Abortion, Induced Clinical Trial
Official title:
Cervical Priming Before Dilation & Evacuation: a Randomized Controlled Trial
The purpose of this study is to compare the efficacy of buccal misoprostol cervical priming to laminaria priming among women undergoing D&E at 13-20 weeks gestation in the Western Cape Province, South Africa
As misoprostol is increasingly being used for cervical preparation, concerns about its use
and about the proportion of women expelling the fetus prior to the D&E and other side
effects mean that rigorous data on possible advantages of osmotic dilators are needed. To
address this gap in the literature, we propose to perform an RCT comparing two methods of
cervical preparation prior to D&E:
1. Misoprostol 400 mcg administered buccally approximately 3-6 hours prior to D&E,
repeated once 3 hours after the first dose (a modified version of the current protocol)
2. Laminaria tents inserted into the cervix 18 to 24 hours prior to D&E
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Treatment
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