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Published on: January 17, 2019
Medical abortion in family practice: a case series
Linda Prine1, Ruth Lesnewski, Nancy Berley
1Beth Israel Residency in Urban Family Practice, and the Albert Einstein College of Medicine, New York, NY 10003, USA.
The Journal of the American Board of Family Practice
|September 2, 2003
Summary
Medical abortion using mifepristone and misoprostol is safe and effective in family practice settings. This study found a low failure rate, suggesting increased accessibility of abortion care for women.
Area of Science:
- Family Medicine
- Reproductive Health
- Medical Procedures
Background:
- Assessing medical abortion outcomes in family practice settings.
- Evaluating the safety and efficacy of early pregnancy termination protocols.
Purpose of the Study:
- To determine the outcomes of medical abortions conducted in four family practice centers.
- To analyze the success and failure rates of medical abortion protocols.
Main Methods:
- Retrospective case series of 236 medical abortions.
- Utilized mifepristone and misoprostol for medical abortion.
- Defined success as no further intervention required post-medication.
Main Results:
- A low failure rate of 0.4% was observed for patients under family physician care.
- Only one viable pregnancy remained post-medication, leading to an elective procedure.
- Most patients completed the medical abortion successfully without additional procedures.
Conclusions:
- Medical abortion is a safe and effective procedure within a family practice setting.
- Widespread implementation could significantly improve access to abortion care for women.
- Family physicians can effectively manage medical abortions, enhancing reproductive healthcare accessibility.
