Early Abortion Outcomes (Encountered vs Published Rates)
Outcome | No. | Rate | 95% CI | Published Rates Per 100 Cases |
---|---|---|---|---|
NA=Information not available. | ||||
a After aspiration (initial medication) or re-aspiration (initial aspiration), these patients had successful terminations without need for outside referral or hospitalization. | ||||
b Sonographic-documented progression of pregnancy. | ||||
c More than 250-cc blood loss (none required transfusion). | ||||
d Required hospitalization: published rates of hospitalization for medication abortion = 0.02–0.26,25,31,47 and aspiration abortion=0.0071–0.3.1,29 | ||||
Initial evaluation | 2,550 | |||
Diagnosed molar pregnancy | 1 | 0.04 | 0.00–0.13 | 0.01–0.01226,27 |
Diagnosed ectopic pregnancy | 3 | 0.12 | 0.00–0.13 | 0.03–0.3328–30 |
Medication abortion | 1,309 | |||
Successful, uncomplicated | 1,263 | 96.49 | 95.49–96.99 | 92.0–98.031–34 |
Adverse events and complications | ||||
Continuing pregnancya,b | 19 | 1.45 | 0.80–1.78 | 0.39–4.516,17 |
Incomplete abortiona | 16 | 1.22 | 0.63–1.53 | 2.4–4.516,17 |
Patient request for aspirationa | 1 | 0.08 | 0.00–0.15 | 0.12–0.333,35 |
Hemorrhagea,c | 9 | 0.69 | 0.24–0.92 | 0.0–2.036 |
Infection | 0 | 0.00 | – | 0.09–0.536 |
Missed ectopic pregnancyd | 1 | 0.08 | 0.00–0.15 | 0.0–0.2627,32,37 |
Aspiration abortion | 1,149 | |||
Successful, uncomplicated | 1,109 | 96.52 | 95.46–97.06 | 95.9–99.0951,6,26,38–40 |
Adverse events and complications (immediate) | ||||
Unable to dilate cervix | 10 | 0.87 | 0.27–1.04 | NA |
Hemorrhagea | 4 | 0.35 | 0.01–0.52 | 0.007–0.81,26,38,40–42 |
Perforation | 0 | 0.00 | – | 0.0009–0.1951,26 |
Cervical injury | 0 | 0.00 | – | 0.13–3.926,38,43,44 |
Delayed complication (3 h to 21 d) | ||||
Continuing pregnancya,b | 1 | 0.09 | 0.00–0.17 | 0.036–2.326,38,39 |
Incomplete evacuation* | 21 | 1.83 | 1.05–2.22 | 0.85–4.71,38,45 |
Hematometra (postabortal syndrome)a | 2 | 0.17 | 0.00–0.30 | 0.1–1.426,39,41,46 |
Endometritis (received antibiotic treatment) | 1 | 0.09 | 0.00–0.17 | 0.1–0.626,39 |
Hemorrhagea,c | 0 | 0.00 | – | 0.007–0.281,26 |
Missed ectopic pregnancyd | 3 | 0.26 | 0.00–0.41 | 0.00–0.326,28–30,38,39 |