Trial Outcomes & Findings for Transabdominal and Transvaginal Sonography in Medical Abortion (NCT NCT03047551)

NCT ID: NCT03047551

Last Updated: 2019-09-30

Results Overview

Evaluate how often a provider orders additional testing prior to medical abortion, but after either 1) patient history and TAS or 2) patient history and TVS.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

634 participants

Primary outcome timeframe

1 day

Results posted on

2019-09-30

Participant Flow

Subjects were excluded from the analysis due to study withdrawal prior to receiving sonography.

Participant milestones

Participant milestones
Measure
Transabdominal Sonography
Subjects will receive transabdominal sonography using a standard ultrasound device to determine medical abortion eligibility. A transabdominal ultrasound is used to look at the pelvic organs. Gel is placed on your abdomen. Then a small, handheld unit called a transducer is gently moved around to view the pelvic organs. The transducer sound waves make a picture on the TV screen. Transabdominal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Transvaginal Sonography
Subjects will receive transvaginal sonography using a standard ultrasound device to determine medical abortion eligibility. Transvaginal ultrasound is an examination of the female pelvis and urogenital tract (kidneys and bladder). It differs from an abdominal ultrasound as it looks at the pelvic organs from inside the vagina. Transvaginal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Overall Study
STARTED
319
315
Overall Study
COMPLETED
317
312
Overall Study
NOT COMPLETED
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Transabdominal Sonography
Subjects will receive transabdominal sonography using a standard ultrasound device to determine medical abortion eligibility. A transabdominal ultrasound is used to look at the pelvic organs. Gel is placed on your abdomen. Then a small, handheld unit called a transducer is gently moved around to view the pelvic organs. The transducer sound waves make a picture on the TV screen. Transabdominal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Transvaginal Sonography
Subjects will receive transvaginal sonography using a standard ultrasound device to determine medical abortion eligibility. Transvaginal ultrasound is an examination of the female pelvis and urogenital tract (kidneys and bladder). It differs from an abdominal ultrasound as it looks at the pelvic organs from inside the vagina. Transvaginal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Overall Study
Did not receive TAS
1
0
Overall Study
Physician Decision
1
0
Overall Study
Withdrawal by Subject
0
1
Overall Study
Probe malfunction
0
1
Overall Study
Ineligible
0
1

Baseline Characteristics

Transabdominal and Transvaginal Sonography in Medical Abortion

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transabdominal Sonography
n=317 Participants
Subjects will receive transabdominal sonography using a standard ultrasound device to determine medical abortion eligibility. A transabdominal ultrasound is used to look at the pelvic organs. Gel is placed on your abdomen. Then a small, handheld unit called a transducer is gently moved around to view the pelvic organs. The transducer sound waves make a picture on the TV screen. Transabdominal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Transvaginal Sonography
n=312 Participants
Subjects will receive transvaginal sonography using a standard ultrasound device to determine medical abortion eligibility. Transvaginal ultrasound is an examination of the female pelvis and urogenital tract (kidneys and bladder). It differs from an abdominal ultrasound as it looks at the pelvic organs from inside the vagina. Transvaginal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Total
n=629 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
317 Participants
n=93 Participants
312 Participants
n=4 Participants
629 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Female
317 Participants
n=93 Participants
312 Participants
n=4 Participants
629 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
179 Participants
n=93 Participants
168 Participants
n=4 Participants
347 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
114 Participants
n=93 Participants
123 Participants
n=4 Participants
237 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
24 Participants
n=93 Participants
21 Participants
n=4 Participants
45 Participants
n=27 Participants
Region of Enrollment
United States
317 participants
n=93 Participants
312 participants
n=4 Participants
629 participants
n=27 Participants
BMI category
<25 kg/m^2
143 Participants
n=93 Participants
135 Participants
n=4 Participants
278 Participants
n=27 Participants
BMI category
25 - <30 kg/m^2
99 Participants
n=93 Participants
82 Participants
n=4 Participants
181 Participants
n=27 Participants
BMI category
30 - <35 kg/m^2
49 Participants
n=93 Participants
51 Participants
n=4 Participants
100 Participants
n=27 Participants
BMI category
>35 kg/m^2
17 Participants
n=93 Participants
38 Participants
n=4 Participants
55 Participants
n=27 Participants
BMI category
Missing
9 Participants
n=93 Participants
6 Participants
n=4 Participants
15 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 1 day

Evaluate how often a provider orders additional testing prior to medical abortion, but after either 1) patient history and TAS or 2) patient history and TVS.

Outcome measures

Outcome measures
Measure
Transabdominal Sonography
n=317 Participants
Subjects will receive transabdominal sonography using a standard ultrasound device to determine medical abortion eligibility. A transabdominal ultrasound is used to look at the pelvic organs. Gel is placed on your abdomen. Then a small, handheld unit called a transducer is gently moved around to view the pelvic organs. The transducer sound waves make a picture on the TV screen. Transabdominal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Transvaginal Sonography
n=312 Participants
Subjects will receive transvaginal sonography using a standard ultrasound device to determine medical abortion eligibility. Transvaginal ultrasound is an examination of the female pelvis and urogenital tract (kidneys and bladder). It differs from an abdominal ultrasound as it looks at the pelvic organs from inside the vagina. Transvaginal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Percentage of Subjects in Each Ultrasound Group With Additional Testing
63 Participants
14 Participants

PRIMARY outcome

Timeframe: 1 day

To measure patient satisfaction after ultrasound examination, each participant will complete an acceptability questionnaire regarding the type of ultrasound she received (TVS or TAS) using a visual analog scale (VAS). The score is on a scale range of 0-100, with 0 being "unacceptable" and 100 being "acceptable." Thus, higher scores are better.

Outcome measures

Outcome measures
Measure
Transabdominal Sonography
n=317 Participants
Subjects will receive transabdominal sonography using a standard ultrasound device to determine medical abortion eligibility. A transabdominal ultrasound is used to look at the pelvic organs. Gel is placed on your abdomen. Then a small, handheld unit called a transducer is gently moved around to view the pelvic organs. The transducer sound waves make a picture on the TV screen. Transabdominal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Transvaginal Sonography
n=312 Participants
Subjects will receive transvaginal sonography using a standard ultrasound device to determine medical abortion eligibility. Transvaginal ultrasound is an examination of the female pelvis and urogenital tract (kidneys and bladder). It differs from an abdominal ultrasound as it looks at the pelvic organs from inside the vagina. Transvaginal sonography: Ultrasound machines vary by site. At Planned Parenthood and Columbia University Medical Center, providers utilize the LOGIQ P5 ultrasound machine, manufactured by General Electric Healthcare.
Visual Analog Scale (VAS) Score for Patient Acceptability for Either Modality of Ultrasound
95.9 score on a scale
Interval 17.0 to 100.0
90.0 score on a scale
Interval 0.0 to 100.0

Adverse Events

Transabdominal Sonography

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Transvaginal Sonography

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Carolyn Westhoff, MD

Columbia University

Phone: 212-305-4805

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place