Mundle Shuchita, Elul Batya, Anand Abhijeet, Kalyanwala Shveta, Ughade Suresh
Department of Obstetrics and Gynaecology, Government Medical College, Nagpur 440003, India.
Contraception. 2007 Jul;76(1):66-70. doi: 10.1016/j.contraception.2007.03.010. Epub 2007 May 25.
To increase access to safe abortion in rural India, the feasibility and acceptability of mifepristone-misoprostol abortion was assessed in a typical government run primary health center (PHC) in Nagpur district, Maharashtra State, that does not offer surgical abortion services and must refer off-site for emergency and backup services.
Consenting pregnant women (n=149) with <or=56 days amenorrhea seeking terminations received 200 mg mifepristone, and returned 48 h later for 400-microg sublingual misoprostol and 12 days later for abortion confirmation. Surgical backup was conducted at a nearby community health center (CHC).
Nearly all women (98.6%) with known outcomes had successful medical abortions, and those who did not (1.4%) were successfully referred to the CHC for surgical backup. Women reported the method's ease and simplicity as the best features.
Medical abortion provision is feasible and acceptable in an Indian rural PHC that does not offer surgical abortion services. This study suggests that introduction of medical abortion at lower levels of the health-care system could increase access to safe abortion in rural India.
为增加印度农村地区安全堕胎的可及性，在马哈拉施特拉邦那格浦尔区一家典型的政府运营的初级卫生保健中心（PHC）评估了米非司酮-米索前列醇堕胎的可行性和可接受性，该中心不提供手术堕胎服务，且必须将患者转至外地以获得紧急和后备服务。
同意参与的怀孕妇女（n = 149），停经≤56天，寻求终止妊娠，服用200毫克米非司酮，48小时后返回服用400微克舌下含服米索前列醇，并在12天后返回确认堕胎情况。在附近的社区卫生中心（CHC）进行手术后备服务。
几乎所有已知结果的妇女（98.6%）药物流产成功，未成功的妇女（1.4%）被成功转至社区卫生中心进行手术后备服务。妇女们报告称该方法简便易行是其最大优点。
在不提供手术堕胎服务的印度农村初级卫生保健中心提供药物流产是可行且可接受的。本研究表明，在医疗保健系统较低层级引入药物流产可增加印度农村地区安全堕胎的可及性。
