Introduction We explored whether routine pregnancy self-testing is feasible and acceptable to women at risk of late recognition of pregnancy as a strategy to facilitate early entry into either antenatal or abortion care. Methods A feasibility study among South African sexually active women not desiring pregnancy within 1 year, and not using long-acting or injectable contraceptives. At recruitment, we provided five free urine pregnancy tests for self-testing on the first day of each of the next 3 months. We sent monthly text reminders to use the tests with requests for no-cost text replies. Our main outcome was the proportion of participants self-testing within 5 days of the text reminder over three consecutive months. Other outcomes were ease of use of tests, preference for self-testing versus clinic testing, acceptability of routine self-testing (all binary responses followed by open response options) and response to text messages (four-point Likert scale). Results We followed up 71/76 (93%) participants. Two confirmed new pregnancies at the first scheduled test and completed exit interviews, and 64/69 (93%) self-reported completing all three monthly tests. Self-testing was easy to do (66/71, 93%); advantages were convenience (21/71, 30%) and privacy (18/71, 25%), while the main disadvantage was no nurse present to advise (17/71, 24%). Most would recommend monthly testing (70/71, 99%). Text reminders were generally not bothersome (57/71, 80%); 35/69 (51%) participants replied with test results over all three months. Conclusion Providing free pregnancy tests to women at risk of late recognition of pregnancy is feasible to strengthen early confirmation of pregnancy status. Deidentified participant data is available from the corresponding author upon reasonable request. Reuse is permissible following the authors' agreement to the proposed study protocol. (ORCID ID: 0000-0002-7176-9963)

中文翻译：

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常规妊娠自我检测能否促进早期识别意外妊娠？南非妇女的可行性研究

引言 我们探讨了常规妊娠自我检测对于有晚期识别妊娠风险的女性是否可行和可接受，作为一种促进早期进入产前或流产护理的策略。方法 南非性活跃女性在 1 年内不希望怀孕且不使用长效或注射避孕药的可行性研究。在招聘时，我们在接下来的 3 个月的每个月的第一天提供了五次免费的尿妊娠测试，用于自我测试。我们每月发送短信提醒使用测试并要求免费文本回复。我们的主要结果是参与者在连续三个月的文本提醒后 5 天内进行自我测试的比例。其他结果是测试的易用性、自我测试与临床测试的偏好、常规自我测试的可接受性（所有二元响应，然后是开放响应选项）和对文本消息的响应（李克特四点量表）。结果 我们跟踪了 71/76 (93%) 名参与者。在第一次预定的测试中确认了两个新怀孕并完成了退出面谈，并且 64/69 (93%) 自我报告完成了所有三个月的测试。自测很容易（66/71，93%）；优点是方便（21/71, 30%）和隐私（18/71, 25%），而主要缺点是没有护士在场提供建议（17/71, 24%）。大多数人会建议每月测试一次（70/71，99%）。文字提醒一般不麻烦（57/71，80%）；35/69 (51%) 的参与者回答了三个月的测试结果。结论 为有晚识别妊娠风险的女性提供免费妊娠检测，加强早期妊娠状态确认是可行的。经合理要求，可从通讯作者处获得身份不明的参与者数据。在作者同意拟议的研究方案后，允许重复使用。（ORCID ID：0000-0002-7176-9963）