[Induced abortion at home].
BACKGROUND
Medically induced abortion through week 9 is a well established procedure. The article concerns satisfaction among women who choose to do this at home, and possible associations between satisfaction, socio-demographic--and clinical factors.


METHODS
110 women with pregnancy duration < 7 weeks, who wished to medically terminate the pregnancy at home and presented themselves at Ullevaal University Hospital, were included in the study. The woman's satisfaction with the procedure was the main variable, but anxiety and pain were also recorded. Data were retrieved from hospital journals and questionnaires filled in before and 1 and 3 weeks after the abortion. The degree of satisfaction was recorded on a scale from 1 to 10, where 1 was not content and 10 was very content. Follow-up data were available for 105 women.


RESULTS
90 of 105 women were very content (> 7 on the satisfaction scale) with the treatment. Discomfort and pain during the abortion and marital status seemed to influence the results. The degree of pain varied much. No serious complications were observed.


CONCLUSIONS
The study showed a high degree of satisfaction with medically induced abortion at home early in the pregnancy. The study has a relatively small sample size and no control group, so the results on factors affecting satisfaction are uncertain. Medical abortion at home should be an opportunity for women applying for early pregnancy termination; as long as the women are well informed, are offered sufficient pain relief and a well functioning follow-up programme.
Jørgensen
Hilde
H
Kvinne- og barndivisjonen, Kvinneklinikken, Ullevål universitetssykehus, 0407 Oslo. hijr@uus.no
Qvigstad
Erik
E
Jerve
Fridtjof
F
Melseth
Eldbjørg
E
Eskild
Anne
A
Nielsen
Christopher S
CS
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000028:Abortion, Induced / Q000009:adverse effects / Q000523:psychology; D000282:Administration, Intravaginal; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015735:Mifepristone / Q000008:administration & dosage; D016595:Misoprostol / Q000008:administration & dosage; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011247:Pregnancy; D012646:Self Administration; D012648:Self Care; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol; D015735:Mifepristone