Point of Care Tests in the Management of Very Early Medical Abortion
This study is investigating a new, faster way to check if a very early medical abortion has worked. Currently, after a medical abortion very early in pregnancy (before 6 weeks), patients usually have their pregnancy hormone levels checked on two occasions, seven days apart. This helps doctors see if the treatment has been successful. The researchers want to test a special portable machine, called a 'point of care test', to see if it can measure these hormone levels much earlier than seven days. If successful, this could mean patients find out sooner if their abortion is complete, reducing anxiety and allowing for quicker next steps if needed.
At a glance
What is this study about?
When someone has a medical abortion very early in pregnancy, typically before six weeks, it's really important to know if the treatment has worked completely. At the moment, to find this out, doctors usually take blood tests on two separate days, with a week or so in between. These tests measure the level of a pregnancy hormone in the blood.
This study is trying to find a faster way to get these answers. Researchers are looking at a special, small machine called a 'point of care test' that could potentially check these hormone levels much sooner. The idea is that if this machine works well, you might not have to wait as long to know if the abortion has been successful.
Finding out sooner if the abortion is complete can be very helpful for patients. It can reduce the time spent worrying and waiting, and allow doctors to act more quickly if any further steps are needed. This research is about making the process smoother and less stressful for those going through a very early medical abortion.
Key takeaways
- This study evaluates a faster way to confirm an early medical abortion's success.
- It uses a new 'point of care' device to test pregnancy hormone levels.
- The goal is quicker results, reducing patient waiting time and anxiety.
- Participation involves additional blood tests and questionnaires.
- Your standard medical care remains the same while participating.
Who may be eligible?
This study is looking for women aged between 16 and 55 who are considering a very early medical abortion. To join, you would need to have had a positive pregnancy test and be less than six weeks pregnant based on your last period.
Crucially, an ultrasound scan should not show a clear pregnancy inside the womb, and doctors should not be concerned that the pregnancy might be in the wrong place (called an ectopic pregnancy). You also need to be able to attend follow-up appointments and agree to have extra blood tests.
You wouldn't be able to join if you are experiencing pain or bleeding, or if you have certain risk factors for an ectopic pregnancy, like having had one before or having a coil fitted. If an ultrasound scan shows anything suspicious for an ectopic pregnancy, you also wouldn't be eligible. It's also important that you are able to give your full agreement to take part.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you between 16 and 55 years old?
- Is your pregnancy less than six weeks?
- Are you planning a very early medical abortion?
- Do you have no concerns about an ectopic pregnancy (pregnancy outside the womb)?
- Are you able to attend follow-up appointments and give blood samples?
What does participation involve?
If you decide to take part in this study, you would first need to give your informed consent, which means you understand what's involved and agree to participate. You would then have a medical abortion very early in your pregnancy.
After taking the medication for the abortion, you would need to have blood tests on two separate occasions: one between 2 and 4 days later, and another around 7 days later. These are to check your pregnancy hormone levels. You'll also be asked to fill out some questionnaires about your experience. The total duration of your participation would only be for the period of these assessments and follow-ups, which is typically around 7 to 10 days.
Potential risks and benefits
Locations (3)
- University of GothenbergVerified postcodeGothenburg, Sweden· Not yet recruiting
- Karolinska InstitutetVerified postcodeStockholm, Sweden· Not yet recruiting
- Chalmers Sexual Health ClinicVerified postcodeEdinburgh, United Kingdom· Recruiting
Common questions
What is a 'very early medical abortion'?
It's an abortion carried out using medication very early in pregnancy, typically before six weeks from your last period.
What is a 'point of care' test?
It's a quick medical test that can be done right away, often using a small machine, to get results very quickly without sending samples to a lab far away.
Why do you need to check hormone levels?
Checking hormone levels helps doctors confirm that the abortion has been successful and that the pregnancy has completely ended.
Will taking part in this study change my abortion care?
No, your medical care for the abortion will remain the same. This study just involves some extra checks and questionnaires to see if a new test works well.
How long will I be involved in the study?
Your involvement would typically be for about 7 to 10 days, covering the period of your medical abortion and the follow-up blood tests.
How to find out more
Jacqueline Quinn
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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