Title
Outpatient Service for Mid-trimester Termination of Pregnancy
Evaluating the Safety, Acceptability and Feasibility of an Outpatient "Day Procedure" Service Documenting the Roles of Health Workers in the Provision of Medical Abortion at 13-18 Weeks Gestation
Phase
Phase 4Lead Sponsor
Gynuity Health ProjectsStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Abortion in Second TrimesterIntervention/Treatment
Mifepristone + Misoprostol [mifepristone (2988), misoprostol (103205)]Study Participants
230This study seeks to evaluate the safety, acceptability and feasibility of an outpatient "day procedure" for medical abortion at 13-18 weeks gestation. The study regimen will consist of a single dose of 200 mg mifepristone to be taken orally either at home or at the hospital, followed approximately 24 - 48 hours later with administration of 400 mcg misoprostol. Repeat doses of 400 mcg (two tablets) of misoprostol will be administered buccally every three hours until the abortion is achieved.
A single dose of 200 mg mifepristone (one tablet) to be taken orally either at home or at the hospital, followed 24-48 hours later with 400mcg misoprostol (buccal) at home. The participant will return to the hospital one to two hours after taking the initial dose of misoprostol to receive repeated doses of 400 mcg misoprostol until the abortion occurs.
Intervention: 200mg mifepristone followed 24-48 h later with 400mcg misoprostol (repeat Q3)
Inclusion Criteria: Have an ongoing pregnancy of 13-18 weeks gestation Meet legal criteria to obtain an abortion at 13-18 weeks gestation (legal criteria include pregnancy resulting from rape or incest, fetal malformation and/or if the pregnancy affects the physical or mental health of the woman) Has access to a phone where she can be reached at the 2-week follow-up Be willing to follow study procedures Exclusion Criteria: Known allergy to mifepristone or misoprostol/prostaglandin or other contraindications to the use of mifepristone or misoprostol Any contraindications to vaginal delivery More than one prior cesarean delivery Living more than 2 hours away from the hospital