Medical Abortion, Fetus Clinical Trial
Official title:
The Acceptability and Feasibility of Reducing the Need for In-Clinic Follow-Up for First Trimester Medical Abortion in Moldova and Uzbekistan
The purpose of this study is to determine whether an alternative method of follow-up after medical abortion is acceptable and feasible for use in Moldova and Uzbekistan.
Medical abortion using mifepristone and misoprostol is a highly effective procedure, but
access to it may be impeded by the fact that not all women can afford or want to return for
a follow-up visit. This often results in a high loss to follow-up rate. Additionally, with
medical abortions of those women who do return for follow-up, higher costs are borne by both
the woman and the healthcare system.
This study compares two methods of follow-up after medical abortion: standard of care versus
alternative follow-up. The former involves a routine clinic visit two weeks after
misoprostol administration. The latter consists of a low-sensitivity pregnancy test and a
self-administered questionnaire. Based on the results of the test and questionnaire, women
may be flagged as needing in-clinic follow-up or discharged from the study if their abortion
is complete.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research