Medical Records and Consent for Medication Abortion

Medical history issues

If I go to the hospital to undergo a medication abortion using my health insurance card, will there be a medical record left, and can other hospitals access it? I am over 20; do I need guardian consent to sign? Is RU486 really uncomfortable?

zero, 20~29 year old female. Ask Date: 2016/04/24

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
Currently, the National Health Insurance Administration's cloud-based medication inquiry system allows other hospitals to view medications covered by health insurance.
However, since abortion medications are self-paid items, they should not be displayed.

2.
Additionally, the National Health Insurance Administration has a health passbook system that provides more detailed information, but it must be applied for in order to be included.
If you have not applied, you likely will not be able to see it.
3.
Indeed, there will be noticeable abdominal pain.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/04/24

More Info

When considering a medication abortion, it is important to understand the implications regarding medical records, consent, and the potential side effects of the medication used.
Firstly, if you utilize your health insurance card to undergo a medication abortion at a hospital or clinic, it will indeed create a medical record. This record will document the procedure, your medical history, and any follow-up care you may receive. In many healthcare systems, including those in the United States, medical records are generally considered confidential. However, they can be accessed by other healthcare providers if you provide consent or if there is a legitimate medical reason for them to access your records. This means that if you seek care at another facility, they may be able to see your previous records if you authorize it.
In terms of consent, since you are over the age of 20, you typically do not need a guardian's consent to undergo a medication abortion. The laws regarding consent can vary by state, but generally, individuals who are 18 years or older are considered adults and can make their own medical decisions. However, it is always advisable to check the specific regulations in your state or consult with the healthcare provider to ensure you have the correct information.

Regarding the medication itself, RU486 (also known as mifepristone) is commonly used in medication abortions. It is often followed by another medication called misoprostol. While many individuals do not experience severe discomfort, some may have side effects that can include cramping, nausea, vomiting, diarrhea, and heavy bleeding. The level of discomfort varies from person to person; some may find it manageable, while others may experience more significant pain. It is essential to discuss any concerns about pain management with your healthcare provider, who can offer guidance on what to expect and how to alleviate discomfort.

In summary, if you choose to have a medication abortion, it will be documented in your medical records, which can be accessed by other healthcare providers with your consent. You do not need a guardian's consent if you are over 20 years old. While RU486 can cause discomfort, the experience varies widely among individuals. It is crucial to have open communication with your healthcare provider about any concerns or questions you may have regarding the procedure and its implications. They can provide you with the necessary support and information to make informed decisions about your health.

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