Pregnancy Trimester, Second Clinical Trial
Official title:
Dilapan-S With Adjunctive Misoprostol for Same-day Second Trimester Dilation and Evacuation: A Randomized Trial
Cervical preparation before second trimester dilation and evacuation (D&E) reduces risks and
complications. Osmotic cervical dilators as well as prostaglandin analogues have been
studied for cervical preparation. However, the optimal method for cervical preparation,
especially for D&E procedures that occur on the same day as cervical preparation, is not
known. This study will investigate misoprostol versus placebo as an adjunct to Dilapan-S for
cervical preparation for same-day D&E between 16+0 and 20+6 weeks gestation.
HYPOTHESIS: Administration of 400 µg buccal misoprostol compared to placebo at least 3 hours
prior to D&E as an adjunct to cervical preparation with Dilapan-S will decrease operative
time for same-day D&E performed between 16+0 and 20+6 weeks.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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