Document Detail


The role of parity in medical abortion up to 49 days of amenorrhoea.
MedLine Citation:
PMID:  19117257     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify possible risk factors for failure of medical abortion. METHOD: Retrospective study of data collected between 1 January 2001 and 31 December 2005, concerning 1850 women who, for medical abortion up to 49 days of amenorrhoea, had received 600 mg oral mifepristone followed 48 h later by 400 microg oral misoprostol and, if necessary, a second oral dose of 400 microg. RESULTS: The method was effective in 97.1% of cases. Fifty four failures (2.9%) were recorded, including seven continuing pregnancies (0.4%). The global efficacy rate of this mifepristone-misoprostol regimen is among the best using similar treatment protocols. The proportion of failures augmented with parity. CONCLUSION: This study suggests that parity is a major factor influencing the success of medical abortion. A greater parity of the patients was associated with a lower efficacy of treatment.
Authors:
Philippe Lefebvre; Martine Cotte; Nicole Monniez; Gerard Norel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception     Volume:  13     ISSN:  1473-0782     ISO Abbreviation:  Eur J Contracept Reprod Health Care     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-01     Completed Date:  2009-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712127     Medline TA:  Eur J Contracept Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  404-11     Citation Subset:  IM    
Affiliation:
Service d'Orthogenie, Centre Hospitalier de Roubaix, Roubaix, France. philippe.lefebvre@ch-roubaix.fr
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MeSH Terms
Descriptor/Qualifier:
Abortifacient Agents, Steroidal / administration & dosage,  adverse effects
Abortion, Induced / adverse effects*
Adolescent
Adult
Amenorrhea / etiology*
Chorionic Gonadotropin / blood
Cohort Studies
Dose-Response Relationship, Drug
Female
Humans
Middle Aged
Mifepristone / administration & dosage,  adverse effects
Misoprostol / administration & dosage,  adverse effects
Parity*
Pregnancy
ROC Curve
Retrospective Studies
Risk Factors
Young Adult
Chemical
Reg. No./Substance:
0/Abortifacient Agents, Steroidal; 0/Chorionic Gonadotropin; 59122-46-2/Misoprostol; 84371-65-3/Mifepristone

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