The feasibility of telephone follow-up after medical abortion

Perriera, Lisa; Chen, B.; Hayes, J.; Hohmann, H.; Reeves, M.; Creinin, M.

doi:10.1016/j.contraception.2009.05.013

Cited by 9 publications

(17 citation statements)

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“…The authors found that physicians and patients can predict expulsion with high sensitivity and positive predictive value. Based on these findings, a prospective feasibility study of telephone follow-up after medical abortion was performed with 139 women [5]. The investigators confirmed a working telephone before medication administration and had 100% follow-up at 1 week.…”

Section: Discussionmentioning

confidence: 95%

“…In the United States, follow-up commonly consists of in-clinic transvaginal ultrasound examination 1 week after treatment [3]. Investigators have attempted to find more convenient and less expensive means of follow-up than an in-office visit, including urine pregnancy testing [4] and telephone follow-up [5]. A single study found that a decline in serum beta human chorionic gonadotropin (β-hCG) concentrations of at least 80% over 6 to 7 days after initiating treatment with mifepristone and misoprostol was indicative of a successful abortion [6].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of medical abortion follow-up with serum human chorionic gonadotropin testing and in-office assessment

et al. 2012

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Comparison of medical abortion follow-up with serum human chorionic gonadotropin testing and in-office assessment

et al. 2012

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“…Medical abortion patients received mifepristone 200 mg and could choose to use misoprostol 800 mcg vaginally 0 to 72 h later or buccal misoprostol 24 to 72 h later. The women were scheduled for a 1-week follow-up assessment; patients could choose to attend an office visit with transvaginal ultrasonography or to follow up by phone, as described by Perriera at el [2]. For the latter group, if the patient and clinician both decided that the pregnancy had passed, the patient was asked to perform a home urine pregnancy test prior to a second phone call in 3 weeks, or return to the office in 3 weeks should she desire LARC placement.…”

Section: Methodsmentioning

confidence: 99%

LARC utilization based on type of medical abortion follow-up at an academic center

Rooney

Denny²,

Hou

et al. 2015

Contraception

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Objective: Compare long-acting contraceptive (LARC) utilization 1 month following a medical abortion among women who chose office or telephone follow-up. Materials and Methods: We performed a chart review of 79 patients in a new medical abortion service. Women chose a 1-week follow-up inoffice or by phone. Contraceptive implants could be placed 1 week and intrauterine contraceptives 4 weeks after mifepristone administration. Results: LARC methods were desired by 38% and 44% of women, and received by 27% and 29% of women in the office and phone followup groups, respectively (p=.8). Conclusion:The choice of follow-up in-office or by phone did not change the LARC uptake rate. Implications: Women should not be discouraged to follow up by phone due to concern for decreased LARC uptake.

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“…WHO recently recommended that following an uncomplicated medical abortion using mifepristone and misoprostol, there is no medical need for a routine follow-up visit or ultrasound. 9 The next step to lessen the burden on women and providers in Armenia is to advise that once clinicians are comfortable and confident in their skills to provide and counsel for medical abortion, a self-administered pregnancy test 10,11 with phone follow-up 12 may be feasible in most cases, saving the time, costs and resources associated with an additional visit to the clinic and unnecessary use of ultrasound.…”

Section: Findings and Interpretationmentioning

confidence: 99%

The introduction of first trimester medical abortion in Armenia

Louie¹,

Chong

Tsereteli

et al. 2014

Reproductive Health Matters

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In Armenia, abortion is the main means of fertility regulation; however, before research activities were initiated only surgical methods were available and the quality of services was low in some areas. Our clinical study from 2008-2011 aimed to show that early medical abortion is an acceptable and feasible option. A total of 700 eligible women with pregnancies up to 63 days LMP presenting for abortion were recruited for the study in five locations. Participants took 200 mg mifepristone and 800 μg buccal misoprostol 24-48 hours later. They returned for a follow-up visit two weeks after mifepristone administration. 95% of the women had successful abortions and 95% were satisfied with the method. In 2012-2013, we conducted a follow-up assessment to examine the ongoing provision and quality of medical abortion services at the former research sites. Medical record reviews, interviews and observations were carried out three times approximately six months apart. The assessment found that all five sites had continued providing medical abortion, with about half of eligible women choosing the medical method. Four of the five sites were achieving high success rates. Staff turnover and the lack of trained providers likely contributed to the higher failure rate at the fifth site. These findings provide evidence that first trimester medical abortion is an acceptable and feasible option for Armenian women and providers, and that high quality services are being delivered.

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The feasibility of telephone follow-up after medical abortion

Cited by 9 publications

References 0 publications

Comparison of medical abortion follow-up with serum human chorionic gonadotropin testing and in-office assessment

Comparison of medical abortion follow-up with serum human chorionic gonadotropin testing and in-office assessment

LARC utilization based on type of medical abortion follow-up at an academic center

The introduction of first trimester medical abortion in Armenia

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