior to travel, evidence demonstrates people can generally estimate their gestational duration accurately. If unable to provide care, clinicians should make timely referrals for abortion. Integration of telemedicine into abortion care is safe and well regarded by patients and should be implemented into service delivery where possible to reduce obstacles to care. Routine in-person follow-up care is not necessary. However, for those who want reassurance, formalized pathways to care should be established to ensure people have access to care in their community. To further minimize travel-related burdens, facilities should routinely offer information about funding and practical support, emotional support, and legal resources. SUMMARY There are many opportunities to optimize clinical practice to support those traveling for abortion care.

中文翻译：

---

堕胎护理旅行：对临床实践的影响。

审查目的 由于限制和资源匮乏，长途跋涉去获得堕胎护理会遇到很大的障碍。我们回顾了可以促进堕胎的临床策略，并概述了注意事项，以确保以人为本和公平的护理。最近的发现在旅行前确定患者的妊娠持续时间可能有助于确保他们有资格在首选设施中采用所需的堕胎方法，或确定是否需要进行多天的手术。如果在旅行前无法获得局部超声检查，有证据表明人们通常可以准确地估计其妊娠持续时间。如果无法提供护理，临床医生应及时转诊堕胎。将远程医疗纳入堕胎护理是安全的，并受到患者的好评，应尽可能实施到服务提供中，以减少护理障碍。不需要进行常规的现场后续护理。然而，对于那些想要安心的人来说，应该建立正式的护理途径，以确保人们能够在社区中获得护理。为了进一步减少与旅行相关的负担，机构应定期提供有关资金和实际支持、情感支持和法律资源的信息。总结 有很多机会可以优化临床实践，以支持那些前往堕胎护理的人。