title: Results and lessons learned from a small medical abortion clinical study in Turkey.
abstract: 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.
authors.affiliation: Haceteppe University Medical School, Department of Public Health, Ankara, Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Akin
authors.forename: Jennifer
authors.initials: J
authors.lastname: Blum
authors.forename: Sinan
authors.initials: S
authors.lastname: Ozalp
authors.forename: Lütfü
authors.initials: L
authors.lastname: Onderoğlu
authors.forename: Uzeyir
authors.initials: U
authors.lastname: Kirca
authors.forename: Nihal
authors.initials: N
authors.lastname: Bilgili
authors.forename: Gonca
authors.initials: G
authors.lastname: Koçoğlu
authors.forename: Neena
authors.initials: N
authors.lastname: Philip
authors.forename: Beverly
authors.initials: B
authors.lastname: Winikoff
mesh_terms: 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
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol