Self-managed medication abortion Pregnancy and Childbirth Medical abortion
Conditions
Interventions
This study is a prospective, observational dynamic cohort study of people who contact safe abortion hotlines/accompaniment groups in Argentina, a country in Southeast Asia, and a country in West Afric
Sponsors
Ibis Reproductive Health
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Contacted the accompaniment group seeking information about induced abortion for their own pregnancy 2. At least 13 years of age 3. Able to give informed consent 4. Able to speak the local language 5. Meets accompaniment group eligibility criteria for starting medication abortion process (i.e. no known contraindications to medication abortion) 6. Starting a new medication abortion process
Exclusion criteria
Exclusion criteria: 1. Are experiencing ongoing symptoms (bleeding, cramping) from a previous abortion attempt prior to study enrollment 2. Have a known ectopic pregnancy or symptoms of an ectopic pregnancy 3. Do not want to share their contact information with study staff 4. Do not want to be contacted again by the hotline or by study staff 5. Are not willing to comply with study procedures 6. Cannot access a phone and private location to answer questions during follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of participants with a complete abortion without the need for surgical evacuation is determined by the proportion of participants who report “yes” to the question “Do you feel that your abortion process is complete?” and who do not report any surgical intervention at first follow-up, second follow-up, and study end. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Signs of complication are determined using participant self-report of selected signs of complication at intervention at each follow-up. 2. Time to expulsion is determined using participant self-report of time from first medication dose to expulsion at each follow-up. 3. Ongoing pregnancy is determined using participant self-report of ongoing pregnancy at each follow-up. 4. Medical treatment/surgical intervention are determined using participant self-report at each follow-up. 5. The proportion of participants with complete abortion overall (with or without surgical evacuation) is determined using participant self-report at each follow-up. | — |
Countries
Argentina
Contacts
Public ContactHeidi Moseson
Outcome results
None listed