| Medical abortion: outcomes in a family medicine setting. | |
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MedLine Citation:
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PMID: 20616293 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To compare outcomes of early medical abortion with mifepristone and misoprostol in a family medicine setting and specialized reproductive health clinics. METHODS: This study used data collected from a prospective, open-label, randomized trial of oral versus buccal misoprostol efficacy. A secondary analysis was performed, evaluating efficacy, acceptability, and interventions after medication at the family medicine site compared with the 6 specialized reproductive health sites. RESULTS: Comparing data from patients in the family medicine setting (n = 116) to specialized reproductive health sites (n = 731) revealed no difference in overall efficacy (95.7% vs 93.4%; P = .351). The family medicine site used a second dose of misoprostol more frequently than the other sites (6.9% vs 2.5%; P = .018). In addition, uterine aspiration after medical abortion at the family medicine site was not used for "medically necessary" reasons whereas reproductive health clinics used it 2.6% of the time (marginally significant; P = .094). Patient satisfaction at family medicine sites was comparable to the other sites (91.2% vs 92.0%; P = .792). CONCLUSION: Medical abortion has similar efficacy and patient satisfaction when offered in a family medicine practice or at a reproductive health specialty clinic. These findings should reassure family physicians that medical abortion can be offered safely in their practices. |
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Authors:
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Linda Prine; Caitlin Shannon; Ginger Gillespie; William A Crowden; Jennifer Fortin; Michelle Howe; Ilana Dzuba |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American Board of Family Medicine : JABFM Volume: 23 ISSN: 1557-2625 ISO Abbreviation: J Am Board Fam Med Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-07-09 Completed Date: 2010-11-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101256526 Medline TA: J Am Board Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 509-13 Citation Subset: IM |
Affiliation:
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Institute for Family Health, New York, NY, USA. |
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 Abortifacient Agents, Steroidal / administration & dosage Abortion, Induced / methods* Adult Family Practice / methods* Female Health Services Research Humans Mifepristone / administration & dosage Misoprostol / administration & dosage New York Outcome and Process Assessment (Health Care) Patient Satisfaction Pregnancy Prospective Studies Reproductive Health Services Vacuum Curettage |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 0/Abortifacient Agents, Steroidal; 59122-46-2/Misoprostol; 84371-65-3/Mifepristone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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