Telephone follow-up and self-performed urine pregnancy testing after early medical abortion: a service evaluation
| Autor: | Helen Dewart, Anna Glasier, Sharon T. Cameron, Audrey Burnside, Anne Johnstone |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Pregnancy test medicine.medical_specialty Adolescent Pregnancy Tests medicine.medical_treatment Urine Abortion Pregnancy testing Young Adult Pregnancy medicine Humans Young adult Gynecology business.industry Obstetrics Process Assessment Health Care Obstetrics and Gynecology Abortion Induced Middle Aged medicine.disease Medical abortion Confidence interval Telephone Self Care Reproductive Medicine Female business |
| Zdroj: | Contraception. 86:67-73 |
| ISSN: | 0010-7824 |
| DOI: | 10.1016/j.contraception.2011.11.010 |
| Popis: | Telephone follow-up with a self-performed low-sensitivity urine pregnancy (LSUP) test was introduced at the Royal Infirmary of Edinburgh, Scotland, as an alternative to routine ultrasonography for confirming successful abortion at 2 weeks following early medical abortion (9 weeks' gestation). Women who screened 'positive' at telephone follow-up on the basis of ongoing pregnancy symptoms, scant bleeding or LSUP test result subsequently attended the clinic for a confirmatory ultrasound.A service evaluation was conducted of the first 8 months of telephone follow-up consisting of a review of the numbers choosing this method of follow-up, the proportion successfully contacted and the efficacy for detecting ongoing pregnancies. In the last 3 months of the study, women were surveyed about their satisfaction with this method of follow-up.Opting for telephone follow-up were 476 out of 619 women (77%). Four women (1%) attended the clinic before telephone follow-up because of pain or bleeding. A total of 410 (87%) of the remaining 472 women were successfully contacted by telephone. Sixty women (15%) screened 'positive', three of whom had ongoing pregnancies, and one woman falsely screened 'negative'. The sensitivity of the telephone follow-up was 75% [95% confidence interval (CI) 30.1-95.4], and specificity was 86% (95% CI 82.2-89). The negative predictive value was 99.7% (95% CI 98.4-99.9), and positive predictive value was 5% (95% CI 1.7-13.7). All women surveyed (n=75) would recommend telephone follow-up to a friend.A telephone follow-up and an LSUP test at 2 weeks are effective for detecting ongoing pregnancy, have good follow-up rates and are popular choices for women. |
| Databáze: | OpenAIRE |
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