Safety and Efficacy of Medical Abortion Provided by Midlevel Providers or Physicians
- Conditions
- Medical Abortion
- Interventions
- Other: Midwife
- Registration Number
- NCT01612923
- Lead Sponsor
- Kristina Gemzell Danielsson
- Brief Summary
The physical examination before an abortion is usually performed by a physician. However, in many countries access to physicians is limited. To increase access to safe abortion this study wishes to examine if midlevel providers such as specially trained midwives can provide safe abortion services. Midwives in study were specially trained to perform early pregnancy ultrasound and if needed to consult a physician. The midwife then provided the abortion service as well as the contraceptive advice. Women were randomized to receive the service from a midwife or a physician.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 1180
- healthy women aged 18-45 with no contraindication to medical abortion
- any medical condition which contraindicates medical abortion
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description midwife Midwife Gynecological exam and ultrasound performed by midwife, medical abortion service provided by midwife,contraceptive advice provided by midwife. Follow-up visit provided by midwife
- Primary Outcome Measures
Name Time Method feasibility 3 weeks Successful completion of abortion without need for unscheduled visits or calls.
- Secondary Outcome Measures
Name Time Method efficacy 3 weeks complete uterine evacuation without the need for further medical or surgical intervention
acceptability 3 weeks as assessed by questionnaire
Trial Locations
- Locations (1)
Karolinska University Hospital
🇸🇪Stockholm, Sweden