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Title [sv]
Handläggning av förenklad medicinsk abort utförd av barnmorskor eller läkare. En randomiserad kontrollerad studie i New Dehli, Indien.
Title [en]
Management of a simplified procedure of medical abortion by midlevel providers or physicians. A four-armed randomized controlled trial in New Dehli, India.
Abstract [sv]
India has reduced their maternal mortality over the years. However, the contribution of unsafe abortion in relation to the all over maternal death is till very high (20%) despite efforts made on both societal and legal levels. One problem related to abortion in middle-income countries, is the lack of distribution of physicians as well as access of medical abortion (MA) as an alternative to surgical abortion. It has been shown in other settings that midlevel providers involvement in MA care increases womens access to safe abortion. The MA is however time and resource consuming and the health sector has been slow in implementing MA. Therefore, a simplified procedure of MA has been suggested as a safe alternative. Our hypothesis is that the simplified procedure is safe, effective as normal procedure but would increase acceptability among both providers and women. There is no study published on the safety of a simplified procedure in MA or the involvement of midlevel providers in India. The aim is to study the safety, efficacy and effectiveness of a simplified procedure of MA, provided to women by midlevel providers or physicians. The design is a four-armed randomised control trial. The main outcome measure is successful completion of abortion. The long-term is to provide evidence based information that will contribute to the development of strategies to increase women?s access to a higher level of abortion care and attempting to contribute to the MDG 5.
Principal InvestigatorEssén, Birgitta
Coordinating organisation
Uppsala University
2012-01-01 - 2014-12-31
National Category
Obstetrics, Gynecology and Reproductive Medicine
DiVA, id: project:4261Project, id: 2011-03525_VR

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