Abstract:
OBJECTIVE:This study compared adherence to follow-up and clinical outcomes between standard in-clinic and remote follow-up after methotrexate/misoprostol abortion. STUDY DESIGN:This nonrandomized trial recruited women requesting medical abortion at two sexual health clinics in Toronto, Canada. Women received methotrexate 50 mg/m(2) followed 3-7 days later by 800 mcg of misoprostol self-administered vaginally. For Day 15, follow-up participants could choose standard in-clinic follow-up with ultrasound and assessment or remote telephone follow-up with serum β-hCG performed at a community laboratory and symptom checklist. Standard and remote follow-up groups were compared for adherence, defined as completing follow-up within 7 days of the scheduled time, and clinical outcomes. Characteristics associated with adherence were assessed using multivariable logistic regression. RESULTS:Of 129 women, 86 (67%) chose remote follow-up. Nonadherence rates for remote (28%) and standard (23%) follow-up groups did not differ in univariate (p=.57) or multivariable analysis (odds ratio: 1.09, 95% confidence interval: 0.39-3.01). Rates of emergency/hospital visits were 3% and 9% for remote and standard groups, respectively (p=.22), and complete loss to follow was 6% and 14% in remote and standard groups (p=.18). Nonadherent women were more likely to be undecided about their contraception (65% vs. 28%; p=.002), and this difference persisted in the multivariable analysis. CONCLUSION:Given a choice of remote or in-clinic follow-up after methotrexate/misoprostol abortion, most women chose remote follow-up. Rates of adherence to follow-up, adverse outcomes and complete loss to follow-up were similar for women choosing remote and standard follow-up. IMPLICATIONS STATEMENT:Since standard and remote follow-up after methotrexate/misoprostol abortion are associated with similar adherence to follow-up and similar safety profiles, women should be offered their choice of follow-up method.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Dunn S,Panjwani D,Gupta M,Meaney C,Morgan R,Feuerstein Edoi
10.1016/j.contraception.2015.05.013subject
Has Abstractpub_date
2015-09-01 00:00:00pages
220-6issue
3eissn
0010-7824issn
1879-0518pii
S0010-7824(15)00229-2journal_volume
92pub_type
临床试验,杂志文章相关文献
CONTRACEPTION文献大全abstract:BACKGROUND:Whether contraception affects health-related quality of life (HRQoL) is unclear. STUDY DESIGN:We conducted a cross-sectional analysis of routine intake data collected from women aged 18-50 years, including the RAND-36 (Research and Development Corporation) measure of HRQoL, pregnancy intentions and recent c...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2011.08.004
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Incarcerated women have had limited access to health care prior to their arrest. Although their incarceration presents an opportunity to provide them with health care, their reproductive health needs have been overlooked. STUDY DESIGN:We performed a cross-sectional study of a nationally representative sampl...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2009.05.126
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:We examined the men's attitudes and perceptions toward the concept of female nonsurgical permanent contraception (NSPC) or novel approaches to permanent contraception (PC) that do not require incisions or surgical equipment/hysteroscope. STUDY DESIGN:Cross-sectional survey of married/partnered men in Portlan...
