Ectopic pregnancy and medical abortion

Obstetrics and Gynecology
Caitlin ShannonBeverly Winikoff

Abstract

Medical abortion regimens have become more widely used to terminate early pregnancies. Medical abortion providers are concerned to diagnose and exclude women with ectopic pregnancy before initiating treatment, as with any early pregnancy termination. Yet, there is little information about whether the various pretreatment screening methods used are adequate. We reviewed published literature to determine the overall success of screening for ectopic pregnancy before medical abortion treatment. We searched MEDLINE for articles on medical abortion regimens published before July 2003. We selected English language articles of studies of medical abortion with sample sizes greater than 100, which reported on ectopic pregnancy diagnosed after medical abortion treatment. Fifty-seven of 85 prospective studies and randomized trials (69%) met these inclusion criteria. We also included data from 2 unpublished studies because they were large and well-controlled and because they included serious adverse events known to us, which we did not deem fair to exclude from our analysis. Each article was reviewed by one author. Data from selected studies were compiled, and the frequency of ectopic pregnancy diagnosed after medical abortion treatment was...Continue Reading

Associated Clinical Trials

Feb 9, 2017·Carolyn WesthoffCarolyn Westhoff

References

Aug 31, 1995·The New England Journal of Medicine·R U Hausknecht
Apr 13, 1995·The New England Journal of Medicine·H el-RefaeyA Templeton
May 27, 1993·The New England Journal of Medicine·R PeyronE E Baulieu
Mar 1, 1997·Contraception·J L CarbonellC Fernández
Nov 5, 1997·Contraception·J L Carbonell I EsteveC Sánchez
Nov 5, 1997·Obstetrics and Gynecology·M D CreininC Dean
May 1, 1998·The New England Journal of Medicine·I M SpitzA Robbins
May 20, 1998·Contraception·J L CarbonellC Sánchez
Apr 16, 1999·American Journal of Obstetrics and Gynecology·N Job-SpiraJ Coste
May 26, 1999·Contraception·E A SchaffS Poppema
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·E V GoukD J Cruickshank
Aug 12, 1999·Annals of Medicine·J Mäkinen
Aug 24, 1999·Contraception·J L EsteveC Sánchez
Mar 31, 2000·BMJ : British Medical Journal·J I TayJ J Walker
Apr 12, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·UNKNOWN World Health Organisation Task Force on Post-ovulatory Methods of Fertility RegulationUNKNOWN World Health Organisation
Aug 10, 2000·American Journal of Epidemiology·M K Goldhaber, B H Fireman
Oct 18, 2000·JAMA : the Journal of the American Medical Association·E A SchaffL Fuller
Dec 29, 2000·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·E Aubeny, G Chatellier
May 23, 2001·Contraception·J L CarbonellF Valero
Nov 13, 2001·Acta Obstetricia Et Gynecologica Scandinavica·L BjørgeO E Iversen
Aug 10, 2002·Contraception·Kurus CoyajiBeverly Winikoff
Nov 28, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Premila W AshokGillian M M Flett

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Citations

Nov 11, 2009·Annals of Family Medicine·Ian M BennettJoan Fleischman
Jun 16, 2009·Reproductive Health Matters·Jillian YarnallBeverly Winikoff
Sep 10, 2014·The Journal of Family Planning and Reproductive Health Care·Rebecca Heller, Sharon Cameron
Nov 7, 2016·Journal de gynécologie, obstétrique et biologie de la reproduction·P Faucher
Sep 1, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·I BizjakK Gemzell-Danielsson
Jan 9, 2007·Journal of Midwifery & Women's Health·Margaret W Beal
Dec 29, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Mia Schmidt-HansenElise Hasler
Dec 28, 2016·Reproductive Health Matters·Sally Sheldon

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