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
DEVELOPING Slovakia's populist prime minister shot multiple times in attempted assassination
Slovakia's populist Prime Minister Robert Fico is in life-threatening condition after being wounded in a shooting after a political event Wednesday afternoon, according to his Facebook profile.
Transport Canada's UFO 'lead' planned to meet with U.S. intel officials, called info requests a 'wild goose chase'
Canada's transportation department had a UFO 'lead' who tried to 'quell' media interest and planned to meet with U.S. intelligence officials.
'Very expensive lunch': Sask. driver handed a cell phone ticket for using points app in McDonald's drive-thru
A warning from a Saskatoon driver about using your fast-food app while in the drive-thru line — a trip to get some free lunch cost him a lot more than he bargained for.
'The Fly' has become notorious in France after a brazen escape. What's his criminal history?
A prisoner nicknamed “The Fly” has become notorious in France overnight after a daring and bloody escape from a prison convoy in Normandy that left two guards dead.
BREAKING Ontario's 'crypto king' Aiden Pleterski arrested
Aiden Pleterski, the self-proclaimed 'crypto king' from Whitby, Ont., has been arrested in Durham Region after allegedly running a Ponzi scheme worth more than $40 million.
BREAKING Barge hits a bridge in Texas, damaging the structure and causing an oil spill
A barge hit a bridge in Galveston, Texas, on Wednesday, spilling oil into surrounding waters and closing the only road to a small island, officials said.
Person responsible for 1996 drugging of 'Titanic' crew likely not a local: Halifax police
Halifax Regional Police believe a non-resident could be responsible for the infamous drugging of numerous crew members of the 'Titanic' movie with a hallucinogenic in 1996.
Latest updates on the biggest wildfires burning in Canada
Thousands of people in Western Canada remain displaced from their homes as wildfires threaten their communities, triggering evacuation orders and alerts.
OPINION Your attention span is shrinking, studies say. Here's how to stay focused: Sandee LaMotte
Regaining your focus requires you to be mindful of how you are using technology -- a daunting task if you consider the average American spends at least 10 hours a day on screens.