Termination of Pregnancy
Conditions
Keywords
Dilation and evacuation, Second Trimester, Medical abortion, Ethiopia
Brief summary
The purpose of the study is to determine the safety and effectiveness of dilation and evacuation for surgical abortion as compared to medical abortion
Detailed description
All patients with a gestational age between 13-20 weeks are fully counseled on the risks and benefits and given the option of medical or surgical abortion. Those who choose medical abortion receive mifepristone 200 mg on day 1 and are appointed to return to SPHMMC 24-48 hours later for admission and misoprostol administration. Those who chose surgical abortion are given mifepristone 200 mg with or without laminaria and appointed to return the next day for surgical abortion.
Interventions
Abortion is termination of pregannacy by evaccuating the uterus using either medical or surgical technique
Sponsors
Study design
Eligibility
Inclusion criteria
* Gestational age between 13 - 20 weeks confirmed with ultrasound, * Age at or more than18 years, * Having a working phone and willingness to be contacted for a follow-up questionnaire 2 weeks after the procedure.
Exclusion criteria
* Inability to give consent * complicated abortion (missed abortion, septic abortion)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite complication rate | During the abortion procedure and within 2 weeks post procedure | Presence of one of the following complications: bleeding requiring observation, genital tract lacerations requiring repair, need for additional intervention to complete the abortion procedure, and one or more symptoms of pelvic infection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Other serious maternal complications | During the abortion procedure and within 2 weeks post procedure | Continued bleeding for more than two weeks, additional major surgery (laparotomy), and death. |
Countries
Ethiopia