Outcome of first trimester medical termination of pregnancy: definitions and management

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F18%3A73591975" target="_blank" >RIV/61989592:15110/18:73591975 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1080/13625187.2018.1535058" target="_blank" >http://dx.doi.org/10.1080/13625187.2018.1535058</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/13625187.2018.1535058" target="_blank" >10.1080/13625187.2018.1535058</a>

Result language

angličtina

Original language name

Outcome of first trimester medical termination of pregnancy: definitions and management

Original language description

Objective: Medical termination of pregnancy (MToP, or medical abortion) is a highly effective method with a reported efficacy of 95–98%. However, different criteria are currently used to define success, and there are different recommendations for the treatment of what is considered a failure of MToP. This work was undertaken to develop a consensus around a set of well-defined MToP outcomes, as recommended by the Core Outcomes in Women’s and Newborn Health initiative. Methods: A literature search was made of national and international guidelines and of recommendations of expert groups for various outcomes of MToP and subsequent management. Based on a review of the findings, a group of European experts in MToP undertook a consensus process to agree on a set of core MToP outcomes. Results: The following core MToP outcomes were defined: success, failure (ongoing pregnancy), need for additional treatment (medical or surgical) to complete MToP (missed abortion, incomplete abortion), complications and the woman’s request for additional treatment (medical or surgical). Recommendations for the management of unsuccessful outcomes were also formulated. Conclusion: New definitions of MToP outcomes that are more focused on objective criteria and consequently less dependent on provider interpretation are proposed. This should allow better comparison of the efficacy of different regimens and improve the management of failed or incomplete abortion.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE

ISSN

1362-5187

e-ISSN

—

Volume of the periodical

23

Issue of the periodical within the volume

6

Country of publishing house

GB - UNITED KINGDOM

Number of pages

7

Pages from-to

451-457

UT code for WoS article

000457339300009

EID of the result in the Scopus database

2-s2.0-85060520931