Literature DB >> 24757336

Pre-induction with Mifepristone for Second Trimester Termination of Pregnancy.

Kranti K Kulkarni1.   

Abstract

OBJECTIVE: To study the efficacy and safety of combining mifepristone before misoprostol use in second trimester to considerably reduce the induction-abortion interval with the lowest possible dose and adverse reaction.
MATERIAL AND METHODS: A prospective study was conducted which included 60 patients visiting the antenatal OPD for elective abortions between 13 and 20 weeks of gestation as per the MTP act. They were randomly divided into two groups of 30 each-the study group received mifepristone 200 mg orally before misoprostol, whereas the control group was induced with misoprostol alone. The results were analyzed. OBSERVATION: Statistical analysis of the study was done using χ(2) test. The induction-abortion interval was significantly shorter in the study group, thereby decreasing the side-effects of the drug as well as duration of hospital stay.
CONCLUSION: This study, like many others, offers a reliable, safe, and cost-effective option by combining mifepristone before misoprostol to decrease the induction-abortion interval.

Entities:  

Keywords:  Mifepristone; Misoprostol; Second trimester abortion; Termination of pregnancy

Year:  2013        PMID: 24757336      PMCID: PMC3984646          DOI: 10.1007/s13224-013-0472-5

Source DB:  PubMed          Journal:  J Obstet Gynaecol India        ISSN: 0975-6434


  4 in total

1.  Misoprostol vs mifepristone and misoprostol in second trimester termination of pregnancy.

Authors:  Tripti Nagaria; Namrata Sirmor
Journal:  J Obstet Gynaecol India       Date:  2012-02-14

2.  Induction of abortion in the second trimester by a combination of misoprostol and mifepristone: a randomized comparison between two misoprostol regimens.

Authors:  H el-Refaey; A Templeton
Journal:  Hum Reprod       Date:  1995-02       Impact factor: 6.918

3.  Uses of misoprostol in obstetrics and gynecology.

Authors:  Rebecca Allen; Barbara M O'Brien
Journal:  Rev Obstet Gynecol       Date:  2009

4.  A comparison of 600 and 200 mg mifepristone prior to second trimester abortion with the prostaglandin misoprostol.

Authors:  D Webster; G C Penney; A Templeton
Journal:  Br J Obstet Gynaecol       Date:  1996-07
  4 in total
  2 in total

1.  Clinical Outcomes and Women's Experiences before and after the Introduction of Mifepristone into Second-Trimester Medical Abortion Services in South Africa.

Authors:  Deborah Constant; Jane Harries; Thokozile Malaba; Landon Myer; Malika Patel; Gregory Petro; Daniel Grossman
Journal:  PLoS One       Date:  2016-09-01       Impact factor: 3.240

Review 2.  Medical regimens for abortion at 12 weeks and above: a systematic review and meta-analysis.

Authors:  Katherine Whitehouse; Ashley Brant; Marita Sporstol Fonhus; Antonella Lavelanet; Bela Ganatra
Journal:  Contracept X       Date:  2020-08-20
  2 in total

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