Medical Abortion
Conditions
Brief summary
To demonstrate non-inferiority of the efficacy of 200 mg mifepristone followed in 24 to 48 hours by 800 µg buccal misoprostol in outpatient medical abortion services among women 71-77 days' compared to women 64-70 days' LMP.
Interventions
200mg oral mifepristone and 800mcg buccal misoprostol 24-48 hours after mifepristone
Sponsors
Study design
Eligibility
Inclusion criteria
* intrauterine pregnancy between 64 days and 77 days' LMP * eligible for medical abortion according to study doctor assessment * willing and able to sign consent form * speak english or spanish (in US sites); speak the local language(s) (in international sites) * agree to comply with the study procedures and visit schedule
Exclusion criteria
* Have known allergies or present other contraindications to mifepristone or misoprostol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy as determined by the proportion of successful terminations without surgical intervention (suction curettage or D&C) for any reason | 7-36 days | Efficacy of medical abortion in the later first trimester as determined by the proportion of successful terminations without surgical intervention (suction curettage or D&C) for any reason |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Individual Side Effects Experienced by Participants | 7-14 days | Side effects include diarrhea, nausea, vomiting, fever, chills, headaches, dizziness and/or weakness experienced by participants |
| Proportion of Women Who Determine Method Acceptable | 7-14 days | overall acceptability, time to complete abortion, bleeding, side effects, pain |
| Proportion of Providers Who Determine Method Acceptable | 7-36 days | As assessed by service provider semi-structured interviews |
Countries
Azerbaijan, Georgia, Mexico, United States, Vietnam