Acceptability and Feasibility of a Simplified Medical Abortion Service Delivery in Western Ukraine
Study Details
Study Description
Brief Summary
The study will examine how a simplified outpatient medical abortion procedure using mifepristone and misoprostol, with the option to take mifepristone at a place of woman's choosing, works in Ukraine. The investigators intend to demonstrate the efficacy of oral administration of 200 mg mifepristone and buccal administration of 800 mcg misoprostol with gestations through 70 days, as well as the acceptability of this method.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Simplified medical abortion Women seeking medical abortion will be offered the option self-administering the medications, mifepristone and misoprostol at home. |
Drug: Mifepristone
Women seeking medical abortion will be offered the option to take mifepristone at home
Drug: Misoprostol
Women seeking medical abortion will be offered the option to take misoprostol at home. Misoprostol will be administered buccally.
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Outcome Measures
Primary Outcome Measures
- Rate of successful abortion [2 weeks after mifepristone administration]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Have an intrauterine pregnancy consistent with gestational age less than 71 days;
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Be able to understand and willing to sign a consent form;
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Be eligible for medical abortion according to the clinician's assessment;
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Be able to return to the clinic and able to contact study staff or emergency medical services, if needed;
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Be willing to provide an address and/or telephone number for purposes of follow-up;
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Agree to comply with the study procedures and visit schedule.
Exclusion Criteria:
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Confirmed or suspected ectopic pregnancy or undiagnosed adnexal mass;
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Chronic renal failure;
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Concurrent long-term corticosteroid therapy;
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History of allergy to mifepristone, or misoprostol or another prostaglandin;
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History of hemorrhagic disorders or concurrent anticoagulant therapy;
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History of inherited porphyrias;
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Intrauterine device in place (must be removed before mifepristone is administered).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Lviv Municipal Women's Consultation No. 2 | L'viv | Ukraine | ||
2 | Vinnitsa Regional Clinical Hospital | Vinnitsa | Ukraine |
Sponsors and Collaborators
- Gynuity Health Projects
- Charitable Foundation Women Health & Family Planning
Investigators
- Principal Investigator: Ingrida Platais, MS, Gynuity Health Projects
- Principal Investigator: Tamar Tsereteli, MD, MSc, PhD, Gynuity Health Projects
- Principal Investigator: Beverly Winikoff, MD, MPH, Gynuity Health Projects
- Study Director: Galyna Maystruk, MD, Charitable Foundation Women Health & Family Planning
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1037