Document Detail

Sublingual versus vaginal misoprostol (400 microg) for cervical priming in first-trimester abortion: a randomized trial.
MedLine Citation:
PMID:  16982235     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Our objective was to compare the sublingual administration and the vaginal administration of misoprostol for cervical priming before first-trimester surgical abortion. DESIGN: We used an open, multicenter, randomized trial. LOCATIONS: We conducted the study in four clinics (in Valencia, Castelló, Murcia and Murcia Capital) in Spain. PARTICIPANTS: A total of 1424 healthy pregnant women with amenorrhea of <or=84 days who voluntarily decided to terminate their pregnancy participated in the study. METHODS: Women were randomly assigned to receive a single dose of 400 microg of misoprostol either sublingually or vaginally 1-3 h before aspiration. OUTCOME MEASURES: The outcome measures assessed were cervical dilation before surgery and surgical time needed for aspiration. The incidence of side effects, such as nausea, vomiting, diarrhea, fever/chills and paresthesia, was evaluated. RESULTS: The mean cervical dilation achieved was 6.8+/-0.8 and 6.7+/-0.9 mm for the sublingual and vaginal groups, respectively. The mean surgical time was 7.0+/-2.8 and 7.4+/-2.5 min for the sublingual and vaginal groups, respectively. Nausea, vomiting and diarrhea were more frequent in the sublingual group. CONCLUSIONS: Both regimens had equal efficacy; however, the sublingual route caused more side effects.
Josep Lluis Carbonell Esteve; Jose Maria Marí; Francisco Valero; Margardel Llorente; Immaculada Salvador; Lidia Varela; Pedro Leal; Ana Candel; Ana Tudela; Maria Serrano; Eva Muñoz
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial     Date:  2006-05-23
Journal Detail:
Title:  Contraception     Volume:  74     ISSN:  0010-7824     ISO Abbreviation:  Contraception     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-19     Completed Date:  2007-02-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0234361     Medline TA:  Contraception     Country:  United States    
Other Details:
Languages:  eng     Pagination:  328-33     Citation Subset:  IM    
Clínica Mediterrania Médica, Valencia 46017, Castelló, Spain. <>
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MeSH Terms
Abortifacient Agents, Nonsteroidal / administration & dosage,  adverse effects
Abortion, Induced / methods*
Administration, Intravaginal
Administration, Sublingual
Cervical Ripening / drug effects*
Drug Administration Routes
Misoprostol / administration & dosage*,  adverse effects
Pregnancy Trimester, First / drug effects*
Treatment Outcome
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; 59122-46-2/Misoprostol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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