Abstract:
BACKGROUND:To evaluate the feasibility of conducting a prospective study to measure self-managed medication abortion outcomes, and to collect preliminary data on safety and effectiveness of self-managed medication abortion, we recruited callers to accompaniment groups (volunteer networks that provide counselling through the out-of-clinic medication abortion process by trained counselors over the phone or in-person). METHODS:In 2019, we enrolled callers to three abortion accompaniment groups in three countries into a prospective study on the safety and effectiveness of self-managed medication abortion with accompaniment support. Participants completed up to five interview-administered questionnaires from baseline through 6-weeks after taking the pills. Primary outcomes included: (1) the number of participants enrolled in a 30-day period, (2) the proportion that had a complete abortion; and (3) the proportion who experienced any warning signs of potential or actual complications. RESULTS:Over the 30-day recruitment period, we enrolled 227 participants (95% of those invited), and retained 204 participants (90%) for at least one study follow-up visit. At the 1-week follow-up, two participants (1%) reported a miscarriage prior to taking the pills, and 202 participants (89% of those enrolled and 99% of those who participated in the 1-week survey) had obtained and taken the medications. Three weeks after taking the medications, 192 (95%) participants reported feeling that their abortion was complete. Three (1.5%) received a surgical intervention, two (1%) received antibiotics, and five (3%) received other medications. Participants did not report any major adverse events. CONCLUSION:These results establish the feasibility of conducting prospective studies of self-managed medication abortion in legally restrictive settings. Further, the high effectiveness of self-managed medication abortion with accompaniment support reported here is consistent with high levels of effectiveness reported in prior studies. Trial registration ISRCTN95769543.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Moseson H,Jayaweera R,Raifman S,Keefe-Oates B,Filippa S,Motana R,Egwuatu I,Grosso B,Kristianingrum I,Nmezi S,Zurbriggen R,Gerdts Cdoi
10.1186/s12978-020-01016-4subject
Has Abstractpub_date
2020-10-27 00:00:00pages
164issue
1issn
1742-4755pii
10.1186/s12978-020-01016-4journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Prior research supports the notion that parents have the ability to influence their children's decisions regarding sexual behavior. Yet parent-based approaches to curbing teen pregnancy and STDs have been relatively unexplored. The Parents Speak Up National Campaign (PSUNC) is a multimedia campaign that atte...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-17
更新日期:2010-07-21 00:00:00
abstract:BACKGROUND:Adolescents in the Latin American and Caribbean region continue to experience poor reproductive health outcomes, including high rates of first birth before the age of 20 years. Aggregate national level data fails to identify groups where progress is particularly poor. This paper explores how trends in adoles...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0578-4
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Men in northern Nigeria are considered the leaders and ultimate decision makers, including decisions about health-related behaviours of their wives and children. Yet many men in the region consider pregnancy and childbirth to be in the woman's domain (even if she cannot make related decisions), and may not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0761-2
更新日期:2019-07-15 00:00:00
abstract:BACKGROUND:Adolescent girls between 15 and 19 years give birth to around 16 million babies each year, around 11% of births worldwide. We sought to determine whether adolescent mothers are at higher risk of maternal and perinatal adverse outcomes compared with mothers aged 20-24 years in a prospective, population-based ...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/1742-4755-12-S2-S8
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Access to comprehensive and culturally appropriate reproductive life planning is essential to women's health. Although many strategies and tools exist, few are designed for longitudinal use or provide visual aids. Our objective is to present the Family Planning Quotient (FPQ) and Reproductive Life Index (RepL...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0787-5
更新日期:2019-08-19 00:00:00
abstract:BACKGROUND:The physical and psychological impact of female genital mutilation / cutting (FGM/C) can be substantial, long term, and irreversible. Parts of the health sector in Australia have developed guidelines in the management of FGM/C, but large gaps exist in community and professional knowledge of the consequences ...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-017-0324-3
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:Historically, transitioning gender was seen as precluding transgender people from having children in the future. However, there are now increased reproductive options available to transgender people, with such options also available to non-binary people (i.e., people whose gender is not exclusively male or f...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0627-z
更新日期:2018-10-25 00:00:00
abstract::The practice and timing of routine antenatal visits for healthy pregnant women, introduced arbitrarily and without evidence of effectiveness, have become entrenched in obstetric practice over the last century. In 2001 the large, cluster randomized WHO Antenatal Care Trial concluded that a goal-orientated package of an...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-20
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:While the relationship between hemoglobin (Hb) concentrations and pregnancy outcomes has been studied often, most reports have focused on a specific Hb cutoff used to define anemia. Fewer studies have evaluated pregnancy outcomes across the entire range of Hb values. Moreover, to date, most studies of the re...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01006-6
更新日期:2020-11-30 00:00:00
abstract::Over the last 30 years, conservative power in the United States, financed and organized by Christian fundamentalist sects, the Catholic Church, and conservative corporate and political leadership, has become more threatening and potentially destabilizing of progressive democratic principles and practices. Powerful int...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-8-1
更新日期:2011-01-05 00:00:00
abstract:BACKGROUND:Most complications during labour and childbirth could be averted with timely interventions by skilled healthcare providers. Yet, the quality and outcomes of childbirth care remains suboptimal in many health facilities in low-resource settings. To accelerate the reduction of childbirth-related maternal, fetal...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0028-5
更新日期:2015-05-26 00:00:00
