The acceptance and feasibility of a alternative protocol after medical abortion in National Hospital of Obstetrics and Gynecology

Abstract

Objective: Evaluate the safety and effective of an alternative (pregnancy test semi-quantitative and self –assessment questionnaire via phone). Methods: a clinical trial with comparison was conducted. Whole medical abortion women in the National Hospital of Obstetric and Gynecology from Sep 2010 to Jun 2011 were selected. The women were randomized into 2 groups: routine and alternative groups. Alternative group had a semi-quantitative pregnancy test at the clinic for the first time, was provided self-assessment questionnaire and a pregnancy test to bring home, and provide the relevant information and re-examination scheduled via phone. Results: Only 24 women in the alternative group were invited to come back to clinics, decreased 90,3% number of patients. Semi-quantitative pregnancy test had a sensitivity of 98.3 % , a specificity of 100 % when when detecting 4/4 ongoing-pregnancy. However, all questionnaires in the check list have a low sensitivity. The alternative protocol was acceptable to the women and assessed as easy to use. Conclusion: Research indicates pregnancy test using semi-quantitative questionnaire replies themselves with the safety and efficiency of a sensitivity 98.3 % , specificity of 100 %.