Pilot study on the use of sublingual misoprostol in termination of pregnancy up to 7 weeks gestation.

Abstract:

BACKGROUND:This study was conducted to assess the efficacy and incidence of side effects of a regimen of repeated doses of 400 microg sublingual misoprostol for termination of pregnancy of <7 weeks gestation. METHOD:Fifty women were given 400 microg sublingual misoprostol every 3 h for three doses. Two additional doses were given if necessary. RESULTS:Forty-three women (86%) had a complete abortion. Two women (4%) had incomplete abortion and 5 (10%) had an ongoing pregnancy. The median interval between the first dose of misoprostol and the passage of tissue mass was 14.1 h (3.25-561.6 h). The median duration of vaginal bleeding was 20 days (8-85 days). Side effects were mild and there was no significant drop in hemoglobin level. CONCLUSIONS:Our preliminary results on sublingual misoprostol show that it is a promising method for medical termination of pregnancy of <7 weeks. It may be used as an alternative for women who do not want surgical evacuation and who live in an area where mifepristone is not available.

journal_name

Contraception

journal_title

Contraception

authors

Cheung W,Tang OS,Lee SW,Ho PC

doi

10.1016/s0010-7824(03)00134-3

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

97-9

issue

2

eissn

0010-7824

issn

1879-0518

pii

S0010782403001343

journal_volume

68

pub_type

临床试验,杂志文章
  • Controversies in family planning: intrauterine device placement in solid organ transplant patients.

    abstract::With an ever-increasing number of reproductive-aged women undergoing solid organ transplant and fertility improving after transplant, knowledge of the safety and efficacy of various contraceptive methods is essential to guide patient selection. We present the case of a 22-year-old patient desiring an intrauterine devi...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2019.05.012

    authors: Gordon C,Harken T

    更新日期:2019-09-01 00:00:00

  • A comparison of tamoxifen and misoprostol to misoprostol alone for early pregnancy termination.

    abstract::A study was undertaken to determine whether the combination of oral tamoxifen and moistened misoprostol administered vaginally was superior to that of placebo and moistened misoprostol administered vaginally for elective termination of early pregnancies.A clinical trial was conducted with a study group of 150 healthy ...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0010-7824(99)00105-5

    authors: Jain JK,Meckstroth KR,Park M,Mishell DR Jr

    更新日期:1999-12-01 00:00:00

  • Safety of intrauterine devices among women with HIV: a systematic review.

    abstract:BACKGROUND:Use of highly effective contraception among women living with HIV is critical to prevent unintended pregnancy and subsequent risk of maternal complications and perinatal HIV transmission. However, it is not known whether use of intrauterine devices (IUDs) among women with advanced HIV disease poses an increa...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2016.06.011

    authors: Tepper NK,Curtis KM,Nanda K,Jamieson DJ

    更新日期:2016-12-01 00:00:00

  • Performance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test.

    abstract:OBJECTIVE:Our objective was to measure the sensitivity and specificity of a six-item "pregnancy checklist" at excluding early- or luteal-phase pregnancy among women with a negative urine pregnancy test who were initiating contraception. STUDY DESIGN:This was a secondary analysis of the Contraceptive CHOICE Project, a ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2014.08.002

    authors: Min J,Buckel C,Secura GM,Peipert JF,Madden T

    更新日期:2015-01-01 00:00:00

  • Flowers of Hibiscus rosa-sinensis, a potential source of contragestative agent: II. Possible mode of action with reference to anti-implantation effect of the benzene extract.

    abstract::Benzene extractives of Hibiscus rosa-sinensis flowers, administered during day 1-4 of gestation, exerted anti-implantation effect without affecting the tubal transport of zygote. On day 4, normal number of blastocyst was present in the uterus but they did not implant. However, as studied by pontamine blue reaction, it...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(85)90021-6

    authors: Pal AK,Bhattacharya K,Kabir SN,Pakrashi A

    更新日期:1985-11-01 00:00:00

  • Bleeding patterns with the levonorgestrel-releasing intrauterine system when used for heavy menstrual bleeding in women without structural pelvic pathology: a pooled analysis of randomized controlled studies.

    abstract:BACKGROUND:The study was conducted to characterize the changes in bleeding pattern over time in women receiving the levonorgestrel-releasing intrauterine system (LNG-IUS) for heavy menstrual bleeding (HMB). The reduction in menstrual blood loss volume has been well documented elsewhere. STUDY DESIGN:Post hoc pooled an...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2012.08.022

    authors: Jensen J,Mansour D,Lukkari-Lax E,Inki P,Burock K,Fraser IS

    更新日期:2013-01-01 00:00:00

  • Elevated blood pressure following LHRH antagonists in rats.

