Medical Abortion
Conditions
Brief summary
To test the hypothesis that a regimen of 200 mg oral mifepristone, with the option of home administration, followed by 800 μg buccal misoprostol 24 hours later for abortion through 70 days LMP will be feasible and acceptable in Singapore.
Interventions
The option of home or clinic administration of 200 mg oral mifepristone
800 μg buccal misoprostol through 70 days LMP following administration of mifepristone
Sponsors
Study design
Eligibility
Inclusion criteria
* Have an intrauterine pregnancy consistent wit gestational age ≤ 70 days * Be 21 years of age or over * Be willing and able to sign consent forms * Be eligible for abortion according to current hospital guidelines * Be able to return to the clinic and able to contact study staff or emergency medical services if needed * Be willing to provide an address, email 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 * chronic renal failure * concurrent long-term corticosteroid therapy * history of inherited porphyrias * IUD in place (must be removed after mifepristone is administered).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of successful abortion | 7-10 days after mifepristone administration | Proportion of abortions that are complete without surgical intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction with the medical abortion method | 7-10 days after mifepristone administration | Proportion of women who are satisfied with the medical abortion method |
| Preferred location of mifepristone administration | The day of enrollment | Proportion of women who select home use of mifepristone |
Countries
Singapore