Safety and Efficacy of Medical Abortion Provided by Midlevel Providers or Physicians

NCT ID: NCT01612923

Last Updated: 2013-08-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2012-07-31

Brief Summary

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The physical examination before an abortion is usually performed by a physician. However, in many countries access to physicians is limited. To increase access to safe abortion this study wishes to examine if midlevel providers such as specially trained midwives can provide safe abortion services. Midwives in study were specially trained to perform early pregnancy ultrasound and if needed to consult a physician. The midwife then provided the abortion service as well as the contraceptive advice. Women were randomized to receive the service from a midwife or a physician.

Detailed Description

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Conditions

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Medical Abortion

Keywords

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abortion medical abortion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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midwife

Gynecological exam and ultrasound performed by midwife, medical abortion service provided by midwife,contraceptive advice provided by midwife. Follow-up visit provided by midwife

Group Type EXPERIMENTAL

Midwife

Intervention Type OTHER

gynecological exam and ultrasound and contraceptive advice provided by midwife

Physician

Gynecological exam and ultrasound and contraceptive advice provided by physician. Medical abortion service and follow-up visit provided by midwife

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Midwife

gynecological exam and ultrasound and contraceptive advice provided by midwife

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* healthy women aged 18-45 with no contraindication to medical abortion

Exclusion Criteria

* any medical condition which contraindicates medical abortion
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Kristina Gemzell Danielsson

OTHER

Sponsor Role lead

Responsible Party

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Kristina Gemzell Danielsson

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Kristina Gemzell Danielsson, professor

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institutet

Helena Kopp Kallner, MD

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institutet

Locations

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Karolinska University Hospital

Stockholm, , Sweden

Site Status

Countries

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Sweden

References

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Kopp Kallner H, Gomperts R, Salomonsson E, Johansson M, Marions L, Gemzell-Danielsson K. The efficacy, safety and acceptability of medical termination of pregnancy provided by standard care by doctors or by nurse-midwives: a randomised controlled equivalence trial. BJOG. 2015 Mar;122(4):510-7. doi: 10.1111/1471-0528.12982. Epub 2014 Jul 18.

Reference Type DERIVED
PMID: 25040643 (View on PubMed)

Other Identifiers

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W2010U

Identifier Type: -

Identifier Source: org_study_id