abstract:BACKGROUND:It is well-established that couples' fecundities vary widely. Each couple has a relatively constant monthly probability of conceiving, which can vary from zero to quite high. This underlying probability is usually expressed as the time (number of menstrual cycles) the couple requires to conceive. Couples wit...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0754-1
更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:Patients with multiple sclerosis (MS) especially those with younger age experience an alteration in physiological and emotional lifestyle that can affect intimacy and sexuality. The aim of this study was to determine demographic and disease related determinants of intimacy and sexuality in young women with M...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00960-5
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:Women with disabilities are less likely to receive maternal healthcare services compared to women without disabilities. While few studies have reviewed healthcare experience of women with disabilities, no studies have been conducted to understand provider's attitude towards disability in Nepal, yet the attit...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0330-5
更新日期:2017-06-29 00:00:00
abstract:BACKGROUND:With nearly 15 million annual preterm births globally, preterm birth is the most common cause of neonatal death. Forty to 60 % of neonatal deaths are directly or indirectly associated with preterm mortality. As countries aim to meet the Sustainable Development Goals to reduce neonatal mortality, significant ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0555-y
更新日期:2018-06-27 00:00:00
abstract:BACKGROUND:Female genital mutilation/cutting (FGM/C) is a common harmful traditional practice in many communities in Africa and to a lesser extent in Middle East and other regions in the world. In order to better understand publishing on this topic, we conducted a bibliometric study on FGM/C. Bibliometric analyses can ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0243-8
更新日期:2016-10-10 00:00:00
abstract:BACKGROUND:Menstruation is a natural physiological process that requires proper management. Unlike other normal bodily processes, menstruation is linked with religious and cultural meanings that can affect the perceptions of young girls as well as the ways in which the adults in the communities around them respond to t...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-017-0293-6
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:To find out about the prenatal diagnosis rate of myelomeningocele (MMC) by ultrasound scan in patients referred to the Children's Hospital Medical Center in Tehran, Iran from July 2004 to July 2005. METHODS:We included 140 children born with MMC and who were referred for management, surgery and treatment of...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-3-6
更新日期:2006-07-18 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00926-7
更新日期:2020-05-26 00:00:00
abstract:BACKGROUND:In order to set research priorities for reproductive health in the occupied Palestinian territory, it is vital to know what current research has been done in the field of reproductive health. The purpose of this scoping review is to examine the range and nature of reproductive health research in the occupied...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-019-0699-4
更新日期:2019-04-03 00:00:00
abstract:BACKGROUND:Overweight and obese women are at risk of pregnancy and delivery complications. This study investigates the trend and association between maternal overweight and obesity on caesarean births in Malawi. METHODS:We utilised cross-sectional population-based Demographic Health Surveys (DHSs) data collected from ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0700-2
更新日期:2019-04-03 00:00:00
abstract:BACKGROUND:An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10 % of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible to provide a comprehensive...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0214-0
更新日期:2016-09-30 00:00:00
abstract:BACKGROUND:Adolescent pregnancy is a worldwide problem because of its health, social, economic and political repercussions on the globe. Even though the rates of adolescent pregnancy have declined over the decade, there is still unacceptably high rates especially in lower and middle-income countries including Ghana. Al...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-019-0784-8
更新日期:2019-08-15 00:00:00
abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0601-9
更新日期:2018-09-15 00:00:00
abstract:BACKGROUND:Up-to-date, genuine sexual and reproductive health (SRH) education programmes have been possible in Romania only since communism collapsed in 1990. Since 2006, Romania has had no national strategy in this field. Under current global circumstances (high labour mobility, internationally mixed marriages), issue...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-48
更新日期:2014-06-23 00:00:00
abstract:BACKGROUND:Globally, postpartum haemorrhage (PPH) remains a leading cause of maternal deaths. However in many low and middle income countries, there is scarcity of information on magnitude of and risk factors for PPH (blood loss of 500 ml or more). It is important to understand the relative contributions of different r...
journal_title:Reproductive health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12978-016-0154-8
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:Obstetric fistula (OF) is a maternal morbidity associated with high rates of stillbirth, amenorrhea, and sexual dysfunction. Limited data exists on the reproductive outcomes of women in the years following a fistula repair. The objective of this study is to describe the fertility outcomes and family planning...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0415-1
更新日期:2017-11-28 00:00:00
abstract:BACKGROUND:In Brazil, high contraceptive prevalence rates coexist with high rates of unintended pregnancies. Contraceptive discontinuation may explain this context, but few studies have focused on highly educated young women in countries with low unmet need for modern contraception. This paper explores frequency and as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0783-9
更新日期:2019-08-29 00:00:00
abstract::While much progress has been achieved globally in the fight against malaria, the significant financial investments made to date have not translated into scaled-up malaria in pregnancy (MiP) prevention efforts. Mothers and newborns remain at risk, and now is the time to refocus efforts. Against the backdrop of a new gl...
journal_title:Reproductive health
pub_type: 信件
doi:10.1186/s12978-018-0573-9
更新日期:2018-07-27 00:00:00
abstract:BACKGROUND:Adolescents 360 (A360) is an initiative being rolled out across Ethiopia, Nigeria and Tanzania with the aim of increasing uptake of voluntary modern contraception among sexually active women aged 15 to 19 years. Using evaluation baseline survey data, we described key sexuality, fertility and contraceptive us...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0666-0
更新日期:2019-01-21 00:00:00