hCG Testing to Determine Outcome after Medical Abortion: A Review

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F19%3A73599860" target="_blank" >RIV/61989592:15110/19:73599860 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.omicsonline.org/open-access-pdfs/hcg-testing-to-determine-outcome-after-medical-abortion-a-review.pdf" target="_blank" >https://www.omicsonline.org/open-access-pdfs/hcg-testing-to-determine-outcome-after-medical-abortion-a-review.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4172/2376-127X.1000409" target="_blank" >10.4172/2376-127X.1000409</a>

Jazyk výsledku

angličtina

Název v původním jazyce

hCG Testing to Determine Outcome after Medical Abortion: A Review

Popis výsledku v původním jazyce

Introduction: The challenge in medical abortion is to reliably determine success of treatment within a short time interval, with the aim of improving evaluation of medical abortion outcomes. This can be done clinically using ultrasound (US) and/or hCG testing (urine human chorionic gonadotropin). The systematic use of US may lead to unnecessary surgical intervention and may be a barrier to the use of medical abortion when US is not accessible. Furthermore, US cannot be used in case of very early medical abortion with no confirmed intrauterine pregnancy at initiation of treatment. Serum hCG is highly reliable to judge on-going pregnancy and levels detected in urine correlate with serum levels. Self-assessment of the urine hCG test has proven to be effective and highly acceptable to women. The aim of this review is to describe the use of hCG testing for medical abortion outcomes. Methods: An extensive literature search was performed using MedLine, with keywords “hCG” AND “abortion” and “abortion” AND “follow-up”, to identify publications in English from 2003 to 2016. A total of 910 references were found, out of which 35 including information on hCG testing were considered. Results: This review confirms that low-sensitivity urine hCG tests are highly reliable for determining medical abortion outcomes up to 63 days gestation. Their high sensitivity and specificity allow for shortening the time interval to accurately determine success of treatment. Conclusion: Self-assessment using a low-sensitivity urine hCG test is effective in identifying on-going pregnancy while increasing women’s autonomy by reducing in-clinic visits.

Název v anglickém jazyce

hCG Testing to Determine Outcome after Medical Abortion: A Review

Popis výsledku anglicky

Introduction: The challenge in medical abortion is to reliably determine success of treatment within a short time interval, with the aim of improving evaluation of medical abortion outcomes. This can be done clinically using ultrasound (US) and/or hCG testing (urine human chorionic gonadotropin). The systematic use of US may lead to unnecessary surgical intervention and may be a barrier to the use of medical abortion when US is not accessible. Furthermore, US cannot be used in case of very early medical abortion with no confirmed intrauterine pregnancy at initiation of treatment. Serum hCG is highly reliable to judge on-going pregnancy and levels detected in urine correlate with serum levels. Self-assessment of the urine hCG test has proven to be effective and highly acceptable to women. The aim of this review is to describe the use of hCG testing for medical abortion outcomes. Methods: An extensive literature search was performed using MedLine, with keywords “hCG” AND “abortion” and “abortion” AND “follow-up”, to identify publications in English from 2003 to 2016. A total of 910 references were found, out of which 35 including information on hCG testing were considered. Results: This review confirms that low-sensitivity urine hCG tests are highly reliable for determining medical abortion outcomes up to 63 days gestation. Their high sensitivity and specificity allow for shortening the time interval to accurately determine success of treatment. Conclusion: Self-assessment using a low-sensitivity urine hCG test is effective in identifying on-going pregnancy while increasing women’s autonomy by reducing in-clinic visits.

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

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

Název periodika

Journal of Pregnancy and Child Health

ISSN

2376-127X

e-ISSN

—

Svazek periodika

6

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

10

Strana od-do

2-11

Kód UT WoS článku

—

EID výsledku v databázi Scopus

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