BACKGROUND Medical abortion is under-used in developing countries. We assessed whether early fi rst-trimester medical abortion provided by midlevel providers (government-trained, certified nurses and auxiliary nurse midwives) was as safe and effective as that provided by doctors in Nepal. METHODS This multicentre randomised controlled equivalence trial was done in fi ve rural district hospita...

BACKGROUND A combination of mifepristone followed after 24 hrs by misoprostol has proved a safe and effective abortifacient for termination of early pregnancy. Home use of misoprostol for medical abortion is still controversial in many countries including ours where women's literacy rate is low. Particularly in developing countries, this method markedly decreased the hospital visit which would ...

OBJECTIVE The purpose of this study was to investigate the efficacy of 200 mg of prophylactic doxycycline in preventing pelvic infection after curettage for spontaneous (incomplete) abortion. METHODS A randomized, prospective, double-blinded study was carried out involving 300 women with an incomplete abortion who were given either placebo or 200 mg of doxycycline orally 30-60 min prior to cu...

A prospective study was carried out from November 2006 - December 2008 in which a total of 304 patients with early pregnancy were examined by ultrasound (US). Of these, 203 (66.8%) cases were normal pregnancies (including 8 cases of twin pregnancy), 32 (10.5%) missed abortions, 19 (6.3%) incomplete abortions, 14 (4.6%) complete abortions, 12 (4.0%) blighted ovums, 11 (3.6%) without sonographic ...

BACKGROUND Expanding access to medication abortion through pharmacies is a promising avenue to reach women with safe and convenient care, yet no pharmacy provision interventions have been evaluated. This observational non-inferiority study investigated the effectiveness and safety of mifepristone-misoprostol medication abortion provided at pharmacies, compared to government-certified public hea...

It was quoted recently in the literature that “The risk of death associated with childbirth is approximately 14 times higher than with abortion.” This statement is unsupported by the literature and there is no credible scientific basis to support it. A reasonable woman would find any discussion about the risk of dying from a procedure as material, i.e., important and significant. In order for t...

BACKGROUND Data of abortion incidence and trends are needed to monitor progress toward improvement of maternal health and access to family planning. To date, estimates of safe and unsafe abortion worldwide have only been made for 1995 and 2003. METHODS We used the standard WHO definition of unsafe abortions. Safe abortion estimates were based largely on official statistics and nationally repr...

Background: Aim of study was to compare effectiveness, adverse effects and patient’s acceptability buccal vaginal routes administration misoprostol in 1st 2nd trimester abortion, type study-randomized control trial Methods: A total 200 women with indications for abortion up 20 weeks pregnancy were enrolled over a period 1 year received either through (Group A) or B) route. Each group containing...

100 cases of abortion, 45 cases of incomplete abortion, 15 cases of complete abortion, and 40 cases of pregnancy termination under 12 weeks, were studied in a comparison of placental transmission of fetal erythrocytes in maternal circulation under these conditions. Positive control smears (fresh cord blood of newborn babies) and negative control smears (adult males). The results of this stud...

BACKGROUND Treatment costs of induced abortion complications can consume a substantial amount of hospital resources. This use of hospitals scarce resources to treat induced abortion complications may affect hospitals' capacities to deliver other health care services. In spite of the importance of studying the burden of the treatment of induced abortion complications, few studies have been condu...