Medication abortion within a student health care clinic: a review of the first 46 consecutive cases.
OBJECTIVE
Medication abortion with mifepristone and misoprostol has been available in the United States since 2000. The authors reviewed the first 46 medication abortion cases conducted at a university-based student health care clinic to determine the safety and feasibility of medication abortion in this type of clinical setting.


METHODS
Female patients presenting for medication abortion at a student health care clinic between October 1, 2006, and April 1, 2009.


METHODS
Retrospective consecutive case review.


RESULTS
Successful completion not requiring uterine aspiration occurred in 85% of the cases that were not lost to follow-up. Six cases (15%) required uterine aspiration for completion: 3 underwent uterine aspiration only; 3 had aspiration after failing an additional dose of misoprostol. Only 1 patient visited the emergency room. There were no hospitalizations.


CONCLUSIONS
Medication abortion services in a student health care clinic are safe and feasible. However, additional treatment may be required with some patients.
Department of Family Medicine, University of Illinois at Chicago, Chicago, Illinois 60612, USA. egodfrey@uic.edu
Emily M
EM
Godfrey
Anita
A
Bordoloi
Mydhili
M
Moorthie
Emily
E
Pela
D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage; D000021:Abortifacient Agents, Steroidal / Q000008:administration & dosage; D000028:Abortion, Induced / Q000379:methods*; D000293:Adolescent; D000328:Adult; D002641:Chicago; D005260:Female; D006801:Humans; D015735:Mifepristone / Q000008:administration & dosage*; D016595:Misoprostol / Q000008:administration & dosage*; D012189:Retrospective Studies; D013333:Student Health Services; D013334:Students; D016896:Treatment Outcome; D014495:Universities; D055815:Young Adult
D000020:Abortifacient Agents, Nonsteroidal; D000021:Abortifacient Agents, Steroidal; D016595:Misoprostol; D015735:Mifepristone