journal_title:Contraception
pub_type: 杂志文章,多中心研究
doi:10.1016/j.contraception.2015.03.006
更新日期:2015-08-01 00:00:00
abstract::The aim of this study was to evaluate the effectiveness of lactational amenorrhoea and to determine the relationship between extended breastfeeding and the return of fertility. Breastfeeding pattern, basal body temperature, cervical mucus, salivary ferning, vaginal blood discharge, frequency of sexual intercourse, and...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/s0010-7824(00)00101-3
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVES:To develop and validate standardized criteria for assessing abortion-related incidents (adverse events, morbidities, near misses) for first-trimester aspiration abortion procedures and to demonstrate the utility of a standardized framework [the Procedural Abortion Incident Reporting & Surveillance (PAIRS) Fr...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/j.contraception.2017.05.004
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to report on the safety and efficacy of an evidence-based medical abortion regimen utilizing 200 mg of mifepristone orally followed by home use of 800 mcg misoprostol buccally 24-48 h later through 63 days estimated gestational age. STUDY DESIGN:We analyzed outcomes in women present...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2015.01.005
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To describe the efficacy, safety, and acceptability of medical abortion in the late first trimester. STUDY DESIGN:We searched PubMed and Cochrane databases for articles in any language that examined the success of medical abortion at gestational ages (>63 to≤84 days gestation). We sought articles that compar...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2018.11.002
更新日期:2019-02-01 00:00:00
abstract::The potent luteinizing hormone-releasing hormone (LRH) agonist D-Ser(TBU)6-EA10-LRH was administered in a daily subcutaneous dose of 5 or 25 microgram for 1, 3 or 5 consecutive days to twelve regularly menstruating women in the early follicular phase of the menstrual cycle in an attempt to disturb follicular maturatio...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(82)90016-6
更新日期:1982-01-01 00:00:00
abstract::Chemical immersion tests, electrochemical methods and atomic absorption spectrometry were employed to investigate the corrosion behavior of Cu and the Cu-Zn-Al shape memory alloy (SMA) in simulated uterine fluid. The effect of pH on corrosion rate and corrosion potential was also investigated. The results indicated th...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2005.04.006
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To understand effect of adjunct misoprostol on cervical preparation with overnight osmotic dilators for dilation and evacuation after 16 weeks gestation. METHODS:We searched on-line reference databases using search terms for second trimester, abortion, misoprostol, and dilators. Randomized controlled trials ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2019.09.005
更新日期:2020-02-01 00:00:00
abstract::Fifty-six women using depot-norethisterone enanthate injections for contraception for 2 years or more were compared with a control group of 48 women not using hormonal contraception. No significant difference was found between the study group and controls for Factors VIIc and Antithrombin III. Factor Xc was reduced in...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(91)90083-r
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:The SILCS diaphragm is a new, single-size contraceptive diaphragm. The objective of this crossover pilot study was to assess the fit and acceptability of the SILCS diaphragm compared to the Ortho ALL-FLEX diaphragm to validate the product design among parous women in a low-resource setting. STUDY DESIGN:Sex...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2008.07.001
更新日期:2008-11-01 00:00:00
abstract::Low but rising serum human chorionic gonadotropin (hCG) levels occur infrequently after an induced abortion. Because this scenario rarely occurs after suction aspiration, clinicians may have higher suspicion for an uncommon diagnosis. The differential diagnosis includes both common and uncommon diagnoses, such as inco...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2018.07.136
更新日期:2018-12-01 00:00:00
abstract::A comparative study of the performance of multi-sizes of the Mahua Ring inserted following measurement of the uterine cavity and one size of the same ring assigned at random was carried out from November 1984 to September 1985 at two hospitals in Tianjin. The experiences of 800 acceptors were analysed by life-table te...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0010-7824(90)90048-z
更新日期:1990-10-01 00:00:00
abstract:BACKGROUND:Hypertension is recognized as a major risk factor for coronary, cerebral and renal vascular disease. Hormonal methods of contraception may increase the risk for cardiovascular events. We evaluated whether the combined hormonal contraceptive vaginal ring that releases 15-mcg ethinylestradiol and 120 mcg of et...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2013.04.003
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to measure the accessibility to purchase oral and transdermal contraceptives over the Internet for low- and high-risk individuals. METHODS:The Internet was used to search for and order both oral and transdermal contraceptives. Using the "Google" search engine to locate online pha...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2005.10.001
