Relationship of obesity to outcome of medical abortion.
OBJECTIVE
The purpose of this study was to compare the outcome of medical abortion for obese women and nonobese women.


METHODS
We conducted a chart review of women having medical abortions in 2005-2007. Outcomes were classified as surgical intervention, need for additional visits, and complete abortion. The rate of surgical intervention was compared for women with BMI less than 30 to women with BMI greater than 30.


RESULTS
Of the 1202 eligible procedures using mifepristone and misoprostol, there were 861 women with BMI less than 30 and 341 women with BMI greater than 30. Women with BMI less than 30, and women with BMI greater than 30 had identical rates of surgical intervention, 5% and 6%, respectively (P = .72).


CONCLUSIONS
In light of the additional risks of surgical abortion to obese women, medical abortion should be considered for these women.
Strafford
Melissa A
MA
Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA.
Mottl-Santiago
Julie
J
Savla
Archana
A
Soodoo
Natasha
N
Borgatta
Lynn
L
D000021:Abortifacient Agents, Steroidal / Q000008:administration & dosage; D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000328:Adult; D015992:Body Mass Index; D005260:Female; D006801:Humans; D015735:Mifepristone / Q000008:administration & dosage; D009765:Obesity / Q000453:epidemiology*; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D055815:Young Adult
D000021:Abortifacient Agents, Steroidal; D015735:Mifepristone