Acceptability and Feasibility of Phone Follow-up After Early Medical Abortion in Vietnam

Abstract

I.

Mifepristone With Buccal Misoprostol for Medical Abortion

“…14,22,23 Outcomes by gestational age were reported for 12,050, 4,032, and 2,153 women with pregnancies 49 days or less, 50-56 days, and 57-63 days of gestation, respectively. All studies used 800 micrograms misoprostol buccally 11,[14][15][16][22][23][24][25][26][27][28][29][30] except for one study that reported clinical outcomes with 400 micrograms misoprostol buccally. 31 One study described the actual time interval at which patients administered misoprostol after mifepristone, reporting a median interval of 48 hours (range 25-52 hours) for women who took mifepristone at home and a median interval of 47 hours (range 26-54 hours) for women that took mifepristone in the clinic.…”

Acceptability and feasibility of phone follow-up with a semiquantitative urine pregnancy test after medical abortion in Moldova and Uzbekistan

“…Studies conducted in the United States and Vietnam [12][13][14] demonstrate that the semiquantitative pregnancy test effectively detects ongoing pregnancy as early as one week after medical abortion. In a large randomized clinical trial conducted by Ngoc et al [14] in Vietnam, fewer women in the home semiquantitative pregnancy test group were lost to follow-up when compared to women in the clinic follow-up group. In all studies, women reported that the semiquantitative pregnancy test is easy to use [12][13][14].…”

Comparing office and telephone follow-up after medical abortion

“…Alternatively, telephone follow-up with a home UPT eliminates an in-person visit. Studies have evaluated regimens utilizing telephone evaluation and high-sensitivity UPT [5,6], low-sensitivity UPT [7,8], and semi-quantitative UPT [9,10], and all appear effective in detecting ongoing pregnancies. In the United States, the high-sensitivity UPT is commercially available and can be integrated into clinical practice.…”