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Misoprostol for the treatment of early pregnancy failure

Doggrel, Sheila A. (2007). Misoprostol for the treatment of early pregnancy failure. Current Clinical Pharmacology,2(1).

Document type: Journal Article
Citation counts: Scopus Citation Count Cited 3 times in Scopus Article | Citations

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Title Misoprostol for the treatment of early pregnancy failure
Author Doggrel, Sheila A.
Journal Name Current Clinical Pharmacology
Publication Date 2007
Volume Number 2
Issue Number 1
ISSN 1574-8847   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-34248330463
Total Pages 9
Place of Publication Netherlands
Publisher Bentham Science Publishers Ltd.
Field of Research 1115 - Pharmacology and Pharmaceutical Sciences
Abstract Nearly 20% of all pregnancies end in early pregnancy failure, and surgical evacuation of retained products of conception is often used to manage this failure. Misoprostol is an inexpensive, stable analog of prostaglandin E1, and is powerful at contracting the uterus. With intravaginal misoprostol, the peak plasma levels are lower, but the levels after 4 hours are higher, than after oral or sublingual administration. With oral misoprostol, the evacuation rates in early pregnancy varied from about 50% up to 96%. Similar variation in evacuation rates were obtained from small trials with intravaginal misoprostol. To date, only small studies have used sublingual misoprostol, and there has been no direct comparison to oral or intravaginal misoprostol. A recent large clinical trial has shown, that with intravaginal misoprostol 800 μg, an expulsion rate of 84% can be achieved by 8 days. This large trial also established that women prefer misoprostol to surgical evacuation. Two economic evaluations have shown that misoprostol treatment is less costly than surgical intervention. On the basis of recent findings, it seems likely that misoprostol treatment will become a standard or preferred treatment for early pregnancy failure.
Keywords Early pregnancy failure
Intravaginal
Misoprostol
Missed abortion
Oral
Surgical evacuation
DOI http://dx.doi.org/10.2174/157488407779422267   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Fri, 29 Aug 2014, 18:33:49 CST by Anthony Hornby