Follow-up after early medical abortion: Comparing clinical assessment with self-assessment in a rural hospital in northern Norway
| Autor: | C.-G. Mählck, Torbjörn Bäckström |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Self-assessment
medicine.medical_specialty Hospitals Rural medicine.medical_treatment Gestational Age Abortion 03 medical and health sciences Incomplete Abortion 0302 clinical medicine Pregnancy Health care medicine Humans Outpatient clinic 030212 general & internal medicine reproductive and urinary physiology Retrospective Studies 030219 obstetrics & reproductive medicine Norway business.industry Obstetrics and Gynecology Abortion Induced medicine.disease Home Care Services Medical abortion Treatment Outcome Reproductive Medicine Patient Satisfaction Emergency medicine Female Self Report Rural area business Follow-Up Studies |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 213:1-3 |
| ISSN: | 0301-2115 |
| Popis: | Objectives A follow-up study was performed on women who had requested medical abortions in a rural hospital in northern Norway to compare clinical assessment with self-assessment of early medical abortion in terms of safety. Study design During the three-year study period, 392 women requested termination of pregnancy. After excluding those who changed their mind, those who had a spontaneous miscarriage, those who were referred to a central hospital for a two-stage abortion, and those who had the abortion performed surgically, 242 cases remained, and all the medical files were reviewed. Five cases (2%) were lost to follow-up, so the study group consists of 237 cases. Results Out of the 237 cases, in which a medical abortion was performed, 106 were performed at home with a self-assessment (44.7%), and 131 (55.3%) were performed at the department of Gynecology. The percentage of cases with self-assessment did not noticeably change during the three-year study period. The registered complications were infection, incomplete abortion requiring a surgical procedure and hospitalization due to severe pain. No significant difference in registered complications was found between medical abortions with self-assessment (n = 9, 8.5% out of 106 cases) and medical abortions at the gynecological out-patient department (n = 6, 4.6% out of 131 cases). Conclusion According to this investigation, it is equally safe to perform a medical abortion at home with a self-assessment as it is to have a medical abortion at an outpatient clinic. These results could be useful for health care provision in rural areas where access to hospitals is impeded by logistical difficulties. |
| Databáze: | OpenAIRE |
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