Second Trimester Abortion Clinical Trial
Official title:
Measuring Response of Adding Isosorbide Mononitrate to Misoprostol in Induction of Second Trimester Abortion
the investigators aimed to study the efficacy and safety of nitric oxide donors when combined
with prostaglandins in induction of second trimester abortion expecting that both drugs when
used together will be of greater efficiency and associated with less side effects.
the study included 60 women with gestational age between 13weeks+0day and 26weeks+6days
indicated for pregnancy termination due to maternal or fetal cause.
the study aimed to compare the effect of isosorbid mononitrate when combined with misoprostol
and misoprostol when used alone in second trimester abortion, expecting that both drugs when
used together will be more effective and associated with fewer side effects.
In this study 60 women were enrolled, divided into two groups. The first group (group I), 30
women received misoprostol and isosorbid mononitrate.
The second group (group II), 30 women received misoprostol and placebo. The primary aim of
the study was the occurrence of complete abortion in the first 24 hours.
The study concluded that the combination of isosorbid mononitrate with misoprostol is more
effective in second trimester abortion than misoprostol with placebo, but is associated with
more side effects mainly headache.
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