    abstract::LHRH and three potent antagonistic analogs: z-[Gln1, des-His2,D-Pse6,des-Gly10]-LHRH ethylamide, where D-Pse = threo-D-phenylserine; z-[Gln1,des-His2,D-Phe6,des-Gly10]-LHRH ethylamide; and Boc-[Ser(Bzl)1,des-His2,D-Trp6]-LHRH; were studied for their effects on blood pressure and heart rate in chronically catheterized ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(82)90096-8

    authors: Smith RD,Edgren RA

    更新日期:1982-04-01 00:00:00

  • Follicular development in a 7-day versus 4-day hormone-free interval with an oral contraceptive containing 20 mcg ethinyl estradiol and 1 mg norethindrone acetate.

    abstract:BACKGROUND:Combined oral contraceptive (COC) formulations with 20 mcg ethinyl estradiol (EE) have a greater incidence of ovarian hormone production and follicular development, which can be managed by shortening the number of hormone-free days per COC cycle. This study evaluates differences in follicular development dur...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2008.10.005

    authors: Rible RD,Taylor D,Wilson ML,Stanczyk FZ,Mishell DR Jr

    更新日期:2009-03-01 00:00:00

  • Release of 19-nor-testosterone type of contraceptive steroids through different drug delivery systems into serum and breast milk of lactating women.

    abstract::The release of contraceptive steroids through different drug delivery systems into serum and breast milk was investigated in a group of lactating women. Four women in each group were taking either a low dosage progestogen compound like norethisterone (NET) 350 micrograms or d-norgestrel (d-Ng) 50 micrograms alone or l...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(80)90002-5

    authors: Toddywalla VS,Mehta S,Virkar KD,Saxena BN

    更新日期:1980-03-01 00:00:00

  • Weight change with oral contraceptive use and during the menstrual cycle. Results of daily measurements.

    abstract::Although weight gain is among the most common complaints of women using oral contraceptives (OC) and a frequent reason for discontinuation, studies demonstrate little basis for this perception. We explored this issue by analyzing the daily weights of 128 women during four cycles of triphasic OC use. The mean weight at...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0010-7824(98)00127-9

    authors: Rosenberg M

    更新日期:1998-12-01 00:00:00

  • Assessment of contraceptive use in Puerto Rico during the 2016 Zika virus outbreak.

    abstract:OBJECTIVES:The objectives of this analysis were to 1) estimate prevalence of contraceptive use among women at risk for unintended pregnancy and 2) identify correlates of contraceptive use among women with ongoing or potential need for contraceptive services in Puerto Rico during the 2016 Zika virus (ZIKV) outbreak. ST...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2020.03.001

    authors: Ellington SR,Rodriguez RS,Goldberg H,Bertolli J,Simeone RM,Mercado AS,Pazol K,Jamieson DJ,Honein MA,Swartzendruber A,Miles T,Cordero JF,Shapiro-Mendoza CK

    更新日期:2020-06-01 00:00:00

  • Endometrial safety of a novel monophasic combined oral contraceptive containing 0.02 mg ethinylestradiol and 2 mg chlormadinone acetate administered in a 24/4-day regimen over six cycles.

    abstract:BACKGROUND:This study was conducted to examine whether small doses of ethinylestradiol (EE, 0.02 mg) and chlormadinone acetate (CMA, 2 mg) administered in a novel 24/4-day regimen during six cycles would suffice to suppress proliferation and to cause secretory changes in the endometrium. STUDY DESIGN:This Phase II, ra...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2010.04.013

    authors: Rabe T,Hartschuh E,Wahlstrom T,Höschen K,König S

    更新日期:2010-10-01 00:00:00

  • The effects of Implanon on lipid metabolism in comparison with Norplant.

    abstract::This open, randomized study was intended to assess the effects of the new single-rod contraceptive implant (Implanon) containing etonogestrel on lipid metabolism in Indonesian women, in comparison with the six-rod implant Norplant, containing levonorgestrel. The effects of both products were compared with a control gr...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验,收录出版

    doi:10.1016/s0010-7824(99)00099-2

    authors: Suherman SK,Affandi B,Korver T

    更新日期:1999-11-01 00:00:00

  • Use of a radioreceptor test for HCG in women practicing contraception.

