Medical abortion provided by telemedicine to women in Latin America: complications and their treatment

Objective: To analyze reported complications and their treatment after a medical abortion with mifepristone and misoprostol provided by a telemedicine service to women living in Latin America. Methods: Observational study based on the registry of consultations in a telemedicine service. A total of 8...

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Detalles Bibliográficos
Autores: Larrea, S, Palencia, L, Perez, G
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p14519
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14519
Access Level:acceso abierto
Palabra clave:Induced abortion
Misoprostol
Mifepristone
Telemedicine
Complications
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spelling Medical abortion provided by telemedicine to women in Latin America: complications and their treatmentLarrea, SPalencia, LPerez, GInduced abortionMisoprostolMifepristoneTelemedicineComplicationsObjective: To analyze reported complications and their treatment after a medical abortion with mifepristone and misoprostol provided by a telemedicine service to women living in Latin America. Methods: Observational study based on the registry of consultations in a telemedicine service. A total of 872 women who used the service in 2010 and 2011 participated in the study. The dependent variables were overall complications, hemorrhage, incomplete abortion, overall treatments, surgical evacuation, and antibiotics. Independent variables were age, area of residence, socioeconomic deprivation, previous children, pregnancies and abortions, and week of pregnancy. We fitted Poisson regression models with robust variance to estimate incidence ratios and 95% confidence intervals (95%Cl). Results: Complications were reported by 14.6% of the participants: 6.2% reported hemorrhage and 6.8% incomplete abortion. Nearly one-fifth (19.0%) received postabortion treatment: 10.9% had a surgical evacuation and 9.3% took antibiotics. Socioeconomic deprivation increased the risk of complications by 64% (95%Cl: 15%-132%), and, among these, the risk of incomplete abortion by 82% (95%Cl: 8%-206%) and the risk of surgical intervention by 62% (95%Cl: 7%-444%). Previous pregnancies increased the risk of complications and, spetifically the risk of heinorrhage by 2.29 times (95%Cl: 1.33-3.95%). Women with a pregnancy of 12 or more weeks had a 2.45 times higher risk of receiving medical treatment and a 2.94 times higher risk of taking antibiotics compared with women with pregnancies of 7 or less weeks. Conclusion: Medical abortion provided by telemedicine seems to be a safe and effective alternative in contexts where it is legally restricted. (C) 2014 SESPAS. Published by Elsevier Espana, S.L.U. All rights reserved.ELSEVIER2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14519Gaceta SanitariaISSN: 02139111ISSNe: 15781283reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Españolinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p145192026-06-14T12:41:47Z
dc.title.none.fl_str_mv Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
title Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
spellingShingle Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
Larrea, S
Induced abortion
Misoprostol
Mifepristone
Telemedicine
Complications
title_short Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
title_full Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
title_fullStr Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
title_full_unstemmed Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
title_sort Medical abortion provided by telemedicine to women in Latin America: complications and their treatment
dc.creator.none.fl_str_mv Larrea, S
Palencia, L
Perez, G
author Larrea, S
author_facet Larrea, S
Palencia, L
Perez, G
author_role author
author2 Palencia, L
Perez, G
author2_role author
author
dc.subject.none.fl_str_mv Induced abortion
Misoprostol
Mifepristone
Telemedicine
Complications
topic Induced abortion
Misoprostol
Mifepristone
Telemedicine
Complications
description Objective: To analyze reported complications and their treatment after a medical abortion with mifepristone and misoprostol provided by a telemedicine service to women living in Latin America. Methods: Observational study based on the registry of consultations in a telemedicine service. A total of 872 women who used the service in 2010 and 2011 participated in the study. The dependent variables were overall complications, hemorrhage, incomplete abortion, overall treatments, surgical evacuation, and antibiotics. Independent variables were age, area of residence, socioeconomic deprivation, previous children, pregnancies and abortions, and week of pregnancy. We fitted Poisson regression models with robust variance to estimate incidence ratios and 95% confidence intervals (95%Cl). Results: Complications were reported by 14.6% of the participants: 6.2% reported hemorrhage and 6.8% incomplete abortion. Nearly one-fifth (19.0%) received postabortion treatment: 10.9% had a surgical evacuation and 9.3% took antibiotics. Socioeconomic deprivation increased the risk of complications by 64% (95%Cl: 15%-132%), and, among these, the risk of incomplete abortion by 82% (95%Cl: 8%-206%) and the risk of surgical intervention by 62% (95%Cl: 7%-444%). Previous pregnancies increased the risk of complications and, spetifically the risk of heinorrhage by 2.29 times (95%Cl: 1.33-3.95%). Women with a pregnancy of 12 or more weeks had a 2.45 times higher risk of receiving medical treatment and a 2.94 times higher risk of taking antibiotics compared with women with pregnancies of 7 or less weeks. Conclusion: Medical abortion provided by telemedicine seems to be a safe and effective alternative in contexts where it is legally restricted. (C) 2014 SESPAS. Published by Elsevier Espana, S.L.U. All rights reserved.
publishDate 2015
dc.date.none.fl_str_mv 2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14519
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14519
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Gaceta Sanitaria
ISSN: 02139111
ISSNe: 15781283
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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