Medication Abortion Up to 70 Days of Gestation

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doi:10.1097/aog.0000000000004082

Cited by 88 publications

(33 citation statements)

References 117 publications

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“…While treatment for serious adverse events was a rarely reported outcome in our study, rates were still higher than those reported in studies of abortions taking place in the clinical setting. 19 , 28 We note, however, that we are not able to verify whether the treatment received by users of the service who did engage with the formal healthcare system was appropriate to their situation. For example, most of those who reported receiving surgical intervention also received antibiotics, which may have been given prophylactically or to treat an existing infection.…”

Section: Discussionmentioning

confidence: 87%

“…We found that abortions self-managed using this model were highly effective, with reported success rates comparing favorably with medication abortions carried out up to 10 weeks within the formal U.S. healthcare setting. 19 The reported prevalence of serious adverse events was very low, and the users of service reported high levels of satisfaction.…”

Section: Discussionmentioning

confidence: 99%

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Safety and effectiveness of self-managed medication abortion provided using online telemedicine in the United States: A population based study

Aiken

Romanova

Morber

et al. 2022

The Lancet Regional Health - Americas

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Safety and effectiveness of self-managed medication abortion provided using online telemedicine in the United States: A population based study

Aiken

Romanova

Morber

et al. 2022

The Lancet Regional Health - Americas

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“…Based on pre-pandemic publications which cover research on people being quarantined due to SARS and MERS, some groups may be listed as more susceptible to the psychological consequences of quarantine. The groups include individuals with mental disorders, children, adolescents, elderly people, minority groups, persons with lower socioeconomic status and women [ 26 ]. Individuals infected with coronavirus, quarantined or those who lost their jobs were the most exposed to severe stress [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Tokophobia and Anxiety in Pregnant Women during the SARS-CoV-2 Pandemic in Poland—A Prospective Cross-Sectional Study

Makara‐Studzińska

Zaręba

Kawa

et al. 2022

IJERPH

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SARS-CoV-2 coronavirus emerged in the world at the end of 2019. The introduction of a number of restrictions had a significant effect on numerous aspects of human life with particular influence being exerted on pregnant women and their sense of security. The study aimed to assess the level of anxiety and its main determinants in women in the third trimester of pregnancy during the coronavirus pandemic. The study technique included the present purposely designed questionnaire, Labor Anxiety Questionnaire (KLPII), and the State-Trait Anxiety Inventory (STAI). The study was conducted in a group of 315 women in the third trimester of pregnancy. A total of 258 women (81.9%) completed the questionnaire in May 2020, and 57 of them (18.1%) completed it in October 2020. The overall analysis of the Labor Anxiety Questionnaire and the STAI inventory revealed a high level of anxiety, particularly situational anxiety, in pregnant women during the SARS-CoV-2 pandemic. The age and financial status of the women were the factors which contributed to the intensification of tokophobia. Women interviewed in October 2020 were characterized by higher tokophobia levels compared to the respondents included in May 2020. It seems justified to in-crease the vigilance in the diagnostics of possible mental disorders in the perinatal period during pandemic.

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“…Termination of pregnancy in a patient with a large uterine leiomyomata poses significant challenges to clinicians. A leiomyoma itself is not considered a contraindication for either medical or surgical abortion [ 1 – 3 ]. However, theoretically, it reduces myometrial contractility by weakening the uterine contractile force and impairing the expulsive mechanism [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Medical Abortion of a First-Trimester Pregnancy with Large Multiple Uterine Leiomyomata

Santibenchakul

Jaisamrarn

2021

Case Reports in Obstetrics and Gynecology

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Introduction. Termination of pregnancy in a patient with huge uterine leiomyomata poses significant challenges to clinicians. In this study, we report the successful termination of pregnancy in a patient with large multiple uterine leiomyomata using a combined regimen of drugs for medical abortion. Case. A 42-year-old woman, 6 weeks pregnant, presented to the Family Planning Clinic with an unintended pregnancy. She had a large, irregular abdominal midline mass, equivalent in size to 30-32 weeks of pregnancy. Abdominal and transvaginal ultrasound examinations revealed a small intrauterine gestational sac with a yolk sac and multiple large uterine leiomyomata. Treatment with mifepristone (200 mg) was initiated at the clinic. In addition, she was instructed to sublingually take 800 μg of misoprostol after 24–48 h. Two weeks later, at the follow-up visit, the patient complained of continued light bleeding. A pelvic examination showed that her cervix was dilated by 1 cm. In addition, abdominal and transvaginal ultrasound revealed a thick, inhomogeneous endometrium. Owing to light bleeding and no anemia or infection, the patient received two additional doses of 800 μg misoprostol vaginally. Her bleeding subsided for 61 days, and she resumed her normal menstrual cycle. Conclusion. A first-trimester pregnancy with large multiple uterine leiomyomata can be safely terminated using a combination regimen of drugs for medical abortion. However, an additional dose of misoprostol is required for the successful termination of pregnancy.

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Medication Abortion Up to 70 Days of Gestation

Cited by 88 publications

References 117 publications

Safety and effectiveness of self-managed medication abortion provided using online telemedicine in the United States: A population based study

Safety and effectiveness of self-managed medication abortion provided using online telemedicine in the United States: A population based study

Tokophobia and Anxiety in Pregnant Women during the SARS-CoV-2 Pandemic in Poland—A Prospective Cross-Sectional Study

Medical Abortion of a First-Trimester Pregnancy with Large Multiple Uterine Leiomyomata

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