{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:32:28Z","timestamp":1783488748866,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T00:00:00Z","timestamp":1538956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the feasibility of using an at\u2010home multilevel pregnancy test (<jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content>) and interactive voice response (<jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content>) call\u2010in system for remote follow\u2010up of medical abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective pilot study was conducted among women who had a medical abortion at up to 70\u00a0days at a clinic in Mexico City, Mexico, between June 1, 2015, and January 30, 2016. Participants took an <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content> at the initial clinic visit and another <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content> at home 2\u00a0weeks later. They were requested to report their <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content> results via the <jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content> system and attend the clinic for follow\u2010up evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 200 women considered for inclusion, 163 (81.5%) were included in the analysis. Only 10 (6.6%) of the 152 women who had a medical abortion on or before 63\u00a0days from last menstrual period reported <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content> results to the IVR system that required clinical evaluation to assess medical abortion outcome. The remaining 142 (93.4%) women in this group reported <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content> results that ruled out ongoing pregnancy (confirmed at clinical evaluation). Reported <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content> results ruled out ongoing pregnancy among the 11 women who had a medical abortion after 63\u00a0days; however, 1 (9%) had an ongoing pregnancy at clinical evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of <jats:styled-content style=\"fixed-case\">MLPT<\/jats:styled-content>s and the <jats:styled-content style=\"fixed-case\">IVR<\/jats:styled-content> system provided a streamlined approach to follow\u2010up after medical abortion.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12679","type":"journal-article","created":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T04:38:01Z","timestamp":1537159081000},"page":"97-102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Use of an at\u2010home multilevel pregnancy test and an automated call\u2010in system to follow\u2010up the outcome of medical abortion"],"prefix":"10.1002","volume":"144","author":[{"given":"Holly","family":"Anger","sequence":"first","affiliation":[{"name":"Gynuity Health Projects  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasha","family":"Dabash","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolores","family":"Couti\u00f1o","sequence":"additional","affiliation":[{"name":"Hospital Materno\u2010Infantil Nicol\u00e1s M. 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