Safety, efficacy and acceptability of outpatient XXXX - @entity396 medical abortion through 70 days since last menstrual period in public sector facilities in Mexico City.

@entity1 @entity3927 @entity396
Extensive evidence exists regarding the efficacy and acceptability of medical abortion through 63 days since last menstrual period (LMP). In Mexico City's Secretariat of Health (SSDF) outpatient facilities, @entity3927 - @entity396 medical abortion is the first-line approach for abortion care in this pregnancy range. Recent research demonstrates continued high rates of complete abortion through 70 days LMP. To expand access to legal abortion services in Mexico City (where abortion is legal through 12 weeks LMP), this study sought to assess the efficacy and acceptability of the standard outpatient approach through 70 days in two SSDF points of service. One thousand and one @entity1 seeking pregnancy termination were enrolled and given 200 mg @entity3927 followed by 800  g @entity396 24-48 hours later. @entity1 were asked to return to the clinic one week later for evaluation. The great majority of @entity1 (93.3%; 95% CI: 91.6-94.8) had complete abortions. @entity1 with pregnancies  <=8 weeks LMP had significantly higher success rates than @entity1 in the 9th or 10th weeks (94.9% vs. 90.5%; p = 0.01). The difference in success rates between the 9th and 10th weeks was not significant (90.0% vs. 91.2%; p = 0.71). The majority of @entity1 found the side effects (82.9%) and the use of @entity396 (84.4%) to be very acceptable or acceptable. This study provides additional evidence supporting an extended outpatient medical abortion regimen through 10 weeks LMP.
