High failure rates of medical termination of pregnancy after introduction to a large teaching hospital.
The success rates of medical termination of pregnancy in two time periods (2000-2001 and 2002-2003) were compared to assess the effectiveness of medical abortion introduction to a large academic tertiary medical center. The success rates were markedly reduced over time (87.0% vs. 79.3%) probably owing to the difficulty in defining clear sonographic criteria for treatment failure and the complexity of a follow-up program implemented at a large teaching hospital by a broad staff with widely varying experience and knowledge of the new procedure.
Vitner
Dana
D
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Machtinger
Ronit
R
Baum
Micha
M
Goldenberg
Motti
M
Schiff
Eyal
E
Seidman
Daniel S
DS
D000021:Abortifacient Agents, Steroidal / Q000494:pharmacology; D000028:Abortion, Induced / Q000379:methods* / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007557:Israel; D008505:Medical Staff, Hospital / Q000193:education*; D015735:Mifepristone / Q000494:pharmacology; D011247:Pregnancy; D011361:Professional Competence; D012189:Retrospective Studies; D017211:Treatment Failure; D016216:Ultrasonography, Prenatal; D014590:Uterine Contraction / Q000187:drug effects; D055815:Young Adult
D000021:Abortifacient Agents, Steroidal; D015735:Mifepristone