This open-label study is being conducted to determine whether a mifepristone-misoprostol regimen for uterine evacuation which consists of 200 mg mifepristone followed 24 hours later by 800 mcg buccal misoprostol is acceptable to women and providers and feasible for introduction in public sector facilities in Bangladesh. It will also determine the feasibility of women availing the option of taking their dose of misoprostol outside the facility.
This open-label study is being conducted to determine whether a mifepristone-misoprostol regimen for uterine evacuation which consists of 200 mg mifepristone followed 24 hours later by 800 mcg buccal misoprostol is acceptable to women and providers and feasible for introduction in public sector facilities in Bangladesh. It will also determine the feasibility of women availing the option of taking their dose of misoprostol outside the facility. The specific aims of this project are as follows: * Assess whether a uterine evacuation regimen that allows women the option of taking their misoprostol outside the facility and which consists of 200 mg mifepristone followed 24 hours later by 800 mcg buccal misoprostol is feasible for introduction in a range of clinical settings in government facilities in Bangladesh; * Determine whether a mifepristone-misoprostol regimen for uterine evacuation is acceptable to women and providers; and * Determine what proportion of women, if offered the choice, would prefer to take misoprostol in the facility and what proportion would prefer to take it outside the facility.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
1,738
Women will receive 200mg mifepristone followed in 24-48h by 800mcg bucccal misoprsotol
Aminbazar Rural Dispensary
Aminbazar, Dhaka Division, Bangladesh
MCH-Unit, Upazilla Health Center
Savar Upazila, Dhaka Division, Bangladesh
Tetulzhora UH&FWC
Tetuljhora, Dhaka Division, Bangladesh
Chartarapur UH & FWC
Chandrapur, Rajshahi Division, Bangladesh
successful menstrual regulation without the need for a surgical evacuation
Time frame: 14 days
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MCH Unit, Sadar Upazilla
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Pābna, Rajshahi Division, Bangladesh
Mohammadpur Fertility Services and Training Center
Dhaka, Bangladesh