Results and lessons learned from a small medical abortion clinical study in Turkey

Akin A., Blum J., Ozal S., Onderoglu L., Kirca U., Bilgili N., ...More

CONTRACEPTION, vol.70, no.5, pp.401-406, 2004 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 70 Issue: 5
  • Publication Date: 2004
  • Doi Number: 10.1016/j.contraception.2004.05.005
  • Journal Name: CONTRACEPTION
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.401-406
  • Eskisehir Osmangazi University Affiliated: No


This article presents results from a small, introductory clinical study offering a simplified regimen medical abortion to women in Turkey. A total of 208 women from five sites were recruited from July 2000 through March 2001. All eligible consenting women were given 200mg oral mifepristone at the clinic followed by 400 mug oral misoprostol 2 days later either at home or at the clinic. The overall success rate of 84.1% is lower than in previous studies of this regimen, and a surprisingly high proportion of women (9.1%) were diagnosed with incomplete abortion. In spite of the higher than expected failure rate, women expressed a high degree of satisfaction. Several challenges were faced during this study, providing valuable insights about ways to introduce medical abortion into new settings with the best chances for success. (C) 2004 Elsevier Inc. All rights reserved.