Early Medical Abortion With Mifepristone (RU 486) And Misoprostol Is Highly Acceptable To Amer...( eriod. Serious side effects were rare...),Health

eriod. Serious side effects were rare. Women received surgical interventions when requested, when the drugs failed to terminate the pregnancy completely, when women did not want to wait for the medical abortion to occur, or when intervention appeared medically needed.

What Women Liked and Disliked about the Method

At enrollment, the most frequently cited reasons for opting for medical over surgical abortion was that it allowed women to avoid an operation and was noninvasive, and that it seemed natural, like a miscarriage or menses. Other reasons given included favorable features of the study, such as good medical care, no insurance problems, and that it was free; that the method was safe, with a low risk of complications and side effects; and that it seemed easier, simpler, or faster. Some participants voiced a political commitment to abortion rights and availability of mifepristone in the United States, while others had had a previous bad experience with surgical abortion. Although almost all the women felt the method had been adequately explained through counseling, almost half of them said their experience had differed from what they had expected. Two-thirds of these women felt the experience was better than expected, while one-third thought it was worse. Not unexpectedly, successful users were more likely than others to classify the experience as better than expected. More than three-quarters of the women who had had a previous surgical abortion--about half of the total sample of women--said medical abortion was more satisfactory than their earlier experience. Even among patients who had method failures, 45 percent felt the failed medical abortion had been more satisfactory than their previous surgical abortion, while 37 percent found the experience less satisfactory.

At the final visit, women were asked to describe the best and worst features of the method. The most commonly cited positive attributes were no surgery and/or injections, n
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Contact: Christina Horzepa
chorzepa@popcouncil.org
212-339-0520
Population Council
15-Jul-1998

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