Effectiveness of Misoprostol for Induction of First-Trimester Miscarriages Experience at a single tertiary care centre in Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 4
Abstract
Objectives: Non-invasive methods of inducing a miscarriage are now considered an effective alternative to surgical evacuation (dilatation and curettage). Tis study aimed to evaluate the effectiveness of misoprostol in the termination of frst-trimester miscarriages. Methods: Tis prospective study was conducted between October 2009 and September 2010 and assessed all patients admitted to the Royal Hospital in Muscat, Oman, for the termination of frst-trimester miscarriages during the study period. All patients received misoprostol and the rates of successful termination were measured. Patient satisfaction was assessed using a short questionnaire. Results: A total of 290 women were included in the study. Termination with misoprostol was successful in 61.38% of the subjects. Of the remaining subjects requiring additional surgical evacuation (n = 112), 58.93% required evacuation due to failed termination with misoprostol and 65.18% underwent early evacuation (≤24 hours since their last misoprostol dose). Te majority of patients experienced no side-effects due to misoprostol (89.66%). Pain was controlled with simple analgesics in 70.00% of the subjects. A high satisfaction rate (94.83%) with the misoprostol treatment was reported. Conclusion: Misoprostol was a well-tolerated drug which reduced the rate of surgical evacuation among the study subjects. Tis medication can therefore be used safely in the management of incomplete miscarriages.
Authors and Affiliations
Qamariya Ambusaidi | Department of Obstetrics & Gynaecology, Royal Hospital, Muscat, Oman, Anita Zutshi| Department of Obstetrics & Gynaecology, Royal Hospital, Muscat, Oman
Frequency of Uterine Malformation among Women in a Restricted Gene Pool Community A retrospective cross-sectional study in La Crete, Canada
Objective: Tis random retrospective cross-sectional study was done to determine the incidence of uterine malformation in 4 groups of women desiring to conceive during their reproductive years, all of them living in La Cr...
Epidemiology of Diabetes Mellitus in Oman Results from two decades of research
Objectives: Tis study aimed to describe the epidemiology of diabetes mellitus over the past two decades in Oman, particularly in terms of its prevalence and incidence. In addition, the study sought to estimate the futu...
Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer
Nasogastric tubes (NGTs) are important for feeding, stenting and decompression after gastrointestinal surgeries, particularly in the upper gastrointestinal tract. Resistance in the removal of a NGT is a rare surgical c...
Privatisation of Medical Education Viewpoints with a global perspective
A Ten year-old Girl with Band Heterotopia or Double Cortex (two brains)