Abortion, First Trimester
Conditions
Brief summary
This study examined the acceptability and feasibility of using a simplified regimen of medical abortion in Armenia and Azerbaijan. It was hypothesized that home use of mifepristone and misoprostol, and buccal administration of misoprostol, would be both acceptable to women and efficacious.
Interventions
Home administration of 200 mg mifepristone
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years or older * Good general health * Living or working close to the study site * Intrauterine pregnancy less than 64 days gestation * Willing and able to sign consent forms * Eligible for medical abortion according to the clinician's assessment * Ready access to a telephone and emergency transportation * Willing to provide an address and/or telephone number for purposes of follow-up * Agree to comply with the study procedures and visit schedule
Exclusion criteria
* Confirmed or suspected ectopic pregnancy or undiagnosed adnexal mass * IUD in place (IUD must be removed first) * Chronic renal failure * Concurrent long-term corticosteroid therapy * History of allergy to mifepristone, misoprostol or other prostaglandin * Hemorrhagic disorders or concurrent anticoagulant therapy * Inherited porphyrias * Other serious physical or mental health conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of abortions that are complete without surgical intervention (unit: percent). | 15 days | Percentage of women with complete abortion without the need of a surgical intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of women satisfied with procedure (unit: percent) and with side effects (unit: percent). | 15 days | Woman's satisfaction with her medical abortion procedure and side effects experienced. |
Other
| Measure | Time frame |
|---|---|
| Proportion of Women Who Select Home-use of Mifepristone | 1 week |
| Proportion of Women Who Select Home-use of Misoprostol | 1 week |
Countries
Armenia, Azerbaijan