Miscarriage
Conditions
Brief summary
Medical abortion using multiple vs single daily dose of misoprostol in first trimester miscarriage.
Interventions
Misoprostol
Sponsors
Study design
Eligibility
Inclusion criteria
* Maternal age more than 18 years old (age of legal consent). * Gestational age less than 13 weeks. * Hemoglobin \>10 g/dL. * BMI between 25 kg/m2 and 35 kg/m2. * Missed abortion. * Living fetus with multiple congenital malformations incompatible with life.
Exclusion criteria
* Maternal age less than 18 years old. * Gestational age more than 12 weeks. * Hemoglobin \<10 g/dL. * Anencephaly. * Fibroid uterus. * BMI less than 25kg/m2 and more than 35kg/m2. * Coagulopathy. * History or evidence of adrenal pathology. * Previous attempts for induction of abortion in the current pregnancy. * Allergy to misoprostol or letrozole. * Medical disorder that contraindicate induction of abortion (e.g. heart failure).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete miscarriage | one week | Assessed by trans-vaginal ultrasound where endometrial thickness less than 15 mm is considered complete miscarriage |
Countries
Egypt