    abstract::The importance of a simple, rapid and highly sensitive test for the diagnosis of early pregnancy cannot be overemphasized. In the present times when newer delivery systems of contraceptive agents and menstrual regulation procedures are increasingly used for fertility regulation, it is inevitable that confirmation of e...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(78)90039-2

    authors: Shahani SM,Kulkarni PP,Patel KL

    更新日期:1978-11-01 00:00:00

  • Gender, relationship type and contraceptive use at first intercourse.

    abstract:BACKGROUND:Most of the sexually transmitted infection prevention programs fail to attend to the relationship type of individuals at first sexual intercourse and how it influences contraceptive behavior. STUDY DESIGN:A national sample of adolescents (3084 females and 2745 for males) was analyzed to determine the associ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2012.09.030

    authors: Gibbs L

    更新日期:2013-06-01 00:00:00

  • Medication Abortion Up to 70 Days of Gestation.

    abstract::Medication abortion, also referred to as medical abortion, is a safe and effective method of providing abortion. Medication abortion involves the use of medicines rather than uterine aspiration to induce an abortion. The U.S. Food and Drug Administration (FDA)-approved medication abortion regimen includes mifepristone...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2020.08.004

    authors: Practice Bulletins—Gynecology, the Society of Family Planning.

    更新日期:2020-10-01 00:00:00

  • Analysis of anti-implantational action of norethisterone-3-oxime.

    abstract::Mature rabbits received norethisterone-3-oxime (NETO) 2 mg/kg/day from day 2 through day 4 of pregnancy by gavage. Control rabbits were given vehicle. All animals were sacrificed on day 5. The oviducts were removed and sections stained with HE. Morphological changes were evaluated. The outer and inner diameters of tub...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(87)90040-0

    authors: Li QG,Li DZ

    更新日期:1987-12-01 00:00:00

  • The management of unacceptable bleeding patterns in etonogestrel-releasing contraceptive implant users.

    abstract::The aim of this guidance is to review the management of unacceptable vaginal bleeding patterns in etonogestrel (ENG)-releasing contraceptive implant users concentrating, where possible, on the evidence for pharmacological treatments and identifying a pragmatic approach where this is not possible. This article was deve...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2010.08.001

    authors: Mansour D,Bahamondes L,Critchley H,Darney P,Fraser IS

    更新日期:2011-03-01 00:00:00

  • Biological activity in the repopulating rat spermatocyte after the withdrawal of gossypol treatment. VI. Alteration in nuclear factors for interaction with histone gene promoter.

    abstract::This article reports the effects of gossypol at the genomic level in rat spermatogenic cells. After gossypol treatment for various times (8, 12, and 19 weeks), the spermatogonial cells were allowed to rest for 2 to 4 weeks. The function of histone H4 gene promoter (H4GP) in the repopulating pachytene spermatocytes (RP...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(95)00139-5

    authors: Teng CS,Yang NY,Chen Y

    更新日期:1995-08-01 00:00:00

  • Comparison of rates of and charges from pregnancy complications in users of extended and cyclic combined oral contraceptive (COC) regimens: a brief report.

    abstract:OBJECTIVE:To evaluate pregnancy complication rates and related charges in users of 84/7, 21/7 and 24/4 combined oral contraceptives (COCs). STUDY DESIGN:Data were obtained from the i3 InVision Data Mart™ retrospective claims database. Subjects were aged 15-40 years, first prescribed a COC between 1/1/2006 and 4/1/2011...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2013.12.006

    authors: Howard B,Trussell J,Grubb E,Lage MJ

    更新日期:2014-05-01 00:00:00

  • Women's perceptions and treatment patterns related to contraception: results of a survey of US women.

    abstract:OBJECTIVES:The aim of this survey was to understand US women's contraception journey from her first prescribed method to her current one including reasons for choosing and stopping/switching methods, healthcare provider relationships, and bleeding preferences. STUDY DESIGN:We administered a nationally-representative, ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2017.09.010

    authors: Nelson AL,Cohen S,Galitsky A,Hathaway M,Kappus D,Kerolous M,Patel K,Dominguez L

    更新日期:2018-03-01 00:00:00

  • Latex rubber condoms: predicting and extending shelf life.

    abstract::Condoms from five manufacturers were subjected to controlled exposures of heat, humidity, and air and to different natural environments in five countries. Under aerobic conditions (condoms in permeable packages or unpackaged), stress properties declined. The relationship between rate of decline as a function of temper...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(96)00041-8

    authors: Free MJ,Srisamang V,Vail J,Mercer D,Kotz R,Marlowe DE

    更新日期:1996-04-01 00:00:00

  • An initial pharmacokinetic study with a Metered Dose Transdermal Systemfor delivery of the progestogen Nestorone as a possible future contraceptive.

