Exploring the Role of At-home Semi-quantitative Pregnancy Tests for Follow-up to Menstrual Regulation Service

Study Overview
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Brief Summary
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The study seeks to test whether it is feasible and acceptable for both women and providers (in this context the Lady Health Visitor) to use the semi-quantitative pregnancy test (SQPT) as a tool for follow up after MR services. The study is planned at 11service delivery points (primary health clinics) in Punjab province where consenting women will be asked to take a baseline test at the clinic the morning they present for the MR procedure. Women will be asked to complete a second test at home the morning of their scheduled follow up visit and return to the clinic for follow-up care later that day. The results of the at home test will be compared to the baseline to determine the outcome of the MR. This is of particular importance because to-date no research has documented the accuracy of the test in detecting MR outcomes with misoprostol only regimens. We hypothesize that women and providers will find the test easy and acceptable to use thereby improving follow up and simplifying MR service provision. In addition, the simple pictorial instructions will enable most women to use the test and interpret the results correctly on their own.

Official Title
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Simplifying Menstrual Regulation (MR): Exploring the Role of At-home Semi-quantitative Pregnancy Tests for Follow-up to Menstrual Regulation Service Provision in Pakistan

Conditions
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Menstrual Regulation

Intervention / Treatment
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* Device: Semi-quantitative pregnancy test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligible for medical menstrual regulation services according to clinic guidelines Willing to follow instructions and use the SQPT at home Agrees to return for a follow-up visit 7 days after receipt of misoprostol for the MR procedure Exclusion Criteria: Not eligible for medical menstrual regulation services according to clinic guidelines Not willing to follow instructions and use the SQPT at home Does not agree to return for a follow-up visit 7 days after receipt of misoprostol for the MR procedure
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Semi-quantitative pregnancy test<br>Semi-quantitative urine pregnancy test (SQPT) (dBest One Step hCG Panel Test Kit) | Device: Semi-quantitative pregnancy test<br> <br> * Other names: semi-quantitative urine pregnancy test (SQPT) (dBest One Step hCG Panel Test Kit);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility to determine successful completion of MR | The proportion of woman for whom Human Chorionic Gonadotropin (hCG) remains the same after MR The proportion of woman for whom hCG remains increases after MR The proportion of woman for whom hCG declines after MR Any additional care received by women in each of the above groups (1-3) will also be described | 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comprehension of pregnancy test | Proportion of women who correctly read and interpreted their results | 2 weeks | 
| Confidence in test | Proportion of women who were confident in using the test and would be willing to use it for follow up in the future | 2 weeks | 
| Selecting and receiving family planning method | Proportion of women selecting a method of family planning and receiving that method at their initial clinic visit. | 2 weeks |