Document Detail


Acceptability and feasibility of medical abortion in Nepal.
MedLine Citation:
PMID:  19345944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the feasibility and acceptability of a simplified mifepristone-misoprostol regimen for early abortion in 2 tertiary teaching hospitals and 2 family planning clinics in Nepal. METHODS: Consenting pregnant women (n=400) with amenorrhea of 56 days or less seeking termination of pregnancy received 200 mg of oral mifepristone followed 48 hours later with 400 microg of oral misoprostol, administered either at home or at the clinic. Prospective data were collected to determine the women's experience, abortion outcome, and the operational requirements for providing the method. RESULTS: Most (91.3%) of the 367 women with known outcomes had successful medical abortions. Given the option, most (89.7%) women elected to administer the misoprostol at home. CONCLUSION: A simplified medical abortion protocol, including home administration of misoprostol, can be successfully integrated into clinical services in Nepal, where abortion services were recently legalized.
Authors:
Chanda Karki; Hanoon Pokharel; Anu Kushwaha; Durga Manandhar; Hillary Bracken; Beverly Winikoff
Related Documents :
12499034 - Knowledge and attitudes about the differences between emergency contraception and medic...
15592274 - Accounting for time: insights from a life-table analysis of the efficacy of medical abo...
19022434 - When do involuntarily infertile couples choose to seek medical help?
19945104 - Home administration of misoprostol for early medical abortion in india.
16166404 - The geriatric psychiatry workforce in 2002: analysis from the 2002 national survey of p...
15974614 - Stereochemical heterogeneity in verongid sponge metabolites. absolute stereochemistry o...
Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2009-04-05
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  106     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-08     Completed Date:  2009-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Nonsteroidal / administration & dosage,  therapeutic use*
Abortion, Induced / methods*
Administration, Oral
Adolescent
Adult
Drug Therapy, Combination
Family Planning Services
Female
Hospitals, Teaching
Humans
Middle Aged
Mifepristone / therapeutic use*
Misoprostol / administration & dosage,  therapeutic use*
Nepal
Pregnancy
Prospective Studies
Self Administration
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; 59122-46-2/Misoprostol; 84371-65-3/Mifepristone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Timing and determinants of mother-to-child transmission of HIV in Nigeria.
Next Document:  The mediating effects of team and self-efficacy on the relationship between transformational leaders...