Medical versus surgical abortion efficacy, complications and leave of absence compared in a partly randomized study

Rørbye, Christina; Nørgaard, Mogens; Nilas, Lisbeth

doi:10.1016/j.contraception.2004.06.004

Cited by 25 publications

(19 citation statements)

References 37 publications

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“…Our finding of an overall complication rate after discharge of 5% after surgically induced abortion is similar to previous findings (25,26). However, the results are less than the findings of 10.1% in a recent prospective Danish study comparing medical vs. surgical abortion during a post‐operative period of 8 weeks (27). The difference is mainly related to the difference in incidence of pelvic inflammation disease.…”

Section: Discussionsupporting

confidence: 85%

Return hospital visits and morbidity within 60 days after day surgery: a retrospective study of 18,736 day surgical procedures

Engbaek¹,

Bartholdy²,

Hjortsø³

2006

Acta Anaesthesiol Scand

108

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Section: Discussionsupporting

confidence: 85%

Return hospital visits and morbidity within 60 days after day surgery: a retrospective study of 18,736 day surgical procedures

Engbaek¹,

Bartholdy²,

Hjortsø³

2006

Acta Anaesthesiol Scand

108

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“…Furthermore, primary outcome data was obtained in only 60% of our subjects, a figure lower than we predicted and less than reported in prior trials of earlier TOP: in the two trials conducted in Aberdeen, 2‐week outcome data was obtained in 56 and 96% of women, whereas Rørbye et al. achieved an 81% response rate in Denmark 14,16,19 . More women might have contributed outcome data if additional methods of data collection had been employed, e.g.…”

Section: Discussioncontrasting

confidence: 75%

Comparing medical versus surgical termination of pregnancy at 13–20 weeks of gestation: a randomised controlled trial

Kelly

Suddes

Howel

et al. 2010

BJOG

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Objective To compare the psychological impact, acceptability and clinical effectiveness of medical versus surgical termination of pregnancy (TOP) at 13-20 weeks of gestation.Design Randomised trial.Setting Large UK tertiary centre.Sample Women accepted for TOP at 13-20 weeks of gestation.Methods Medical TOP (MTOP) using mifepristone and misoprostol or surgical TOP (STOP) by vacuum aspiration at <15 weeks of gestation, and by dilatation and evacuation at 15 or more weeks of gestation.Main outcome measures Distress 2 weeks after TOP, measured by the impact of events scale (IES), and acceptability, measured by the proportion of women who would opt for the same procedure again.Results One hundred and twenty two women were randomised: 60 to the MTOP group and 62 to the STOP group. Twelve women opted to continue their pregnancy. Follow-up rates were low (n = 66/110; 60%). At 2 weeks post-procedure there was no difference in total IES score between groups. However, compared with women undergoing STOP, women undergoing MTOP had a higher score on the IES intrusion subscale (mean difference 6.6; 95% CI 1.4-11.8), and a higher score on the general health questionnaire (GHQ) (P = 0.033). Women found STOP more acceptable: compared with MTOP, more women would opt for the same procedure again (100% versus 53%, P £ 0.001), and fewer women found the experience to be worse than expected (0% versus 53%, P = 0.001). Women who had MTOP experienced more bleeding (P = 0.003), more pain on the day of the procedure (P = 0.008), and more days of pain (P = 0.020). Of the 107 women who declined to participate, 58 (67%) preferred a STOP.Conclusions Randomised trials of women requesting midtrimester TOP are challenging. Women found STOP less painful and more acceptable than MTOP.

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“…The medical abortion procedure was introduced in 1999, and the first 464 women who chose a medical abortion were included in a study of the efficacy of the method . In the following ten months, 1135 women referred for TOP with gestational age ≤63 days were assessed for eligibility and 1033 were eligible and accepted participation in a study comparing abortion methods . Of these, 111 accepted randomization between the two methods, and the remainder 922 women chose either a medical ( n = 332) or a surgical ( n = 590) termination.…”

Section: Methodsmentioning

confidence: 99%

“…Exclusion criteria were <18 years of age, insufficient knowledge of the Danish language, and contraindications for medical termination. Data on background information, efficacy, complications, side‐effects and satisfaction with the procedures have been described earlier . The medical regimen used consisted of mifepristone 600 mg followed 2 days later by vaginally administrered gemeprost 1 mg, which was changed to 0.8 mg misoprostol in June 2001.…”

Section: Methodsmentioning

confidence: 99%

Do women with a repeat termination of pregnancy prefer a medical or a surgical regimen?

Frandsen

Rørbye

Nilas

2014

Acta Obstet Gynecol Scand

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We compared the risk of a repeat termination and the method of termination in women with a prior medical or surgical termination, or both, in a cohort study of women with a pregnancy termination at gestational age ≤63 days in 1999-2001. Within 5 years, 24% (330/1379) had a repeat abortion, and repeat terminations were more frequent in the surgical [27% (159/588)] than the medical group [22% (171/791)] (p < 0.05). The method used at the repeat termination was medical in 49% (83/171) of women with an earlier medical termination, compared with 13% (21/159) (p < 0.01) in women with an earlier surgical termination. In 125 women who had experienced both procedures, 37% (46/125) of the next terminations were performed medically and 63% (79/125) surgically (p < 0.01). Women in our study with a repeat termination tended to choose the same method as used before, and more often a surgical termination.

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Medical versus surgical abortion efficacy, complications and leave of absence compared in a partly randomized study

Cited by 25 publications

References 37 publications

Return hospital visits and morbidity within 60 days after day surgery: a retrospective study of 18,736 day surgical procedures

Return hospital visits and morbidity within 60 days after day surgery: a retrospective study of 18,736 day surgical procedures

Comparing medical versus surgical termination of pregnancy at 13–20 weeks of gestation: a randomised controlled trial

Do women with a repeat termination of pregnancy prefer a medical or a surgical regimen?

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