American Journal of Obstetrics & Gynecology
Volume 200, Issue 5 , Pages e34-e36, May 2009

Relationship of obesity to outcome of medical abortion

Presented at the Annual Clinical Meeting of the American College of Obstetricians and Gynecologist, New Orleans, LA, May 6, 2008.

Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston Medical Center, Boston, MA

Received 25 July 2008; received in revised form 1 October 2008; accepted 7 October 2008. published online 29 December 2008.

Objective

The purpose of this study was to compare the outcome of medical abortion for obese women and nonobese women.

Study Design

We conducted a chart review of women having medical abortions in 2005-2007. Outcomes were classified as surgical intervention, need for additional visits, and complete abortion. The rate of surgical intervention was compared for women with BMI less than 30 to women with BMI greater than 30.

Results

Of the 1202 eligible procedures using mifepristone and misoprostol, there were 861 women with BMI less than 30 and 341 women with BMI greater than 30. Women with BMI less than 30, and women with BMI greater than 30 had identical rates of surgical intervention, 5% and 6%, respectively (P = .72).

Conclusion

In light of the additional risks of surgical abortion to obese women, medical abortion should be considered for these women.

Key words: body mass index, medical abortion, mifepristone, obesity

 

 Reprints not available from the authors.

PII: S0002-9378(08)02029-2

doi:10.1016/j.ajog.2008.10.016

American Journal of Obstetrics & Gynecology
Volume 200, Issue 5 , Pages e34-e36, May 2009