A comparison of medical and surgical termination of pregnancy: choice, emotional impact and satisfaction with care

Slade, Pauline; Heke, Sarah; Fletcher, Joanne; Stewart, Peter

doi:10.1111/j.1471-0528.1998.tb10007.x

“…26,85,86,93 Consistent with prior randomised trials 26,93 and cohort studies 85,86,94,95 that have used HADS or EPDS as a means of screening for anxiety and depression, we found no difference in mean scores between women having MTOP and STOP. The proportion of 'clinical' cases of anxiety and depression during the first month after abortion (inferred, for example, by the proportion of women with HADS > 10) has also been found to be similar in women having MTOP and STOP (6-28% for anxiety and 2-10% for depression).…”

Section: Psychological Outcomesupporting

confidence: 74%

“…Women were less satisfied with the technical and interpersonal aspects of care, but not the waiting time for MTOP. Although satisfaction data were not reported in previous randomised trials, two cohort studies comparing MTOP and STOP have measured overall satisfaction with care; Slade et al 86 found no difference in mean scores on the Satisfaction with Care Scale, but Jensen et al, 24 using a 5-point scale, reported higher mean satisfaction scores with STOP. Taken together the results of the present study and those of most prior studies suggest that experiences of care are more negative and satisfaction lower with MTOP, likely contributing to the lower acceptability of medical abortion prior to 14 weeks of pregnancy.…”

Section: Semantic Rating/satisfactionmentioning

confidence: 86%

“…However, the extent to which women chose their method of abortion in these studies varied; in most of the earlier studies reporting high acceptability rates with MTOP, the procedure was not generally available and women themselves sought out access to medical abortion. 24 In more recent cohort studies where women had choice of abortion method, STOP has been found to be either as acceptable 85 or more acceptable 86 than MTOP.…”

Section: Acceptabilitymentioning

confidence: 99%

See 1 more Smart Citation

A randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation

Robson

2012

http://isrctn.org/>

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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“…The difficulties obtaining follow-up data on women after abortion have been highlighted previously, with response rates typically between 60% and 75% within the 4 weeks after the procedure, falling to as low as 30% thereafter. 18,26,27,86,97,100 …”

Section: Limitations Of Researchmentioning

confidence: 99%

Randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation (TOPS)

Robson

¹

,

Kelly²,

Howel³

et al. 2009

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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“…Although women state both methods of termination are acceptable 6 , some findings suggest that not all women played a part in the decision making about treatment option and/or felt they had a choice on the abortion method 7 . Few, if any, studies have documented the information women receive prior to their decision making about abortion method 3,11 .…”

Section: Introductionmentioning

confidence: 99%

Choices about abortion method: assessing the quality of patient information leaflets in England and Wales

Wong¹

2003

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To assess the quality of patient leaflets regarding the choice between medical and surgical abortions.Design Cross sectional survey.Setting NHS and private providers of abortion services in England and Wales.Sample Leaflets from three private providers, all teaching hospitals (n ¼ 14) and a representative sample of NHS district hospitals (n ¼ 27), accessed by approximately 100,000 women per year. Methods On telephoning the above abortion services, the leaflets provided to women choosing to have medical or surgical abortions were requested. Content analysis of leaflets included: application of a coding frame assessing adequacy of information about options, risks and procedures; the Flesch Readability Ease scale. Main outcome measures Provision of leaflet, adequacy of information and ease of readability.Results Seventy-three percent (44/60) of contacted providers offered women a leaflet. Of these 44 leaflets, one mentioned medical and 15 surgical abortion methods only. Adequacy of information provision was low, with on average 10/23 points covered about the surgical method, 12/21 points about the medical method and 7/11 points about aftercare. Readability scores were poor with 24/44 (55%) rated as 'difficult' or 'fairly difficult'. Among NHS providers, scores were slightly higher in the teaching than in the district hospitals. Conclusions On average, leaflets provided half the information possible about the risks and procedures of medical and surgical methods. In addition, readability was rated as difficult in over half the leaflets. It seems unlikely that these leaflets enable women to make informed choices between abortion methods and, therefore, do not meet the requirements of current guidelines.

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A comparison of medical and surgical termination of pregnancy: choice, emotional impact and satisfaction with care

Cited by 84 publications

References 22 publications

A randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation

A randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation

Randomised preference trial of medical versus surgical termination of pregnancy less than 14 weeks' gestation (TOPS)

Choices about abortion method: assessing the quality of patient information leaflets in England and Wales

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