{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T14:09:50Z","timestamp":1773324590019,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014812","name":"Nordic Pharma Group","doi-asserted-by":"crossref","award":["still needs to be approved"],"award-info":[{"award-number":["still needs to be approved"]}],"id":[{"id":"10.13039\/501100014812","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100014812","name":"Nordic Pharma Group","doi-asserted-by":"crossref","award":["still needs to be approved"],"award-info":[{"award-number":["still needs to be approved"]}],"id":[{"id":"10.13039\/501100014812","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In Germany, follow-up after medical abortion is typically conducted via ultrasound examination. International evidence suggests that self-administered follow-up using low-sensitivity pregnancy tests may be a safe and acceptable alternative. This study assessed the effectiveness and acceptability of this approach within the German healthcare system.<\/jats:p>\n                  <jats:p>In this prospective, multicenter, partially randomized, patient preference study conducted in 11 German centers (March\u2013September 2024) involving 312 women, participants with strong preferences could choose their preferred follow-up method, while all others were randomized to either self-testing or ultrasound follow-up. Follow-up was performed using a low-sensitivity pregnancy test (1000\u00a0mIU\/ml) at home or by ultrasound examination in the clinic. The primary outcome was the detection of ongoing pregnancies; patient satisfaction was assessed as a secondary outcome.<\/jats:p>\n                  <jats:p>The detection rate of ongoing pregnancies was 100% in both groups. Specificity was 92.7% in the self-testing group and 100% in the ultrasound group. Complications were rare and occurred at similar rates in both groups. Discordant cases were rare and mainly represented false-positive results with faint test lines near the cut-off; severe complications did not occur more frequently. Satisfaction with the follow-up method was slightly lower in the self-testing group (85.9%) compared to the ultrasound group (98.3%) but remained within an acceptable range. Subjective feelings of safety were high in both groups.<\/jats:p>\n                  <jats:p>Self-administered follow-up using a low-sensitivity pregnancy test is a safe and well-accepted alternative to ultrasound examination after medical abortion. It may improve access to follow-up care, particularly for women living in underserved or remote areas.<\/jats:p>","DOI":"10.1055\/a-2735-4673","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:05:18Z","timestamp":1765238718000},"page":"289-295","source":"Crossref","is-referenced-by-count":0,"title":["Self-administered Follow-up Using a Low-sensitivity Pregnancy Test after Medical Abortion: Results of a Partially Randomized Patient Preference Trial"],"prefix":"10.1055","volume":"86","author":[{"given":"Maren","family":"Janotta","sequence":"additional","affiliation":[{"name":"Medizinisches Zentrum der pro familia Bremen, Bremen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Rehfeld","sequence":"additional","affiliation":[{"name":"Frauen\u00e4rztinnen Alsterdorfer Stra\u00dfe Hamburg, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"ref1","volume-title":"Schwangerschaftsabbr\u00fcche 2024 nach L\u00e4ndern und Eingriffsart","author":"Statistisches Bundesamt (Destatis)","year":"2024"},{"key":"ref2","series-title":"Fachserie 12, Reihe 3","volume-title":"Schwangerschaftsabbr\u00fcche 2000 insgesamt nach L\u00e4ndern","author":"Statistisches Bundesamt (Destatis)","year":"2000"},{"key":"ref3","series-title":"Fachserie 12, Reihe 3","volume-title":"Schwangerschaftsabbr\u00fcche 2014 nach L\u00e4ndern und Eingriffsart","author":"Statistisches Bundesamt (Destatis)","year":"2014"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s44266-023-00038-y","article-title":"S2k-Leitlinie Schwangerschaftsabbruch im ersten Trimenon","volume":"99","author":"K H\u00e4nel","year":"2023","journal-title":"Z Allg Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1055\/s-2004-830339","article-title":"Erfahrungen mit dem medikament\u00f6sen Schwangerschaftsabbruch, insbesondere Nachkontrolle, Nachbehandlung und nachfolgende Kontrazeption","volume":"64","author":"S Tschudin","year":"2004","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1536","DOI":"10.1111\/1471-0528.15922","article-title":"Effectiveness, safety and acceptability of self-assessment of the outcome of first-trimester medical abortion: a systematic review and meta-analysis","volume":"126","author":"N Baiju","year":"2019","journal-title":"BJOG"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.contraception.2011.11.010","article-title":"Telephone follow-up and self-performed urine pregnancy testing after early medical abortion: a service evaluation","volume":"86","author":"ST Cameron","year":"2012","journal-title":"Contraception"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1016\/j.contraception.2010.08.023","article-title":"Alternatives to ultrasound for follow-up after medication abortion: a systematic review","volume":"83","author":"D Grossman","year":"2011","journal-title":"Contraception"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.contraception.2017.12.004","article-title":"Self-assessment of medical abortion outcome using symptoms and home pregnancy testing","volume":"97","author":"EG Raymond","year":"2018","journal-title":"Contraception"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1545","DOI":"10.1111\/1471-0528.15940","article-title":"Follow-up after early medical abortion: less is more","volume":"126","author":"S Cameron","year":"2019","journal-title":"BJOG"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1055\/a-1189-8384","article-title":"Betreuung nach medikament\u00f6sem Schwangerschaftsabbruch","volume":"80","author":"[Anonym]","year":"2020","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s00103-024-03987-2","article-title":"Zugangsbarrieren zur Schwangerschaftsabbruchversorgung: Eine Analyse aus der Perspektive ungewollt Schwangerer \u2013 Erkenntnisse aus der Studie \u201eErfahrungen und Lebenslagen ungewollt Schwangerer. Angebote der Beratung und Versorgung (ELSA)\u201c","volume":"68","author":"D Hahn","year":"2024","journal-title":"Bundesgesundheitsbl"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s43999-023-00036-4","article-title":"Data on regional availability and accessibility of abortion providers in Germany","volume":"2","author":"R Torenz","year":"2023","journal-title":"Res Health Serv Reg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/s00103-023-03668-6","article-title":"Schwangerschaftsabbruch in Deutschland: Gesetzeslage, Herausforderungen und aktuelle Entwicklungen unter Ber\u00fccksichtigung der COVID-19-Pandemie","volume":"66","author":"J Maeffert","year":"2023","journal-title":"Bundesgesundheitsbl"},{"key":"ref16","first-page":"656","article-title":"Ausgew\u00e4hlte Versorgungsdaten zum Schwangerschaftsabbruch in Deutschland","volume":"63","author":"M David","year":"2022","journal-title":"Frauenarzt"},{"key":"ref17","first-page":"22","article-title":"Leserbriefe zu David M, Wernecke KD. Ausgew\u00e4hlte Versorgungsdaten zum Schwangerschaftsabbruch in Deutschland","volume":"63","author":"M Janotta","year":"2022","journal-title":"Frauenarzt"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1016\/S2468-1253(22)00240-0","article-title":"Partially randomised, patient preference trials for inflammatory bowel disease","volume":"7","author":"NM Noor","year":"2022","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031151","article-title":"Partially randomised patient preference trials as an alternative design to randomised controlled trials: systematic review and meta-analyses","volume":"9","author":"KA Wasmann","year":"2019","journal-title":"BMJ Open"}],"container-title":["Geburtshilfe und Frauenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2735-4673.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:35:28Z","timestamp":1773272128000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2735-4673"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":18,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,3,11]]},"published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2735-4673","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0016-5751","1438-8804"],"issn-type":[{"value":"0016-5751","type":"print"},{"value":"1438-8804","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]}}}