{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T18:27:34Z","timestamp":1775586454425,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2011,6,3]],"date-time":"2011-06-03T00:00:00Z","timestamp":1307059200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Increasing access to safe abortion services is the most effective way of preventing the burden of unsafe abortion, which is achieved by increasing safe choices for pregnancy termination. Medical abortion for termination of early abortion is said to safe, effective, and acceptable to women in several countries. In Ethiopia, however, medical methods have, until recently, never been used. For this reason it is important to assess women's preferences and the acceptability of medical abortion and manual vacuum aspiration (MVA) in the early first trimester pregnancy termination and factors affecting acceptability of medical and MVA abortion services.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A prospective study was conducted in two hospitals and two clinics from March 2009 to November 2009. The study population consisted of 414 subjects over the age of 18 with intrauterine pregnancies of up to 63 days' estimated gestation. Of these 251 subjects received mifepristone and misoprostol and 159 subjects received MVA. Questionnaires regarding expectations and experiences were administered before the abortion and at the 2-week follow-up visit.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The study groups were similar with respect to age, marital status, educational status, religion and ethnicity. Their mean age was about 23, majority in both group completed secondary education and about half were married. Place of residence and duration of pregnancy were associated with method choice. Subjects undergoing medical abortions reported significantly greater satisfaction than those undergoing surgical abortions (91.2% vs 82.4%; <jats:italic>P<\/jats:italic> &lt; .001). Of those women who had medical abortion, (83.3%) would choose the method again if needed, and (77.4%) of those who had MVA would also choose the method again. Ninety four percent of women who had medical abortion and 86.8% of those who had MVA would recommend the method to their friends.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Women receiving medical abortion were more satisfied with their method and more likely to choose the same method again than were subjects undergoing surgical abortion. We conclude that medical abortion can be used widely as an alternative method for early pregnancy termination.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1742-4755-8-19","type":"journal-article","created":{"date-parts":[[2011,6,3]],"date-time":"2011-06-03T18:20:13Z","timestamp":1307125213000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Client preferences and acceptability for medical abortion and MVA as early pregnancy termination method in Northwest Ethiopia"],"prefix":"10.1186","volume":"8","author":[{"given":"Mulatu A","family":"Woldetsadik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tegbar Y","family":"Sendekie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary T","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desalegn T","family":"Zegeye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2011,6,3]]},"reference":[{"key":"114_CR1","volume-title":"Unsafe abortion: global and regional estimates of incidence of unsafe abortion and associated mortality in 2003","author":"WHO","year":"2007","unstructured":"WHO: Unsafe abortion: global and regional estimates of incidence of unsafe abortion and associated mortality in 2003. 2007, Geneva: World Health Organisation"},{"key":"114_CR2","volume-title":"Technical and Procedural Guidelines for Safe Abortion Services in Ethiopia","author":"FMOH","year":"2006","unstructured":"FMOH: Technical and Procedural Guidelines for Safe Abortion Services in Ethiopia. 2006, Addis Ababa: Federal Ministry of Health Ethiopia"},{"issue":"9550","key":"114_CR3","doi-asserted-by":"publisher","first-page":"1887","DOI":"10.1016\/S0140-6736(06)69778-X","volume":"368","author":"S Singh","year":"2006","unstructured":"Singh S: Hospital admissions resulting from unsafe abortion: estimates from 13 developing countries. Lancet. 2006, 368 (9550): 1887-1892. 10.1016\/S0140-6736(06)69778-X.","journal-title":"Lancet"},{"key":"114_CR4","first-page":"219","volume-title":"The Criminal Code of the Federal Democratic Republic of Ethiopia","author":"FDRE","year":"2004","unstructured":"FDRE: The Criminal Code of the Federal Democratic Republic of Ethiopia. 2004, Crimes against life unborn: Abortion, Section II: 219-221."},{"key":"114_CR5","volume-title":"Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality","author":"WHO","year":"2007","unstructured":"WHO: Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality. 2007, Geneva: World Health Organisation"},{"issue":"26","key":"114_CR6","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/S0968-8080(05)26204-3","volume":"13","author":"M Berer","year":"2005","unstructured":"Berer M: Medical abortion: issues of choice and acceptability. Reproductive Health Matters. 2005, 13 (26): 25-34. 10.1016\/S0968-8080(05)26204-3.","journal-title":"Reproductive Health Matters"},{"issue":"6","key":"114_CR7","doi-asserted-by":"publisher","first-page":"1292","DOI":"10.1067\/mob.2000.106183","volume":"182","author":"JT Jensen","year":"2000","unstructured":"Jensen JT, Harvey SM, Beckman LJ: Acceptability of suction curettage and mifepristone abortion in the United States: a prospective comparison study. American Journal of Obstetrics and Gynecology. 2000, 182 (6): 1292-1299. 10.1067\/mob.2000.106183.","journal-title":"American Journal of Obstetrics and Gynecology"},{"issue":"1","key":"114_CR8","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1093\/humrep\/16.1.67","volume":"16","author":"TJ Child","year":"2001","unstructured":"Child TJ, Thomas J, Rees M, MacKenzie IZ: A comparative study of surgical and medical procedures: 932 pregnancy terminations up to 63 days gestation. 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