title: "In patient" medical abortion versus surgical abortion: patient's satisfaction.
abstract: OBJECTIVE
  To compare patients' satisfaction with medical and surgical abortion, implementing the Italian guidelines on medical abortion entailing an "in patient" procedure.
  
  
  METHODS
  A total of 1832 pregnant chose between surgical (vacuum aspiration) or medical abortion (mifepristone p.o. followed after 3 days by sublingual misoprostol) and expressed their expected satisfaction on a visual analog scale (VAS). A total of 885 women chose surgical and 947 medical abortion. The primary end-point was satisfaction VAS score 20 days after the procedure. Secondary end-points were: difference between pre- and post-abortion VAS score; difference in satisfaction VAS scores according to parity and previous abortion; incidence of side effects.
  
  
  RESULTS
  VAS score was high in each group but significantly higher for the 1-day surgical than for the 3-day medical abortion procedure (7.9 ± 1.0 versus 7.2 ± 1.2; p < 0.0001). In the surgical group the VAS score increased after the treatment (6.9 ± 1.6 versus 7.9 ± 1.0, p < 0.0001), while it decreased in the medical group (7.5 ± 1.0 versus 7.2 ± 1.2; p < 0.0001). Multiparous women reported higher satisfaction with medical abortion; women with a previous abortion preferred surgical abortion.
  
  
  CONCLUSIONS
  Both procedures are considered satisfactory by the patients. Performing medical abortion as a 3-day "in patient" procedure, decreased women's satisfaction scores from their baseline expectations.
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Costantino
authors.initials: C
authors.lastname: Di Carlo
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Savoia
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Cinzia
authors.initials: C
authors.lastname: Ferrara
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Sglavo
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Giovanni Antonio
authors.initials: GA
authors.lastname: Tommaselli
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Giampaolino
authors.affiliation: b Division of Obstetrics and Gynecology, Department of Obstetrics and Pediatrics , Azienda Policlinico of Modena , Modena , Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Cagnacci
authors.affiliation: a Department of Obstetrics and Gynaecology and Pathophysiology of Human Reproduction , University of Naples "Federico II" , Italy and.
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
mesh_terms: D000019:Abortifacient Agents / Q000008:administration & dosage / Q000494:pharmacology*; D000028:Abortion, Induced / Q000379:methods*; D000293:Adolescent; D000328:Adult; D000768:Anesthesia, General; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients; D015735:Mifepristone / Q000008:administration & dosage / Q000494:pharmacology*; D016595:Misoprostol / Q000008:administration & dosage / Q000494:pharmacology*; D063868:Patient Outcome Assessment; D017060:Patient Satisfaction; D014619:Vacuum Curettage / Q000379:methods*; D055815:Young Adult
chemical_list: D000019:Abortifacient Agents; D016595:Misoprostol; D015735:Mifepristone
keywords: Mifepristone; medical abortion; misoprostol; surgical abortion