    abstract:BACKGROUND:Transdermal delivery of steroids is gaining popularity for contraception and hormone replacement therapy. This study aimed to test metered spray delivery of a precise dosage of Nestorone (NES) progestogen as a possible transdermal progestogen-only contraceptive. STUDY DESIGN:Six healthy postmenopausal volun...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2007.08.006

    authors: Fraser IS,Weisberg E,Kumar N,Kumar S,Humberstone AJ,McCrossin L,Shaw D,Tsong YY,Sitruk-Ware R

    更新日期:2007-12-01 00:00:00

  • Safety of quinacrine contraceptive pellets: results from 10-year follow-up in Vietnam.

    abstract:BACKGROUND:This study was conducted to evaluate long-term safety of quinacrine pellets for nonsurgical sterilization among women in Vietnam. STUDY DESIGN:Observational cohort study of 2735 women who had quinacrine insertions between 1989 and 1993 compared to 1623 women who received an intrauterine device (IUD). RESUL...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2008.02.011

    authors: Sokal DC,Hieu do T,Loan ND,Hubacher D,Nanda K,Weiner DH,Vach TH

    更新日期:2008-07-01 00:00:00

  • Inhibition of luteal phase progesterone levels in the rhesus monkey by epostane.

    abstract::This study examined the effect of epostane, a new antifertility drug, on normal and hCG-stimulated progesterone production during the luteal phase of the menstrual cycle in rhesus monkeys. When administered once each day for five days, epostane inhibited normal luteal phase progesterone levels in a dose-related fashio...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(85)90083-6

    authors: Snyder BW,Schane HP

    更新日期:1985-05-01 00:00:00

  • Reference value of semen quality in Chinese young men.

    abstract::The purpose of the study was to evaluate semen quality in young Chinese men and to establish reference values. Normal healthy young men from seven geographical areas were enrolled. The study showed that the mean sperm volume was 2.61 mL, and mean percent of sperm with forward progression was 59.89, while median of sem...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(02)00281-0

    authors: Junqing W,Qiuying Y,Jianguo T,Wei Y,Liwei B,Yuxian L,Yumei Z,Kangshou Y,Weiqun L,Lu C,Ersheng G

    更新日期:2002-05-01 00:00:00

  • Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai.

    abstract:BACKGROUND:Rural-to-urban migrant women in Shanghai have poor reproductive health; the incidence of postpartum unintended pregnancy and contraceptive practices has not been adequately studied in this population. STUDY DESIGN:This retrospective study examined the incidence of postpartum unintended pregnancy and associa...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2012.05.007

    authors: Huang YM,Merkatz R,Kang JZ,Roberts K,Hu XY,Di Donato F,Sitruk-Ware R,Cheng LN

    更新日期:2012-12-01 00:00:00

  • Serum levels of 3-keto-desogestrel after oral administration of desogestrel and 3-keto-desogestrel.

    abstract::In a cross-over study with orally administered desogestrel (0.150 mg) plus ethinyloestradiol (0.030 mg) and 3-keto-desogestrel (0.150 mg) plus ethinyloestradiol (0.030 mg) in ten women under steady-state conditions, the serum levels of 3-keto-desogestrel were monitored by radioimmunoassay. No statistically significant...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(86)90047-8

    authors: Hasenack HG,Bosch AM,Käär K

    更新日期:1986-06-01 00:00:00

  • Ovarian function, bleeding control and serum lipoproteins in women using contraceptive vaginal rings releasing five different progestins.

    abstract::Ovarian function, bleeding patterns and serum lipoproteins were studied in women using contraceptive vaginal rings (CVRs) of dimethyl-polysiloxane impregnated with steroids. The different CVRs were used for about 10 cycles each. The following groups were studied, with the daily steroid dosage given in parentheses. Wom...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(83)90033-1

    authors: Ahrén T,Victor A,Lithell H,Vessby B,Jackanicz TM,Johansson ED

    更新日期:1983-10-01 00:00:00

  • No relationship between the IUD position evaluated by ultrasound and complaints of bleeding and pain.

    abstract::The objectives of this study were to define the "normal" position of the T-shaped intrauterine device (IUD) in the endometrial cavity, using transvaginal ultrasound, and to compare the IUD's position in women with and without complaints of bleeding and/or pain. Vaginal ultrasound was carried out in women who had used ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(97)00072-3

    authors: Faúndes D,Bahamondes L,Faúndes A,Petta C,Díaz J,Marchi N

    更新日期:1997-07-01 00:00:00