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Study aim
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Comparison of the effect of vaginal mizemprostol and evening primrose oil in terminating pregnancy in the first trimester of pregnancy up to 14 weeks
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Design
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Clinical trial, with parallel groups, simple randomized, on 72 patients.
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Settings and conduct
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First, to all pregnant patients who refer to Shahid Beheshti Hospital for termination of pregnancy in the first trimester to 14 weeks and are candidates for termination of pregnancy due to Legal Abortion, Missed Abortion, Heart failure, Genetic anomalies. Complete explanations on how to perform them for the patient. It is explained, then the patient's consent to work is obtained, which is attached to the file.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria:
Pregnant women go to Beheshti Hospital for up to 14 weeks to terminate their pregnancy for the reasons mentioned.
Exclusion criteria:
Uncontrolled seizures, uncontrolled blood pressure, chronic lung disease, mitral valve stenosis, history of known prostaglandin E1 allergy
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Intervention groups
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Vaginal misoprostol and vaginal evening primrose oil are divided into two groups. To a group of prostaglandin E1 (misoprostol) made in Iran, the active ingredient of which is 200 micrograms. Initial dose Initially 600 micrograms (three pills 200 micrograms) The next doses, if needed at intervals of 6 hours, repeat two vaginal pills with a maximum dose of 6 pills.
To the second group, 1000 mg vaginal capsule of evening primrose oil in the posterior fornix of the vagina, which is repeated 1000 mg six hours later. Vaginal capsule of evening primrose from Barij company made in Iran
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Main outcome variables
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Number of misoprostol tablets prescribed and number of soft gels of evening primrose oil, uterine and fetal abnormalities, placental retention, time interval to excretion of products, fever complication