Ultrasounds no longer required in Quebec before getting abortion pill
A group of Quebec doctors has successfully pushed for a big change to how abortions are given in the province, widening access to abortions by medication.
Until now, Quebec has required patients to have ultrasounds before obtaining the two-pill regimen that induces a medical abortion.
In the rest of Canada, that measure was abandoned in 2019. But Quebec didn't follow suit until hundreds of doctors signed an open letter last week asking the rule to be changed in their province as well.
They requested the change from the Quebec College of Physicians, prompting a new policy in recent days, according to a statement from the college.
"In the last few days, the College has decided that this measure will be made permanent," the college's spokesperson, Leslie Labranche, told CTV News.
The ultrasound rule had already been made less strict -- it was no longer mandatory -- as a temporary measure in the pandemic, beginning in February 2021, she explained.
The Quebec doctor who reportedly spearheaded the open letter, which was signed by more than 300 physicians, is a young family doctor working on Rimouski, according to Quebec's health ministry's online listing for her.
IMPROVING ABORTION ACCESS
Dr. Dario Garcia, president of Quebec's association for obstetricians and gynecologists, said the change is an important step toward making abortions more accessible.
"Anything that gives our patients better access to care is something we'll always be happy about," he told CTV News.
He said ultrasound requirements for abortion pills create unnecessary barriers for those seeking to terminate a pregnancy -- especially in a health network that's already overwhelmed.
"It's really hard, nowadays especially, to get access to laboratory tests or imaging tests."
Waiting for an appointment can be risky when it comes to medical abortions, as the window of eligibility is only 63 days.
After that, patients are required to undergo more invasive procedures to end their pregnancies, he said.
SAFE WITHOUT AN ULTRASOUND
According to the latest research, it's safe to have a medical abortion without an ultrasound beforehand, Garcia explained.
In other words, whether or not a patient has an ultrasound, "it doesn't change the results."
Quebec doctors won't be barred altogether from doing ultrasounds before prescribing the pills; they'll simply have the option not to request one.
"Physicians must use their clinical judgment and decide on a case-by-case basis whether or not an ultrasound is necessary," Labranche said.
The ultrasound rule was meant to estimate the age of the fetus and verify that the pregnant person was still nine weeks along or less, the time during which the pills were originally meant to be used. An ultrasound could also show if the pregnancy was ectopic.
In 2019, when Health Canada decided to change the rule nationally, the agency said that after extensive research into how other countries were using the pills, called Mifegymiso, it decided it wasn't necessary to do the ultrasound and that the risks of doing it often outweighed the benefits.
Mifegymiso was approved for use in Canada in 2015.
'WE STILL HAVE WORK TO DO'
While Dr. Garcia applauds health authorities for making the change, he said there are still additional measures that should be taken to improve access even further.
In Quebec, general practitioners face "strict recommendations" and are required to undergo additional training in order to administer abortion pills.
"We still have work to do," he said -- work that includes making it easier for family doctors to prescribe the medication.
CTVNews.ca Top Stories
Israeli attack on Rafah tent camp kills 45, prompts global outcry
An Israeli airstrike triggered a massive blaze killing 45 people in a tent camp in the Gaza city of Rafah, officials said on Monday, prompting an outcry from global leaders who urged the implementation of a World Court ruling to halt Israel's assault.
A cross-country look at beer and wine in convenience stores
By Labour Day weekend, Ontarians of legal drinking age could snag a six-pack at their local convenience store on the way to the cottage. But what are alcohol sales like across the country? Here's what we know.
Former 'General Hospital' actor Johnny Wactor fatally shot in Los Angeles
Former 'General Hospital' actor Johnny Wactor was fatally shot in downtown Los Angeles while interrupting thieves Saturday, according to his agent and CNN affiliate KABC.
Kingston, Ont. tenants fed up with lack of action from landlord over broken floor tiles
Joel Felder and Misti Pitcher have been living in their apartment in Kingston, Ont. for over two years, but the past 12 months have been miserable.
Are you a loud snorer? You could have sleep apnea
You'll have a lot more energy throughout the day if you get a good night's sleep, but not everyone does due to a medical condition.
U of T protesters don't plan to pack up, will hold rally at eviction deadline
Pro-Palestinian protesters who have been camped out at the University of Toronto for weeks say they have no plans to honour the terms of a trespass notice issued by the school and clear the demonstration site by 8 a.m. today.
She developed a passion for genealogy while finding her roots. Now she helps others find their own
Lauren Robilliard always knew she was adopted. As the B.C. native grew older, she developed a passion for genealogy, tracing her roots and paving the way for a career to help others find their own.
The dreams of a 60-year-old beauty contestant come to an abrupt end in Argentina
A 60-year-old woman saw her dreams of becoming the oldest Miss Universe contestant in history melt away in a haze of sequins and selfies Saturday at Argentina’s annual beauty pageant.
Papua New Guinea says landslide buried more than 2,000 people
A Papua New Guinea government official has told the United Nations more than 2,000 people were believed to have been buried alive by Friday's landslide and has formally asked for international help.