Simplifying Menstrual Regulation (MR): Post Abortion Care in Pakistan

Gynuity Health Projects329 enrolled

Overview

This study is an additional component of protocol 6005, titled Simplifying Menstrual Regulation (MR): Exploring the role of at-home semi-quantitative pregnancy tests for follow-up to menstrual regulation service provision in Pakistan. The study seeks to pilot a self-assessment checklist that will help women, who receive medical services for incomplete abortion, correctly identify warning signs and symptoms and determine whether to return to the clinic. The checklist can serve as a useful resource to help with the timely identification of women who need additional care and can help streamline service delivery. In addition, this study will provide important data on the role of misoprostol at varying levels of health services offering an array of treatments for incomplete abortion.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

329

Conditions

Medical Abortion

Interventions

Eligibility

Sex: FEMALEHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Vaginal bleeding during pregnancy * Open cervical os. * No signs of severe infection, defined as at least one of the following of: 1) foul smelling discharge, 2) fever \> 38 degrees C , 3) uterine tenderness * No hemodynamic disturbances (pulse \>110/min and systolic bp \<100) Exclusion Criteria: * Suspected to have an ectopic pregnancy * Unable to provide informed consent

Locations (15)

Bhagwal Service Delivery Clinic

Bhagwal, Chakwal, Pakistan

Chakumra Service Delivery Clinic

Chakumra, Chakwal, Pakistan

Karrila Service Delivery Clinic

Karrila, Chakwal, Pakistan

Khanpur Service Delivery Clinic

Khanpur, Chakwal, Pakistan

Chak 128 GB Service Delivery Clinic

Faisalabad, Faisalabad, Pakistan

BagaSher Service Delivery Clinic

BagaSher, Muzaffargarh, Pakistan

Dasrat Colony Service Delivery Clinic

Dasrat Colony, Muzaffargarh, Pakistan

Fazal Nagal Service Delivery Clinic

Fazal Nagal, Muzaffargarh, Pakistan

Bahari Colony Service Delivery Clinic

Bahari Colony, Rawalpindi, Pakistan

DhokeHasso Service Delivery Clinic

DhokeHasso, Rawalpindi, Pakistan

...and 5 more locations

Outcomes

Primary Outcomes

Identify symptoms

Proportion of women able to use a checklist to correctly identify any signs and symptoms that warrant immediate return to the clinic and additional care

Time frame: 1 week

Secondary Outcomes

Acceptability of treatment

Proportion of women who find the treatment of 400 sublingual misoprostol for incomplete abortion acceptable and satisfactory.

Time frame: 1 week

Uptake of contraceptive use

Proportion of women who receive a contraceptive method after receipt of 400 sublingual misoprostol

Time frame: 1 week