RESUMEN
The object of this analysis was to identify predictors of narcotic analgesic use during medical abortion. A total of 2121 women with pregnancies of
Asunto(s)
Aborto Inducido , Analgesia , Analgésicos Opioides/administración & dosificación , Abortivos no Esteroideos/administración & dosificación , Abortivos Esteroideos/administración & dosificación , Adolescente , Adulto , Servicios de Salud Comunitaria , Etnicidad , Servicios de Planificación Familiar , Femenino , Edad Gestacional , Hospitales Universitarios , Humanos , Modelos Logísticos , Mifepristona/administración & dosificación , Misoprostol/administración & dosificación , Paridad , EmbarazoRESUMEN
This study evaluated an Internet-delivered computer-assisted health education (CAHE) program designed to improve body satisfaction and reduce weight/shape concerns--concerns that have been shown to be risk factors for the development of eating disorders in young women. Participants were 60 women at a public university randomly assigned to either an intervention or control condition. Intervention participants completed the CAHE program Student Bodies. Measures of body image and disordered eating attitudes were assessed at baseline, postintervention, and 3-month follow-up. At follow-up, intervention participants, compared with controls, reported a significant improvement in body image and a decrease in drive for thinness. This program provides evidence for the feasibility and effectiveness of providing health education by means of the Internet.
Asunto(s)
Anorexia Nerviosa/prevención & control , Bulimia/prevención & control , Educación en Salud , Internet , Adolescente , Adulto , Anorexia Nerviosa/psicología , Imagen Corporal , Bulimia/psicología , Femenino , Estudios de Seguimiento , Humanos , Factores de Riesgo , Delgadez/psicologíaRESUMEN
The objective of this study was to identify predictors of narcotic analgesic use during medical abortion. Two-thousand-seven-hundred-forty-seven women with pregnancies of 63 days gestational age or less received 200 mg mifepristone followed by at-home use of 800 microg vaginal misoprostol in two consecutive clinical trials in the United States, and also reported their use of analgesics. Overall, 79% of these subjects used narcotic analgesics. Women in the 2nd of the two studies were randomized to use misoprostol 24, 48, or 72 h after mifepristone. Those who were randomized to 24 h were more likely to use narcotic analgesics than those who were randomized to 48 or 72 h. In both studies, the use of narcotic analgesia during medical abortion was less prevalent among parous women and Asian women, and among those with a gestational age of 56 days or less. The clinic providing care for the patient was the most important determinant of narcotic analgesia use, even though the analgesia was used at home. Use of narcotic analgesics in these women undergoing medical abortion at home was more prevalent than use reported in previous studies where women underwent medical abortion in a clinical setting.