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Research ArticleOriginal Article

Medical Abortion in Family Practice: A Case Series

Linda Prine, Ruth Lesnewski, Nancy Berley and Marji Gold
The Journal of the American Board of Family Practice July 2003, 16 (4) 290-295; DOI: https://doi.org/10.3122/jabfm.16.4.290
Linda Prine
MD
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Ruth Lesnewski
MD
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Nancy Berley
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Marji Gold
MD
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Article Figures & Data

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    Table 1.

    Patient Characteristics.

    CharacteristicNumberPercent
    Age, years
     16–213917
     22–2910245
     30–397734
     40+94
     Total227100
    Types of insurance
     Medicaid5324
     Private Insurance8939
     Uninsured/Self Pay8035
     Unknown52
     Total227100
    Gestational age
     <6 wk6629
     6 wk–6 wk 6 d6730
     7 wk–7 wk 6 d6328
     8–9 wk3113
     Total227100
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    Table 2.

    Comparison of Medical Abortion Regimens.

    ARM ProtocolFDA Product Labeling
    Gestational age limit63 days49 days
    Mifepristone dose200 mg orally600 mg orally
    Misoprostol dosing800 μg vaginally400 μg orally
    Home self-administrationOffice administration
    24–72 h later (day 1–3)48 h later (day 2)
    Office follow-up visitday 4–8day 10–15
    Minimum office visits23
    Cost$90 for mifepristone$270 for mifepristone
    2 office visits3 office visits
    $4 for misoprostol$2 for misoprostol
    • ARM — Abortion Rights Mobilization trials, FDA — Food and Drug Administration.

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    Table 3.

    Medical Abortion Study Outcomes.

    CriteriaNumberComments
    Total number of medical abortions2363 women had a second medical abortion during this period
    Excluded because they did not return and were unable to be contacted for follow-up examination8These patients might return, as several patients did months later
    Excluded for failure to adhere to protocol1This patient underwent a suction procedure for unknown indications
    Patients who adhered to the protocol and had complete follow-up care227226 had a successful medical abortion using mifepristone and misoprostol according to study protocol
    Genuine method failures1This patient had a continuing pregnancy and required a suction procedure to complete her abortion
    Patients who underwent dilatation and curettage elsewhere1This patient provided by telephone follow-up information about her emergency department visit
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The Journal of the American Board of Family Practice: 16 (4)
The Journal of the American Board of Family Practice
Vol. 16, Issue 4
1 Jul 2003
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Medical Abortion in Family Practice: A Case Series
Linda Prine, Ruth Lesnewski, Nancy Berley, Marji Gold
The Journal of the American Board of Family Practice Jul 2003, 16 (4) 290-295; DOI: 10.3122/jabfm.16.4.290

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Medical Abortion in Family Practice: A Case Series
Linda Prine, Ruth Lesnewski, Nancy Berley, Marji Gold
The Journal of the American Board of Family Practice Jul 2003, 16 (4) 290-295; DOI: 10.3122/jabfm.16.4.290
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