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Contraception. 2012 Dec;86(6):757-62. doi: 10.1016/j.contraception.2012.06.005. Epub 2012 Aug 13.

Can at-home semi-quantitative pregnancy tests serve as a replacement for clinical follow-up of medical abortion? A US study.

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  • 1Gynuity Health Projects, New York, NY 10010, USA. jblum@gynuity.org

Abstract

BACKGROUND:

Medical abortion in the United States requires clinic-based follow-up, representing additional time and cost to women and clinics. We studied a semi-quantitative home pregnancy test as a possible replacement for in-person follow-up.

STUDY DESIGN:

Four hundred and ninety women participated in the clinical study and used a pregnancy test to determine baseline human chorionic gonadotropin (hCG) on the day of mifepristone administration and follow-up hCG 1 week later. One hundred and eighty-nine other women completed a user comprehension survey. Accuracy, feasibility and acceptability of the test were assessed in both the clinical study and the survey.

RESULTS:

The test identified the one ongoing pregnancy in the clinical study cohort. Sensitivity and specificity were calculated at 100.0% and 97.0%. The majority of participants in both the clinical study and the user comprehension survey found the test to be "very easy" or "easy" to use.

CONCLUSION:

At-home follow-up with a semi-quantitative pregnancy test is feasible for service delivery in the United States.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
22895097
[PubMed - indexed for MEDLINE]
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