Results and lessons learned from a small medical abortion clinical study in Turkey.
This article presents results from a small, introductory clinical study offering a simplified regimen medical abortion to women in Turkey. A total of 208 women from five sites were recruited from July 2000 through March 2001. All eligible consenting women were given 200 mg oral mifepristone at the clinic followed by 400 microg oral misoprostol 2 days later either at home or at the clinic. The overall success rate of 84.1% is lower than in previous studies of this regimen, and a surprisingly high proportion of women (9.1%) were diagnosed with incomplete abortion. In spite of the higher than expected failure rate, women expressed a high degree of satisfaction. Several challenges were faced during this study, providing valuable insights about ways to introduce medical abortion into new settings with the best chances for success.
Akin
Ayse
A
Haceteppe University Medical School, Department of Public Health, Ankara, Turkey.
Blum
Jennifer
J
Ozalp
Sinan
S
Onderoğlu
Lütfü
L
Kirca
Uzeyir
U
Bilgili
Nihal
N
Koçoğlu
Gonca
G
Philip
Neena
N
Winikoff
Beverly
B
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000028:Abortion, Induced / Q000379:methods / Q000706:statistics & numerical data*; D000328:Adult; D000554:Ambulatory Care Facilities; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D016595:Misoprostol / Q000008:administration & dosage*; D017060:Patient Satisfaction; D011247:Pregnancy; D017211:Treatment Failure; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology
D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol