The medical abortion experiences of married and unmarried women in Tunis, Tunisia

The medical abortion experiences of married and unmarried women in Tunis, Tunisia

The study explores the social dimensions of abortion in Tunisia and offers evidence supporting the provision of medical abortion to special populations, such as young and unmarried women. For this study we recruited 222 women (unmarried: n = 101, married: n = 121) at three clinics in Tunis, Tunisia,...

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Bibliographic Details
Published in:Contraception (Stoneham) Vol. 69; no. 1; pp. 63 - 69
Main Authors: Blum, Jennifer, Hajri, Selma, Chélli, Hela, Mansour, Farouk Ben, Gueddana, Nabiha, Winikoff, Beverly
Format: Journal Article
Language:English
Published: New York, NY Elsevier Inc 2004
Elsevier Science
Subjects:
Abortifacient Agents - administration & dosage
Abortion
Abortion, Induced - methods
Adult
Biological and medical sciences
Birth control
Developing countries
Drug Administration Schedule
Drug Therapy, Combination
Female
Gynecology. Andrology. Obstetrics
Home Care Services
Humans
Induced abortion. Therapeutic abortion
Marital Status
Medical abortion
Medical sciences
Mifepristone
Mifepristone - administration & dosage
Misoprostol
Misoprostol - administration & dosage
Patient Satisfaction
Pregnancy
Surveys and Questionnaires
Tunisia
Tunisia
Africa
Developing countries
Mifepristone
Abortion
Misoprostol
Medical abortion
Social environment
Human
Induced abortion
Antihormone
Abortifacient
Antiprogesterone
Female
Marriage
Prostaglandin derivatives
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Summary:The study explores the social dimensions of abortion in Tunisia and offers evidence supporting the provision of medical abortion to special populations, such as young and unmarried women. For this study we recruited 222 women (unmarried: n = 101, married: n = 121) at three clinics in Tunis, Tunisia, from April 1999 to March 2001. All eligible women who consented to participate were administered a simplified regimen of medical abortion consisting of 200 mg oral mifepristone + 400 μg oral misoprostol 2 days later either at home or in the clinic. Our results demonstrate that unmarried women (94.8%) are as likely as married women (94.1%) to have a successful abortion using this regimen. We noted a strong initial preference for home administration of misoprostol among both groups (unmarried: 73.3%, married: 80.2%), which grew even stronger after the procedure. Women indicated that home administration is desirable because transportation to the clinic is expensive (32.7%), home administration is more confidential (26.3%), easier and more convenient (12.8%). Both groups expressed a high degree of satisfaction with the method. Medical abortion with the option of home administration of misoprostol is safe and feasible for special populations; such as unmarried women in Tunisia.
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ISSN:0010-7824
1879-0518
DOI:10.1016/j.contraception.2003.08.019