Exploring a Patient-centered Approach to Mifepristone Administration in Medical Abortion

Exploring a Patient-centered Approach to Mifepristone Administration in Medical Abortion

This study will test ways to give women more options and flexibility when they are ending their unwanted pregnancies. The investigators will look at uptake and acceptability of using mifepristone outside of the clinic for pregnancy termination.

This study will investigate the uptake of mifepristone administration outside of the health center for pregnancy termination and its acceptability to women and to their providers. In addition, we plan to evaluate rates of follow-up, adherence, efficacy, complications, days of missed work and/or school, and lost income. This will be a prospective, comparative, non-randomized, open-label study. All women who are seeking medical abortion will be offered participation in the study. Women who enroll in the study will be given a choice between taking the mifepristone outside the center or in the center setting.

Inclusion Criteria:

• Women 18 years and older
• seeking medical abortion services
• in general good health
• assessed by a clinician to have an intrauterine pregnancy less than 64 days L.M.P on the day mifepristone will be taken
• eligible for medical abortion according to clinician and center standards.

Exclusion Criteria:

• will be followed up by beta HCG and not ultrasound