Cochrane · systematic review · CD013181
Self‐administered versus provider‐administered medical abortion
Gambir, K, Kim, C, Necastro, KA, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Fertility RegulationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 3 · 50%Low 1 · 16.7%Moderate 1 · 16.7%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Self‐administered medical abortion compared to provider‐administered medical abortion for women of reproductive age seeking induced abortion (RCTs)
Population: women of reproductive age (15 to 49 years) seeking induced abortion
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Success of medical abortion – RCTs ( Self‐administered medical abortion vs provider‐administered medical abortion | RR 0.99 [0.97, 1.01] | 2 studies · 919 participants | Moderate Downgraded: risk of bias |
Ongoing pregnancy – RCTs ( Self‐administered medical abortion vs provider‐administered medical abortion | RR 1.69 [0.41, 7.02] | 1 study · 735 participants | Low Downgraded: imprecision |
Any complication requiring surgical intervention ‐ RCT Self‐administered medical abortion vs provider‐administered medical abortion | no estimate extracted | NR | No studies |
Self‐administered medical abortion compared to provider‐administered medical abortion for women of reproductive age seeking induced abortion (NRS)
Population: women of reproductive age (15 to 49 years) seeking induced abortion
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Success of medical abortion ‐ NRSs ( Self‐administered medical abortion vs provider‐administered medical abortion | RR 0.99 [0.97, 1.01] | 16 studies · 10124 participants | Very low Downgraded: risk of bias, publication bias |
Ongoing pregnancy ‐ NRSs ( Self‐administered medical abortion vs provider‐administered medical abortion | RR 1.28 [0.65, 2.49] | 11 studies · 6691 participants | Very low Downgraded: risk of bias, publication bias |
Any complication requiring surgical intervention ‐ NRSs ( Self‐administered medical abortion vs provider‐administered medical abortion | RR 2.14 [0.8, 5.71] | 3 studies · 2452 participants | Very low Downgraded: risk of bias, publication bias |