Different routes of misoprostol for cervical priming in first trimester surgical abortions: a randomized blind trial View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-03-03

AUTHORS

Hadas Ganer Herman, Ram Kerner, Ohad Gluck, Hagit Feit, Ran Keidar, Jacob Bar, Ron Sagiv

ABSTRACT

PurposeTo compare effectiveness and patient satisfaction of different routes of misoprostol for short-term (same day) cervical priming in first trimester surgical abortions.MethodsIn a blind randomized trial, patients undergoing surgical abortion at a gestational age of 6 + 0–14 + 6 were administered oral, vaginal, or sub-lingual 400 mcg misoprostol, 1.5 to 4 h prior to procedure. Surgeons blinded to patient allocation evaluated cervical priming. The primary outcome was initial cervical dilatation. Secondary outcomes were cervical consistency, ease of dilation, patient discomfort, and side effects.ResultsFrom July 2015 through May 2016, 120 patients were randomized as follows: 40 to oral, 40 to vaginal, and 40 to sublingual misoprostol administration. No differences were noted in patient age, gestational age, curettage indication (termination/delayed miscarriage), past vaginal delivery, and administration to procedure interval. Initial cervical dilatation was similar between the groups, as were cervical consistency and ease of dilation. Patients noted the greatest discomfort and side effects with sublingual administration. The followings were found to be independently associated with cervical dilatation in a linear regression analysis: sublingual administration, gestational age, missed abortion, and previous vaginal delivery. Side effects and administration to procedure interval were found non-significant.ConclusionThe same day cervical priming for first trimester surgical abortion is similarly achieved with all routes of misoprostol administration. In cases of termination of pregnancy with no prior vaginal delivery, sublingual administration may be considered, but entails a higher rate of side effects and patient discomfort. More... »

PAGES

943-950

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00404-017-4329-5

DOI

http://dx.doi.org/10.1007/s00404-017-4329-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084021540

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28255768


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