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The purpose of the study is to determine the safety and effectiveness of dilation and evacuation for surgical abortion as compared to medical abortion
All patients with a gestational age between 13-20 weeks are fully counseled on the risks and benefits and given the option of medical or surgical abortion. Those who choose medical abortion receive mifepristone 200 mg on day 1 and are appointed to return to SPHMMC 24-48 hours later for admission and misoprostol administration. Those who chose surgical abortion are given mifepristone 200 mg with or without laminaria and appointed to return the next day for surgical abortion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medical arm | Active Comparator | Those who choose medical abortion receive mifepristone 200 mg on day 1 and are appointed to return to SPHMMC 24-48 hours later for admission and misoprostol administration. |
|
| Surgical arm | Experimental | Those who chose surgical abortion are given mifepristone 200 mg with or without laminaria and appointed to return the next day for surgical abortion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dilation and evacuation | Procedure | Abortion is termination of pregannacy by evaccuating the uterus using either medical or surgical technique |
|
| Measure | Description | Time Frame |
|---|---|---|
| Composite complication rate | Presence of one of the following complications: bleeding requiring observation, genital tract lacerations requiring repair, need for additional intervention to complete the abortion procedure, and one or more symptoms of pelvic infection | During the abortion procedure and within 2 weeks post procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Other serious maternal complications | Continued bleeding for more than two weeks, additional major surgery (laparotomy), and death. | During the abortion procedure and within 2 weeks post procedure |
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Inclusion Criteria:
Exclusion criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Paul's Hospital Millennium Medical College | Addis Ababa | 1271 | Ethiopia |
Information can be shared up on request
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| ID | Term |
|---|---|
| D004108 | Dilatation, Pathologic |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D004106 | Dilatation |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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