Document Detail


Moistening of misoprostol tablets with acetic acid prior to vaginal administration for mid-trimester termination of anomalous pregnancy: A randomised comparison of three regimens.
MedLine Citation:
PMID:  20063994     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To compare the efficacy and side effects of three regimens of intravaginal misoprostol for second-trimester abortion.
METHODS: A total of 118 women requiring second-trimester pregnancy termination were randomly assigned to one of three treatment groups: 400 microg 3-hourly in group A (n = 39), 600 microg 6-hourly in group B (n = 39), and 800 microg 12-hourly in group C (n = 40). Misoprostol tablets moistened with 3 ml of 5% acetic acid were placed into the posterior vaginal fornix.
RESULTS: The median induction-abortion times in groups A (8 h [range: 3-64]) and B (9 h [4-81]) were significantly shorter (p < 0.01 and p < 0.05, respectively) than in group C (12.5 [3-72]). Moreover, expulsion rates within 24 hours in groups A (92.3%) and B (92.3%) were significantly higher (p < 0.05 in both cases) than that of group C (75%). Expulsion rate within 48 hours, number of tablets used, number of patients with retained placenta and side effects did not differ between groups.
CONCLUSIONS: Misoprostol moistened with acetic acid is effective for second-trimester pregnancy termination when given vaginally 3-hourly, 6-hourly or 12-hourly. The former two regimens are significantly more effective than the latter.
Authors:
Bulent Yilmaz; Ibrahim Egemen Ertas; Sefa Kelekci; Necdet Sut; Leyla Mollamahmutoglu; Nuri Danisman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception     Volume:  15     ISSN:  1473-0782     ISO Abbreviation:  Eur J Contracept Reprod Health Care     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712127     Medline TA:  Eur J Contracept Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  54-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey. drbulentyilmaz@yahoo.com
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