Medical Abortion
Conditions
Keywords
abortion, medical abortion
Brief summary
The physical examination before an abortion is usually performed by a physician. However, in many countries access to physicians is limited. To increase access to safe abortion this study wishes to examine if midlevel providers such as specially trained midwives can provide safe abortion services. Midwives in study were specially trained to perform early pregnancy ultrasound and if needed to consult a physician. The midwife then provided the abortion service as well as the contraceptive advice. Women were randomized to receive the service from a midwife or a physician.
Interventions
gynecological exam and ultrasound and contraceptive advice provided by midwife
Sponsors
Study design
Eligibility
Inclusion criteria
* healthy women aged 18-45 with no contraindication to medical abortion
Exclusion criteria
* any medical condition which contraindicates medical abortion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| feasibility | 3 weeks | Successful completion of abortion without need for unscheduled visits or calls. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| efficacy | 3 weeks | complete uterine evacuation without the need for further medical or surgical intervention |
| acceptability | 3 weeks | as assessed by questionnaire |
Countries
Sweden