Intact miscarriage which has not been expelled from the body (missed abortion)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with missed abortion with visible fetal structures without progress in time or stable or sinking levels of s-hcg, over 18 years of age and in good general health, opting for medical treatment and willing to participate in the study will be included. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 140 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patients with an empty gestational sac, more than a sparse ongoing bleeding or cervical dilation as signs of ongoing miscarriage, mental instability after the diagnosis or any contraindication to medical treatment such as bleeding disorder or contraindication to any medication given during medical treatment will be excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary obejctive of this study is to evaluate the efficacy of repeated doses of oral misoprostol after initial vaginal misoprostol for the medical treatment of missed abortion. The hypothesis is that treatment with repeated doses of misoprostol increases the proportion of patients who abort during the same day the treatment is administered. ;Secondary Objective: The secondary objectives are evaluation of efficacy, bleeding time and side effects at follow up after one, two, three and five weeks and to evaluate the acceptance of this treatment.;Primary end point(s): Expulsion of miscarriage on the same day as treament;Timepoint(s) of evaluation of this end point: same day as treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Length of bleeding, frequency of side effects, number of emergency visits;Timepoint(s) of evaluation of this end point: Follow up at 1,2,3 and 5 weeks | — |
Countries
Sweden
Contacts
Karolinska Institutet