Can mifepristone medical abortion be simplified? A review of the evidence and questions for future research

被引:46
作者
Clark, Wesley H. [1 ]
Gold, Maiji
Grossman, Daniel
Winikoff, Beverly
机构
[1] Gynu Hlth Projects, New York, NY 10010 USA
[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Family Social Social Med, Bronx, NY 10467 USA
[3] Ibis Reprod Hlth, San Francisco, CA 94110 USA
关键词
abortion; mifepristone; misoprostol; access; ultrasound;
D O I
10.1016/j.contraception.2006.11.011
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Mifepristone medical abortion has been a valuable addition to the reproductive health options of women. Aspects of its provision have however sometimes limited its accessibility and use. This article summarizes existing evidence for simplifying the provision of medical abortion and thus increasing its availability. We identify three ways through which medical abortion provision might be simplified based on existing evidence and suggest five additional simplifications that require further research to confirm their safety and efficacy. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码:245 / 250
页数:6
相关论文
共 33 条
  • [1] ANKUM WM, 1995, LANCET, V345, P1179, DOI 10.1016/S0140-6736(95)91010-7
  • [2] Risk factors for ectopic pregnancy: A meta-analysis
    Ankum, WM
    Mol, BWJ
    VanderVeen, F
    Bossuyt, PMM
    [J]. FERTILITY AND STERILITY, 1996, 65 (06) : 1093 - 1099
  • [3] Termination of pregnancy at 9-13 weeks' amenorrhoea with mifepristone and misoprostol
    Ashok, PW
    Flett, GM
    Templeton, A
    [J]. LANCET, 1998, 352 (9127) : 542 - 543
  • [4] Is curettage needed for uncomplicated incomplete spontaneous abortion?
    Ballagh, SA
    Harris, HA
    Demasio, K
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1998, 179 (05) : 1279 - 1282
  • [5] Diagnostic accuracy of ultrasound above and below the beta-hCG discriminatory zone
    Barnhart, KT
    Simhan, H
    Kamelle, SA
    [J]. OBSTETRICS AND GYNECOLOGY, 1999, 94 (04) : 583 - 587
  • [6] Home use of two doses of misoprostol after mifepristone for medical abortion: A pilot study in Sweden and France
    Clark, WH
    Hassoun, D
    Gemzell-Danielsson, K
    Fiala, C
    Winikoff, B
    [J]. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, 2005, 10 (03) : 184 - 191
  • [7] Ultrasound evaluation of the endometrium after medical termination of pregnancy
    Cowett, AA
    Cohen, LS
    Lichtenberg, ES
    Stika, CS
    [J]. OBSTETRICS AND GYNECOLOGY, 2004, 103 (05) : 871 - 875
  • [8] METHOTREXATE AND MISOPROSTOL VS MISOPROSTOL ALONE FOR EARLY ABORTION - A RANDOMIZED CONTROLLED TRIAL
    CREININ, MD
    VITTINGHOFF, E
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (15): : 1190 - 1195
  • [9] Change in serum beta-human chorionic gonadotropin after abortion with methotrexate and misoprostol
    Creinin, MD
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 174 (02) : 776 - 778
  • [10] Rate of change of serial β-human chorionic gonadotropin values as a predictor of ectopic pregnancy in patients with indeterminate transvaginal ultrasound findings
    Dart, RG
    Mitterando, J
    Dart, LM
    [J]. ANNALS OF EMERGENCY MEDICINE, 1999, 34 (06) : 703 - 710