Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study

 

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dc.contributor.author Momberg, Mariette
dc.contributor.author Harries, Jane
dc.contributor.author Constant, Deborah
dc.date.accessioned 2016-05-23T08:12:17Z
dc.date.available 2016-05-23T08:12:17Z
dc.date.issued 2016
dc.identifier.citation Momberg, M., Harries, J., & Constant, D. (2016). Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study. Reproductive Health, 13(1), 1. en_ZA
dc.identifier.issn 1742-4755 en_ZA
dc.identifier.uri http://dx.doi.org/10.1186/s12978-016-0160-x
dc.identifier.uri http://hdl.handle.net/11427/19770
dc.description.abstract Background: Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women’s acceptability and ability to self-assess eligibility for early medical abortion using an online gestational age calculator. Women’s acceptability, views and preferences of using mobile technology for gestational age (GA) determination were explored. No previous studies to ascertain the accuracy of online self-administered calculators in a non-clinical setting have been conducted. Methods: A convenience sample of abortion seekers were recruited from two health care clinics in Cape Town, South Africa in 2014. Seventy-eight women were enrolled and tasked with completing an online self-assessment by entering the first day of their last menstrual period (LMP) onto a website which calculated their GA. A short survey explored the feasibility and acceptability of employing m-Health technology in abortion services. Self-calculated GA was compared with ultrasound gestational age obtained from clinical records. Results: Participant mean age was 28 (SD 6.8), 41 % (32/78) had completed high school and 73 % (57/78) reported owning a smart/feature phone. Internet searches for abortion information prior to clinic visit were undertaken by 19/78 (24 %) women. Most participants found the online GA calculator easy to use (91 %; 71/78); thought the calculation was accurate (86 %; 67/78) and that it would be helpful when considering an abortion (94 %; 73/78). Eighty-three percent (65/78) reported regular periods and recalled their LMP (71 %; 55/78). On average women overestimated GA by 0.5 days (SD 14.5) and first sought an abortion 10 days (SD 14.3) after pregnancy confirmation. Conclusions: Timely access to information is an essential component of effective abortion services. Advances in the availability of mobile technology represent an opportunity to provide accurate and safe abortion information and services. Our findings indicate that an online GA calculator would be accurate and helpful. GA could be calculated based on LMP recall within an error of 0.5 days, which is not considered clinically significant. An online GA calculator could potentially act as an enabler for women to access safe abortion services sooner. en_ZA
dc.language eng en_ZA
dc.publisher BioMed Central en_ZA
dc.rights Creative Commons Attribution 4.0 International (CC BY 4.0) *
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en_ZA
dc.source Reproductive Health en_ZA
dc.source.uri http://reproductive-health-journal.biomedcentral.com/
dc.subject Abortion
dc.subject Medical abortion
dc.subject Self-assessment
dc.subject Pregnancy dating
dc.subject Menstruation
dc.subject mHealth
dc.subject Gestational age calculator
dc.subject South Africa
dc.title Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study en_ZA
dc.type Journal Article en_ZA
dc.date.updated 2016-05-19T09:27:03Z
dc.language.rfc3066 en
dc.rights.holder Momberg et al.
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Women's Health Research Unit en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Momberg, M., Harries, J., & Constant, D. (2016). Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study. <i>Reproductive Health</i>, http://hdl.handle.net/11427/19770 en_ZA
dc.identifier.chicagocitation Momberg, Mariette, Jane Harries, and Deborah Constant "Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study." <i>Reproductive Health</i> (2016) http://hdl.handle.net/11427/19770 en_ZA
dc.identifier.vancouvercitation Momberg M, Harries J, Constant D. Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study. Reproductive Health. 2016; http://hdl.handle.net/11427/19770. en_ZA
dc.identifier.ris TY - Journal Article AU - Momberg, Mariette AU - Harries, Jane AU - Constant, Deborah AB - Background: Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women’s acceptability and ability to self-assess eligibility for early medical abortion using an online gestational age calculator. Women’s acceptability, views and preferences of using mobile technology for gestational age (GA) determination were explored. No previous studies to ascertain the accuracy of online self-administered calculators in a non-clinical setting have been conducted. Methods: A convenience sample of abortion seekers were recruited from two health care clinics in Cape Town, South Africa in 2014. Seventy-eight women were enrolled and tasked with completing an online self-assessment by entering the first day of their last menstrual period (LMP) onto a website which calculated their GA. A short survey explored the feasibility and acceptability of employing m-Health technology in abortion services. Self-calculated GA was compared with ultrasound gestational age obtained from clinical records. Results: Participant mean age was 28 (SD 6.8), 41 % (32/78) had completed high school and 73 % (57/78) reported owning a smart/feature phone. Internet searches for abortion information prior to clinic visit were undertaken by 19/78 (24 %) women. Most participants found the online GA calculator easy to use (91 %; 71/78); thought the calculation was accurate (86 %; 67/78) and that it would be helpful when considering an abortion (94 %; 73/78). Eighty-three percent (65/78) reported regular periods and recalled their LMP (71 %; 55/78). On average women overestimated GA by 0.5 days (SD 14.5) and first sought an abortion 10 days (SD 14.3) after pregnancy confirmation. Conclusions: Timely access to information is an essential component of effective abortion services. Advances in the availability of mobile technology represent an opportunity to provide accurate and safe abortion information and services. Our findings indicate that an online GA calculator would be accurate and helpful. GA could be calculated based on LMP recall within an error of 0.5 days, which is not considered clinically significant. An online GA calculator could potentially act as an enabler for women to access safe abortion services sooner. DA - 2016 DB - OpenUCT DO - 10.1186/s12978-016-0160-x DP - University of Cape Town J1 - Reproductive Health KW - Abortion KW - Medical abortion KW - Self-assessment KW - Pregnancy dating KW - Menstruation KW - mHealth KW - Gestational age calculator KW - South Africa LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1742-4755 T1 - Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study TI - Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study UR - http://hdl.handle.net/11427/19770 ER - en_ZA


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Creative Commons Attribution 4.0 International (CC BY 4.0) Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 International (CC BY 4.0)