This study compares the success rate of letrozole and misoprostol versus misoprostol alone for medical termination of first trimester pregnancy.
According to the American college of obstetricians and gynecologists (2005), medical abortion is an acceptable alternative for surgical procedures in pregnant women with gestational age of less than 49 days based on the last menstrual period Oral or vaginal misoprostol causes complete abortion in almost 85% of cases within seven days before the 12th week letrozole administration with misoprostol raises the rate of complete abortion Hypothesis: In women with missed miscarriage in the first trimester undergoing induction of abortion pre-treatment with letrozole before misoprostol may lead to abortion rate similar to misoprostol alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
80
total dose 7.5 mg per day for 3 days
Folic acid for 3 days
Misoprosrol 800mcg will be given to all patients for induction of abortion
Ain Shams University, Maternity Hospital
Cairo, Egypt
RECRUITINGIncidence of complete miscarriage
Time frame: 6 hours
Need for surgical evacuation of the products of conception
Time frame: 6 hours
Incidence of Septic Abortion
Time frame: 1 week
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