{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T20:21:19Z","timestamp":1776111679616,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2011,7,12]]},"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Throughout Great Britain, increasing numbers of women having an early medical abortion are choosing to go home soon after administration of misoprostol, to expel the pregnancy at home (early medical discharge, EMD), rather than remain upon the hospital premises (day case). However, data are lacking on how this impacts upon an abortion service in terms of unscheduled re-attendance rates and contraception provision at discharge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective audit was carried out of women undergoing medical abortion (up to 64 days' gestation) over 9 months at a National Health Service hospital in Scotland, to determine (1) unscheduled re-attendance rates within 6 weeks of the procedure for an abortion-related complication and (2) method of contraception provided at discharge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over the audit period 1128 women had an early medical abortion of whom 590 (52%) chose EMD. There was no significant difference in unscheduled re-attendance rates between EMD (<jats:italic>n<\/jats:italic>=23, 4%) and day case groups (<jats:italic>n<\/jats:italic>=20, 4%). There was no significant difference in the proportion of women in each group who left hospital with an effective method of contraception (<jats:italic>n<\/jats:italic>=362, 61% and <jats:italic>n<\/jats:italic>=355, 60% for EMD and day case groups, respectively).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Women undergoing early medical abortion who choose to expel the pregnancy at home are no more likely to re-attend hospital with a post-abortal complication and are just as likely to receive effective contraception than those who remain on hospital premises.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2011-100149","type":"journal-article","created":{"date-parts":[[2011,9,15]],"date-time":"2011-09-15T04:13:20Z","timestamp":1316060000000},"page":"35-40","source":"Crossref","is-referenced-by-count":14,"title":["Comparison of unscheduled re-attendance and contraception at discharge, among women having the final stage of early medical abortion at home and those remaining in hospital"],"prefix":"10.1136","volume":"38","author":[{"given":"Hannah","family":"Astle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon T","family":"Cameron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Johnstone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,9,13]]},"reference":[{"key":"2025090512005558000_38.1.35.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.06.005"},{"key":"2025090512005558000_38.1.35.2","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1080\/13625180500284581","article-title":"Home use of two doses of misoprostol after mifepristone for medical abortion: a pilot study in Sweden and France","volume":"10","author":"Clark","year":"2005","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"2025090512005558000_38.1.35.3","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1093\/humrep\/deq037","article-title":"Home self-administration of vaginal misoprostol for medical abortion at 50\u00e2\u0080\u009363 days compared with gestation of below 50 days","volume":"25","author":"Kopp Kallner","year":"2010","journal-title":"Hum Reprod"},{"key":"2025090512005558000_38.1.35.4","doi-asserted-by":"crossref","first-page":"1948","DOI":"10.1001\/jama.284.15.1948","article-title":"Vaginal misoprostol administered 1, 2, or 3 days after mifepristone for early medical abortion: a randomized trial","volume":"284","author":"Schaff","year":"2000","journal-title":"JAMA"},{"key":"2025090512005558000_38.1.35.5","unstructured":"Judiciary of England and Wales. BPAS-v-The Secretary of State for Health, 2011. http:\/\/www.judiciary.gov.uk\/media\/judgments\/2011\/BPAS-secretary-state-for-health-judgment-14022011 [accessed 18 May 2011]."},{"key":"2025090512005558000_38.1.35.6","doi-asserted-by":"publisher","DOI":"10.1783\/147118910793048719"},{"key":"2025090512005558000_38.1.35.7","doi-asserted-by":"publisher","DOI":"10.1783\/147118910790290894"},{"key":"2025090512005558000_38.1.35.8","doi-asserted-by":"publisher","DOI":"10.1783\/147118907781004886"},{"key":"2025090512005558000_38.1.35.9","unstructured":"Department of Health. Evaluation of Early Medical Abortion (EMA) Pilot Sites, 2008. http:\/\/www.dh.gov.uk\/en\/AdvanceSearchResult\/index.htm?searchTerms=early+medical+abortion [accessed 9 May 2011]."},{"key":"2025090512005558000_38.1.35.10","unstructured":"NHS National Services Scotland. Scottish Abortion Statistics Information Services Division 2011. 2011. http:\/\/www.isdscotland.org\/isd\/1918.html#Activity_in_2009 [accessed 9 May 2011]."},{"key":"2025090512005558000_38.1.35.11","unstructured":"McLoone P . Carstairs Scores for Scottish Postcode Sectors from the 2001 Census \u00e2\u0080\u0093 Report 2000. 2000. http:\/\/www.sphsu.mrc.ac.uk\/sitepage.php?page=carstairs [accessed 9 May 2011]."},{"key":"2025090512005558000_38.1.35.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)81439-1"},{"key":"2025090512005558000_38.1.35.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(00)00187-6"},{"key":"2025090512005558000_38.1.35.14","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1046\/j.1471-0528.2002.02156.x","article-title":"Factors affecting the outcome of early medical abortion: a review of 4132 consecutive cases","volume":"109","author":"Ashok","year":"2002","journal-title":"BJOG"},{"key":"2025090512005558000_38.1.35.15","unstructured":"Healthcare Improvement Scotland. Standards for Sexual Health Services. 2008. http:\/\/www.healthcareimprovementscotland.org\/programmes\/reproductive_maternal_child\/programme_resources\/sexual_health_standards.aspx [accessed 9 May 2011]."},{"key":"2025090512005558000_38.1.35.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"},{"key":"2025090512005558000_38.1.35.17","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.contraception.2010.03.003","article-title":"Post abortion contraception and its effect on repeat abortions in Auckland, New Zealand","volume":"82","author":"Roberts","year":"2010","journal-title":"Contraception"},{"key":"2025090512005558000_38.1.35.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.003"},{"key":"2025090512005558000_38.1.35.19","unstructured":"Royal College of Obstetricians and Gynaecologists. Standards for Gynaecology \u00e2\u0080\u0093 Report of a Working Party. 2008. http:\/\/www.rcog.org.uk\/catalog\/book\/standards-gynaecology-report-working-party [accessed 9 May 2011]."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2011-100149","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:08:52Z","timestamp":1757099332000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2011-100149"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,13]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2011,12,14]]},"published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.1136\/jfprhc-2011-100149"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2011-100149","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,13]]}}}