Post-abortion care with misoprostol - equally effective, safe and accepted when administered by midwives compared to physicians: a randomised controlled equivalence trial in a low-resource setting in Kenya.

ABSTRACT:

Objective

To assess the effectiveness of midwives administering misoprostol to women with incomplete abortion seeking post-abortion care (PAC), compared with physicians.

Design

A multicentre randomised controlled equivalence trial. The study was not masked.

Settings

Gynaecological departments in two hospitals in a low-resource setting, Kenya.

Population

Women (n=1094) with incomplete abortion in the first trimester, seeking PAC between 1 June 2013 to 31 May 2016. Participants were randomly assigned to receive treatment from midwives or physicians. 409 and 401 women in the midwife and physician groups, respectively, were included in the per-protocol analysis.

Interventions

600 µg misoprostol orally, and contraceptive counselling by a physician or midwife.

SUBMITTER: Makenzius M 

PROVIDER: S-EPMC5652492 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature