Trial reportBMJ (Clinical research ed.)1993
Comparison of medical abortion with surgical vacuum aspiration: women's preferences and acceptability of treatment.
Trial report in BMJ (Clinical research ed.), 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 254 citations in OpenAlex.
- Outcomes of patients who participate in randomized controlled trials compared to similar patients receiving similar interventions who do not participate.The Cochrane database of systematic reviews · 2008Pooled it
- Does random treatment assignment cause harm to research participants?PLoS medicine · 2006Pooled it
- Systematic review to determine whether participation in a trial influences outcome.BMJ (Clinical research ed.) · 2005Pooled it
- Early versus delayed insertion of intrauterine contraception after medical abortion - a randomized controlled trial.PloS one · 2012Trial
- Quality of life and acceptability of medical versus surgical management of early pregnancy failure.BJOG : an international journal of obstetrics and gynaecology · 2008Trial
- Birth after caesarean study--planned vaginal birth or planned elective repeat caesarean for women at term with a single previous caesarean birth: protocol for a patient preference study and randomised trial.BMC pregnancy and childbirth · 2007Trial
- Antenatal screening for carriers of cystic fibrosis: randomised trial of stepwise v couple screening.BMJ (Clinical research ed.) · 1995Trial
- Revolution in abortion care? Perspectives of key informants on the importance of abortion method choice in the era of telemedicine.Sexual and reproductive health matters · 2023Article
- Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services.SSM. Qualitative research in health · 2022Article
- It's a small bit of advice, but actually on the day, made such a difference…: perceptions of quality in abortion care in England and Wales.Reproductive health · 2021Article
- A Retrospective Cost-Effectiveness Analysis of Mifepristone-Misoprostol Medical Abortions in the First Year at the Regina General Hospital.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021Article
- Trends in the method and gestational age of abortion in high-income countries.BMJ sexual & reproductive health · 2019Article
- Adapting the Interpersonal Quality in Family Planning care scale to assess patient perspectives on abortion care.Journal of patient-reported outcomes · 2019Article
- Second-trimester medication abortion outside the clinic setting: an analysis of electronic client records from a safe abortion hotline in Indonesia.BMJ sexual & reproductive health · 2018Article
- Sociodemographic Characteristics of Women Able to Obtain Medication Abortion Before and After Ohio's Law Requiring Use of the Food and Drug Administration Protocol.Health equity · 2018Article
- Serum β-hCG concentration is a predictive factor for successful early medical abortion with vaginal misoprostol within 24 hours.Obstetrics & gynecology science · 2017Article
- Women's perspectives on termination service delivery in Vietnam: a cross-sectional survey in three provinces.International journal of women's health · 2014Article
- Contraceptive paths of adolescent women undergoing an abortion in France.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2012Article
- Medical vs. surgical abortion: the importance of women's choice.Contraception · 2011Article
- Experiences of abortion: a narrative review of qualitative studies.BMC health services research · 2008Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess women's preferences for, and the acceptability of, medical abortion and vacuum aspiration in the early first trimester.
designPatient centred, partially randomised trial. Medical abortion was performed with mifepristone 600 mg followed 48 hours later by gemeprost 1 mg vaginal pessary. Vacuum aspiration was performed under general anaesthesia.
settingTeaching hospital in Scotland. PATIENTS: 363 women undergoing legal induced abortion at less than nine weeks' gestation.
main outcome measuresWomen's preferences for method of abortion before abortion; acceptability judged two weeks after abortion by recording the method women would opt to undergo in future and by semantic differential rating technique.
results73 (20%) women preferred to undergo medical abortion, and 95 (26%) vacuum aspiration; 195 (54%) were willing to undergo either method, and were allocated at random. Both procedures were highly acceptable to women with preferences. Gestation had a definite effect on acceptability in randomised women; at less than 50 days there were no differences, but between 50 and 63 days vacuum aspiration was significantly more acceptable.
conclusionsWomen who wish to use a particular method should be allowed their choice, regardless of gestation. Women of 50-63 days' gestation without preferences for a particular method are likely to find vacuum aspiration more acceptable. A patient centred, partially randomised trial design may be a useful tool in pragmatic research.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.