Association between uterine position and transvaginal misoprostol treatment for early pregnancy failure

作者：Chill Henry H.^*; Malyanker Nirit; Karavani Gilad; Haj-Yahya Rani; Herzberg Shmuel; Bahar Raz; Shveiky David; Dior Uri P.

来源：Journal of Obstetrics and Gynaecology Research, 2018, 44(2): 248-252.

DOI：10.1111/jog.13512

• family planning
• misoprostol
• pregnancy loss
• uterine position

AimWe aimed to determine the importance of uterine position as a predicting factor of success rate in medically treated early pregnancy failure (EPF).
MethodsWe carried out a retrospective cohort study at the Obstetrics and Gynecology Department of a tertiary medical center between January 2011 and June 2012. We included women diagnosed with EPF, which we defined as women diagnosed with missed abortion up to 13 gestational weeks. Patients were treated with one or two doses of 800g of misoprostol vaginally in accordance with the department's protocol. Demographic, clinical, and treatment success data were collected from patient electronic records.
ResultsA total of 255 women were included in our study. The success rate after treatment with misoprostol for the anterior uterine group was 78.7% as compared to the non-anterior uterine group, which achieved a success rate of 88.1%. This difference was not statistically significant (P=0.180). In a multivariate analysis comparing patients for whom treatment with misoprostol was successful as opposed to patients for whom treatment failed, only embryonic sac size showed a statistically significant difference, measuring shorter in the success group.
ConclusionUterine position has no effect on success rate of misoprostol treatment for EPF.

• 出版日期2018-2