Howie FL. Henshaw RC. Naji SA. Russell IT. Templeton AA.

Institution:

S. A. Naji, Health Services Research Unit, Department of Public Health, Drew Kay Wing, Foresterhill, Aberdeen AB9 2ZD; United Kingdom.

Title:

Medical abortion or vacuum aspiration? Two year follow up of a patient preference trial (1997-2743).

Source:

British Journal of Obstetrics and Gynaecology. Vol 104(7) (pp29-833), 1997.

Abstract:

Objectives:

To describe and compare health outcomes two years after medical abortion or vacuum aspiration in women recruited into a patient preference trial during 1990 to 1991.

Design:

Women recruited to the original, partially randomised study were contacted for assessment using a structured interview.

Setting:

Grampian region of Scotland, UK.

Participants:

One hundred and forty women who had participated in a partially randomised study of first trimester abortion two years previously.

Intervention:

Vacuum aspiration or medical abortion using mifepristone and gemeprost.

Settings, Design and Main Outcome Measures:

Long-term general, reproductive and psychological health; acceptability of procedure; perceived value of choice of method of termination.

Results:

There were no significant differences between women who had undergone medical abortion or vacuum aspiration two years previously in general, reproductive or psychological health. Almost all women placed a high value on the provision of choice of method of termination. There was a significant difference in perception of long term procedure acceptability among women who had been randomised to a method of termination.

Conclusions:

Women should have the opportunity to choose the method of termination. This opportunity will result in high levels of acceptability, particularly at gestations under 50 days of amenorrhoea.

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