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Ethinyl estradiol (EE) and progestins have the ability to alter endothelial function. The type of progestin and the ratio of EE to progestin used in oral contraceptive pills (OCPs) may determine how they affect the arterial vasculature. STUDY DESIGN:In this study, we investigated endothelial function across...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2008.07.025
更新日期:2009-01-01 00:00:00
abstract::Hepatic function in female rats given 200 microgram of quinestrol every 15 days for up to 210 days was studied. Prolonged treatment with quinestrol affected liver weight, serum cholestrol levels, biliar flux, and bromosulphthalein test, but these parameters tended toward control levels after 30 days of treatment. Quin...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(78)80021-3
更新日期:1978-09-01 00:00:00
abstract::To study the effect of Stryphnodendron polliphyllum M. upon implantation, the seeds and empty pods of this plant were given to pregnant rats, on the 5th and 6th days of gestation. The animals were sacrificed on the 14th day of pregnancy and implantation and resorption indices were studied. The results show definite em...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(79)80045-1
更新日期:1979-10-01 00:00:00
abstract::The concentration of FSH, LH, testosterone and sperm agglutinating and cytotoxic antibodies have been determined in 87 men at varying time intervals after vasectomy. The results indicated that vasectomy is not associated with statistically significant changes in any of these parameters. Furthermore, no correlation exi...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(79)90007-6
更新日期:1979-06-01 00:00:00
abstract:OBJECTIVES:Extensive data from clinical trials document mifepristone's safety and efficacy for induced abortion, but less information is available about its safety in routine clinical use. METHODS:Data on mifepristone abortion use from the Planned Parenthood Federation of America, the largest provider of mifepristone ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2005.03.011
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to provide evidence about the mechanism of action of the Yuzpe method of emergency contraception by examining effectiveness by cycle day of intercourse relative to ovulation. METHODS:Through a literature search, we identified eight studies that present the number of women treate...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(02)00486-9
更新日期:2003-03-01 00:00:00
abstract::Mechanisms for the therapeutic effect of oral contraceptives in dysmenorrhea were studied by recording intrauterine pressure on the first day of menstrual bleeding in women with moderate to severe symptoms and after three weeks of oral contraceptive therapy (150 micrograms levonorgestrel + 30 micrograms ethinyl estrad...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(89)90026-7
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:Cyclofem is a combined injectable contraceptive, containing medroxyprogesterone acetate (MPA) and estradiol cypionate. The objective was to characterize the steady-state pharmacokinetics (PK) using tandem liquid chromatography/mass spectrometry and compare these data to a previous PK study of this formulatio...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2012.11.010
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Women with cardiac disease have need for effective long-lasting reversible contraception. Women with cardiac disease are at increased risk for bacterial endocarditis. There is limited research regarding the use of intrauterine contraceptive devices (IUD) in women with cardiac disease. STUDY DESIGN:In a pros...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/j.contraception.2008.05.006
更新日期:2008-10-01 00:00:00
abstract::Kauradienoic acid was obtained from the hexanic extract of M. tomentosa (Cerv) leaves by chromatographic separation. This substance influenced the in vitro contractility of the rat, dog and guinea pig uterine strips. It also induced strong contractions of the guinea pig uterus in vivo when administered intravenously, ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(83)90005-7
更新日期:1983-03-01 00:00:00
abstract:OBJECTIVE:The objective of the study was to determine if delivery and lactation are risk factors for complete intrauterine device perforations. STUDY DESIGN:We performed a reanalysis of the European Active Surveillance Study on Intra-Uterine Devices data set using complete penetration of the myometrium as the definiti...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2017.03.007
更新日期:2017-06-01 00:00:00
abstract::A large international multi-center IUD data set (N = 5520) coordinated by Family Health International was analysed to determine if the uterine position of a woman (anteverted, mid-positioned or retroverted) affects the ease of IUD insertion and if knowledge of uterine position would diminish insertion-related problems...
journal_title:Contraception
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/0010-7824(90)90059-5
更新日期:1990-05-01 00:00:00
abstract::The influence of oral contraceptives (OCs) on sex hormone binding globulin (SHBG) capacity was studied in women using OCs for a at least 2 months and compared with values in normal menstruating women, in pregnant women, in postmenopausal women, and in normal males. Binding capacity was measured by ammonium sulfate p...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(75)90050-5
更新日期:1975-01-01 00:00:00
abstract::A number of case-control studies published in recent years have shown an apparent increase in the risk of venous thromboembolism (VTE) associated with the use of third-generation oral contraceptives (OCs) compared with second-generation OCs. However, it is thought that these studies were subject to a number of biases ...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/s0010-7824(00)00146-3
更新日期:2000-08-01 00:00:00