Can women in less-developed countries use a simplified medical abortion regimen?
Elul,Batya; Hajri,Selma; Nguyen Thi Nhu Ngoc; Ellertson,Charlotte; Slama,Claude Ben; Pearlman,Elizabeth; Winikoff,Beverly
Lancet 357(9266): 1402-1405
Publication date: 2001
Medical abortion holds great promise in less-developed countries, where abortion morbidity and mortality remain high. We tested the French mifepristone-misoprostol regimen in two urban outpatient family-planning clinics (n=600) and a rural hospital (n=300) in India. 4% of urban women and 1% of rural women were lost to follow-up. Perfect use and typical-use success rates were as high as European rates at all sites. Although rural women reported fewer side-effects, most women in urban and rural settings were satisfied with their medical abortions. Medical abortion can be offered safely, effectively, and acceptably in urban outpatient clinics and rural hospitals in India.