Feasibility of self-performed urine pregnancy testing for follow-up after medical abortion

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Danielle HassounHélène Herman Demars

Abstract

Medical termination of pregnancy (MToP) follow-up can be simplified by combining a clinical assessment with blood and urine human chorionic gonadotropin (hCG) measurements, the later using a low sensitivity urinary pregnancy (LSUP) testing. This study aimed to describe follow-up modalities of MToP in real-life conditions, and assess the benefit of a self-performed urine semiquantitative test in the follow-up of MToP and its feasibility, acceptability and user-friendliness as well as the women capacity to interpret it correctly. Concordance between qualitative results from LSUP test and quantitative values from the blood hCG measurement was also assessed. From May to November 2013, we conducted a national, prospective, observational study with 17 centres offering MToP. Pregnant women with at least 63 days of amenorrhea (DA) requesting MToP were recruited during a consultation visit for medical abortion. A total of 322 women were included (mean age: 28.1 ± 6.4 years). The mean term of pregnancy at the time of MToP was 44.1 ± 6.2 DA. Two regimens were mostly used: 200 and 600 mg mifepristone followed by 800 μg of misoprostol (51.5 and 33.3% of patients, respectively). 82.0% of women attended the follow-up visit (N=264), 5.0% were ...Continue Reading

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Citations

Nov 8, 2016·Journal de gynécologie, obstétrique et biologie de la reproduction·K BettaharD Hassoun
Jan 3, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Maela Le LousVincent Lavoué

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