Title
Buccal Versus Vaginal Misoprostol in Surgical Termination of the First Trimester Missed Abortion in Erbil
Buccal Versus Vaginal Misoprostol for Cervical Ripening Prior to Surgical Termination of the First Trimester Missed Abortion in Erbil
Phase
Phase 2Lead Sponsor
Hawler Medical UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Missed AbortionIntervention/Treatment
misoprostol ...Study Participants
100The purpose of this study is to determine the effectiveness of buccal misoprostol and comparing this with vaginal route of the same drug.
400 microgram misoprostol given buccally three hours before dilation and curettage (PHARMACIA CORPORATION - Istanbul, serial number 022-00, a tablet contains 200 micrograms)
400 microgram misoprostol (MISOPROSTOL - PHARMACIA CORPORATION - Istanbul, serial number 022-00, a tablet contains 200 micrograms)
Group one: 50 patients with first trimester missed abortion received buccal misoprostol
Group two: 5 patients received vaginal misoprostol
50 primiparous and 50 multiparous women: one hundred patients have been administered the medication buccally (25 primigravida and 25 multigravida), and vaginally (25 primigravida and 25 multigravida), three hours before dilation and curettage. They were admitted to the hospital one day before the surgical evacuation, and preparation of cross matched blood done for all recruited subjects. Each group was randomly allocated (1,3,5,... for the buccal group & 2,4,6,... for the vaginal group) to receive 400 microgram misoprostol.
Inclusion Criteria: first trimester missed abortion Exclusion Criteria: history or evidence of disorders that represent contraindication to the use of misoprostol: severe pulmonary diseases congenital or acquired heart diseases glaucoma prolonged use of corticosteroid sickle cell anemia and adrenal insufficiency smokers known hypersensitivity to drugs any evidence of infection patient's refusal to participate in the study patients with abnormal results of investigations patients with previous operations on cervix like conisation, cauterization, previous dilatation and curettage patients with complete abortion patients with severe bleeding that required emergency surgical evacuation of the uterus patients with partially dissolved tablets at the site of application in both groups