| Efficacy, acceptability and safety of medication abortion in low-income, urban Latina women. | |
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MedLine Citation:
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PMID: 19835724 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Health care providers may be reluctant to offer medication abortion to low-income, non-English-speaking populations. Concerns include lack of patient interest, incorrect use of misoprostol at home, missing mandatory follow-up visits and inappropriate use of emergency services. We describe the appeal, acceptability, safety and follow-up rates of medication abortion in a low-income Latina population in New York City. STUDY DESIGN: Nested analysis of 270 subjects up to 63 days' gestation enrolled in a multicenter trial of medication abortion comparing different mifepristone-misoprostol intervals. After receiving mifepristone, subjects were instructed on home use of misoprostol, what to do in an emergency and when to return. RESULTS: This population was predominantly Spanish-speaking, unmarried, poor and publicly insured. Ninety-six percent took the misoprostol at home correctly, 90% returned as scheduled without reminders and 2% were lost to follow-up. Ninety-six percent described the experience as positive or neutral and 94% would recommend medication abortion to a friend. Three serious adverse events occurred and women accessed emergency services appropriately. CONCLUSION: Medication abortion can be a very appealing, safe and effective option in low-income, non-English-speaking populations. |
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Authors:
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Stephanie B Teal; Tabetha Harken; Jeanelle Sheeder; Carolyn Westhoff |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Multicenter Study Date: 2009-06-10 |
Journal Detail:
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Title: Contraception Volume: 80 ISSN: 1879-0518 ISO Abbreviation: Contraception Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-19 Completed Date: 2010-02-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0234361 Medline TA: Contraception Country: United States |
Other Details:
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Languages: eng Pagination: 479-83 Citation Subset: IM |
Affiliation:
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University of Colorado, Denver School of Medicine, Denver, CO, USA. Stephanie.Teal@ucdenver.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal
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administration & dosage*,
adverse effects* Abortion, Induced / psychology, statistics & numerical data* Adolescent Adult Female Hispanic Americans / statistics & numerical data Humans Misoprostol / administration & dosage*, adverse effects* New York City Patient Acceptance of Health Care / ethnology* Poverty / statistics & numerical data Treatment Outcome Urban Health Services / statistics & numerical data Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 59122-46-2/Misoprostol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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