The Role of a Semi-Quantitative Urine Pregnancy Test and Pregnancy Questionnaire After Uterine Evacuation for Undesired Pregnancy of Uncertain Location

Not Applicable

Completed

Brief Summary: The primary aim of this study is to determine if a self-administered semi-quantitative urine pregnancy test and telephone pregnancy symptom questionnaire can reduce the percentage of women with a complete uterine evacuation who require a clinic or lab visit to confirm completion.

The investigators hypothesize that women with complete uterine evacuation will be less likely to require a follow-up clinic or lab visit by using a standardized pregnancy questionnaire and home SQ-UPT, than by using serum hCG as the objective measure of completion.

Recruitment & Eligibility

Inclusion Criteria

Women aged 18 years or older with an undesired pregnancy < 6 weeks gestation
Women with a positive urine pregnancy test
Proficiency in English
Working phone and subject willing to be contacted by phone.
Agreeing to surveys regarding demographics, follow-up preferences, and satisfaction with assigned follow-up method

Exclusion Criteria

Women with presence of a yolk sac or crown rump length visualized on ultrasound
Women with a gestational sac greater than 13mm [11]
High Suspicion for ectopic pregnancy

o Sign: Concerning adnexal mass seen on ultrasound in conjunction with pelvic pain and/or vaginal spotting
Hemodynamic instability

o Signs: heavy vaginal bleeding, hypotension, tachycardia
Pelvic Infection

o Signs: pain or fever
Medical conditions that contraindicate uterine evacuation according to PPLM clinic policy

o These include but are not limited to: a bleeding disorder or anticoagulation, significant cardiac disease, renal or liver failure, IUD in situ that cannot be removed
Unwilling or unable to comply with study follow-up procedures
Being in a situation where receiving phone calls or additional contact with research staff may endanger the privacy or safety of the subject (e.g. situations of domestic violence or abuse)
Inability to give informed consent
Previous participation in this study

Arm && Interventions

Group	Intervention	Description
Serum quantitative urine pregnancy test	dBest semi-quantitative urine pregnancy test	uterine evacuation follow-up consisting of an at-home, self-administered SQ-UPT and standardized pregnancy symptom questionnaire in 1 week

Primary Outcome Measures

Name	Time	Method
Number of Women in Each Group Who Require a Return Visit to the Clinic for a Serum hCG Measurement, Ultrasound or Clinical Examination at One Week to Confirm Complete Evacuation	1 week

Secondary Outcome Measures

Name	Time	Method
Patient Compliance With Each Follow-up Method	2 weeks
Patient Satisfaction With Each Follow-up Method	1 week	Patient satisfaction with each follow-up method was assessed with the following survey questions: How satisfied are you with \[name of follow-up method\]? (very satisfied, satisfied, neutral, unsatisfied, very unsatisfied)