Comparison of Laminaria and Misoprostol for Cervical Preparation Before Second Trimester Surgical Abortion

NCT ID: NCT01678703

Last Updated: 2012-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2010-06-30

Brief Summary

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This study compares the effectiveness of cervical preparation before second trimester abortion using laminaria versus vaginal Misoprostol.

The investigators hypothesize that medical preparation of the cervix with vaginal Misoprostol is superior to mechanical preparation using laminaria.

The investigators believe that medical preparation makes the procedure easier to perform, equally safe, without addition of pain or discomfort.

Detailed Description

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This is a prospective randomized study.

The aim of the study is to compare preparation of the cervix before surgical abortion with laminaria and misoprostol.

Primary outcome measures will include:

Initial cervical opening and the need for further dilatation at the procedure Procedure duration

Difficulty score performing the abortion

Complications during and after the procedure

Assessment of pain, using VAS scale, and the need for analgesia before and after the procedure

Conditions

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Induced; Abortion, Nonmedical

Keywords

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late abortion laminaria Misoprostol Cervical preparation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Laminaria group

Patients in this group will have cervical preparation with laminaria MedGyn Products, Inc. USA overnight the day before the abortion

Group Type ACTIVE_COMPARATOR

Laminaria, MedGyn Products, Inc. USA.

Intervention Type DEVICE

Insertion of Hygroscopic laminarias into the cervical canal for preparation prior to late surgical abortion. The number of laminarias is according to the cervical compliance.

Misoprostol group

Patients in this group will have cervical preparation with vaginal Misoprostol 600 mcg overnight the day before the abortion

Group Type ACTIVE_COMPARATOR

Misoprostol

Intervention Type DRUG

Cervical preparation with vaginal Misoprostol 600 mcg overnight the day before the abortion

Interventions

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Laminaria, MedGyn Products, Inc. USA.

Insertion of Hygroscopic laminarias into the cervical canal for preparation prior to late surgical abortion. The number of laminarias is according to the cervical compliance.

Intervention Type DEVICE

Misoprostol

Cervical preparation with vaginal Misoprostol 600 mcg overnight the day before the abortion

Intervention Type DRUG

Other Intervention Names

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laminaria tents Cytotec

Eligibility Criteria

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Inclusion Criteria

* Pregnant patients with a viable singleton
* Pregnancy 14-20 weeks of gestation
* Admitted for termination of pregnancy

Exclusion Criteria

* Contraindication for administration of Misoprostol
* Patients with more than one previous cesarean section scar
* Patients with impaired coagulation
* Significant pulmonary or cardiac disease
* Non viable pregnancy
* Placenta accreta or previa by ultrasound
Minimum Eligible Age

15 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Wolfson Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ron Sagiv, MD

Role: STUDY_DIRECTOR

Tel Aviv University, Sackler Medical School, Israel

Locations

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Edith Wolfson Medical Center

Holon, , Israel

Site Status

Countries

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Israel

Other Identifiers

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2trimabort.CTIL

Identifier Type: -

Identifier Source: org_study_id