@article {Millar54, author = {Sarah Louise Millar and Sharon Tracey Cameron}, title = {Comparison of two low-sensitivity urine pregnancy tests for confirming the success of early medical abortion}, volume = {44}, number = {1}, pages = {54--57}, year = {2018}, doi = {10.1136/bmjsrh-2017-101868}, publisher = {British Medical Journal Publishing Group}, abstract = {Background We introduced a single-window low-sensitivity urine pregnancy test (LSPT) to replace a double-window LSPT (both 1000 IU hCG) for self-assessment of the outcome of early medical abortion (EMA) (<=63 days gestation) 2 weeks later. We wished to compare assessment of outcomes of EMA with each LSPT.Methods A retrospective review of the outcomes of EMA during 10 months{\textquoteright} use of the double-window LSPT and the subsequent 10 months{\textquoteright} use of the single-window LSPT to compare (i) detection of ongoing pregnancies and (ii) false-positive and invalid results with each LSPT.Results 492 and 555 women self-assessed the outcome of their EMA with the double- and single-window LSPTs, respectively. Ongoing pregnancies were uncommon and occurred in 4/1047 women (0.4\%). Two of these four women did not conduct a LSPT as they presented before the LSPT was due with scant bleeding or continuing pregnancy symptoms. False-positive LSPT results occurred in 6 (1.2\%) and 19 (3.4\%) double- and single-window LSPT tests, respectively (P=0.0244). Invalid results were reported in 18 (3.6\%) and 6 (1.1\%) of double- and single-window LSPT groups, respectively (P=0.01).Conclusion The introduction of the single-window LSPT has not impacted on the detection of ongoing pregnancy or on contact with the service due to a positive or invalid LSPT. Services could consider use of either LSPT but should also place emphasis on informing women about the clinical signs and symptoms that suggest failed abortion.}, issn = {2515-1991}, URL = {https://srh.bmj.com/content/44/1/54}, eprint = {https://srh.bmj.com/content/44/1/54.full.pdf}, journal = {BMJ Sexual \& Reproductive Health} }