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Medical treatment of early missed miscarriage and an embryonic pregnancies : a prospective study of outpatient management using misoprostol alone
Joint Authors
Abd Allah, Zaynab Baqir
al-Jasim, Nada H.
Source
Issue
Vol. 22, Issue 2 (31 Dec. 2016), pp.100-104, 5 p.
Publisher
University of Basrah College of Medicine
Publication Date
2016-12-31
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Abstract EN
Medical treatment using misoprostol has been recommended as an alternative to surgical evacuation for missed miscarriage in the first trimester in order to avoid anesthesia, surgical operation and hospitalization.
Our aim is to assess the efficacy and safety of vaginal misoprostol in out-patient management of early miscarriages.
This prospective study included patients with missed miscarriage of ≤10 weeks gestation.
The protocol used 800 microgram of misoprostol on day 1 at clinic, followed by another dose of 800 microgram of misoprostol on day 2 if miscarriage was not complete.
The included 150 patients, had missed miscarriage or anembryonic pregnancies.
The success rate defined has complete miscarriage without need for surgical evacuation and without short-term complications.
Complete expulsion occurred within 2 days in 90.7% of cases.
There were 14 patients needed surgical evacuations and admission to hospital (5 for method failure, 2 for incomplete miscarriage and 7 according to women decision).
No one required blood transfusion.
In conclusion, it is possible to use misoprostol as an out-patient treatment, since it gives satisfactory efficacy and is sufficiently safe.
American Psychological Association (APA)
Abd Allah, Zaynab Baqir& al-Jasim, Nada H.. 2016. Medical treatment of early missed miscarriage and an embryonic pregnancies : a prospective study of outpatient management using misoprostol alone. Basrah Journal of Surgery،Vol. 22, no. 2, pp.100-104.
https://search.emarefa.net/detail/BIM-771478
Modern Language Association (MLA)
Abd Allah, Zaynab Baqir& al-Jasim, Nada H.. Medical treatment of early missed miscarriage and an embryonic pregnancies : a prospective study of outpatient management using misoprostol alone. Basrah Journal of Surgery Vol. 22, no. 2 (Dec. 2016), pp.100-104.
https://search.emarefa.net/detail/BIM-771478
American Medical Association (AMA)
Abd Allah, Zaynab Baqir& al-Jasim, Nada H.. Medical treatment of early missed miscarriage and an embryonic pregnancies : a prospective study of outpatient management using misoprostol alone. Basrah Journal of Surgery. 2016. Vol. 22, no. 2, pp.100-104.
https://search.emarefa.net/detail/BIM-771478
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 104
Record ID
BIM-771478