Medical abortion at first trimester of pregnancy with misoprostol.
OBJECTIVE
To evaluate the efficacy of medical abortion at first trimester of pregnancy with vaginal misoprostol.


METHODS
This is a descriptive analytic study. It was performed on 100 women at first trimester of pregnancy referred to teaching hospitals related to the Medical Sciences of Mashhad University, Mashhad, Iran for termination of pregnancy in 2006. Each patient received first dose of misoprostol (800 microg/vaginal), the second dose (800 microg/vaginal) was administered 24 hours after the first dose if expulsion of conceptus was not successful and curettage was performed if product of conception remained.


RESULTS
From 100 patients, 83 women (83%) had successful complete abortion, and 17 cases required curettage. Among them, pregnancy was terminated in 55 (62%) with first dose of misoprostol and 28 (34%) of them required second dose. No important side-effects were noted due to vaginal misoprostol treatment.


CONCLUSIONS
Termination of pregnancy by medical methods at first trimester of pregnancy with vaginal misoprostol is safe, cost effective, and without side-effects.
Ayati
Sedigheh
S
Department of Obstetrics and Gynecology, Women's Health Researches Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Roudsari
Fatemeh V
FV
Khadem
Naiereh
N
Shakeri
Mohamad T
MT
D000020:Abortifacient Agents, Nonsteroidal; D000028:Abortion, Induced / Q000379:methods*; D005260:Female; D006801:Humans; D016595:Misoprostol; D011247:Pregnancy; D011261:Pregnancy Trimester, First
D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol