Study of Home use of Oral Misoprostol in Medical Abortion

Abstract

Objective: - To evaluate the simplification of medical abortion by home administration of Misoprostol by assessing feasibility, efficacy and womens acceptability of home self-administration of Misoprostol. Methods: - This was a prospective study of 80 patients done from Oct 2011 to Sept 2013. Women with amenorrhoea of less than or equal to 63 days received 200 mg Mifepristone orally at hospital. 48 hrs later, women took oral 400 g Misoprostol at home. All women returned on day 14 of tab. Mifepristone for abortion confirmation. Results: - Efficacy of regimen was 100% in gestational age upto 49 days and 95.45 % in gestational age of 50-63 days. The overall success rate was 97.5%. 96.25% women were ready to choose same method in future if required. Conclusion: - Medical abortion was simplified by home use of oral Misoprostol as it required less hospital visits and less supervision by trained persons. Acceptability of home self-administration of Misoprostol was high. Hence home administration of oral Misoprostol is safe and feasible for introduction into medical abortion services in India.