Table 1.
Study | Design | Mifepristone | Misoprostol | Success | Definition of success |
---|---|---|---|---|---|
Colleselli et al. [14] | Retrosp. N = 168 | 600 mg orally | 400 mcg orally, followed by 400 mcg vaginally in 4 h intervals, max. 2400 mcg | 61 % | Not standardized, Dependent on treating physician |
Van den Berg et al [10] | Retrosp. N = 301 | Group 1: 200 mg orally | Group 1: after 36 h 800 µg vaginally Group 2: 2 doses of 800 µg vaginally, time interval 24 h In both groups additional 800 µg vaginally if no bleeding or cramping after 24 h |
Group 1: 67 % Group 2: 55 % (statistically significant) |
Clinical signs, empty uterine cavity on ultrasound or hysteroscopy, absence of products of conception in histology |
Barcelo et al. [27] | Retrosp. N = 946 | – | 2 doses of 600 µg or 800 µg vaginally, time interval 24 h | 88/91 % | no gestational sac on ultrasound |
Kollitz et al. [13] | Retrosp. N = 123 | 200 mg orally | After 24 h 800 µg vaginally, if indicated additional dose after 7 days | 80/83 % | No presence of gestational sac and endometrial thickness <30 mm on ultrasound |
Stockheim et al. [16] | Prosp. N = 115 | Group 1: 600 mg orally | Group 1: after 48 h 800 µg orally Group 2: 2 doses of 800 µg orally, time interval 48 h |
Group 1: 66 % Group 2: 74 % |
No need for surgical intervention |
Schreiber et al. [12] | Prosp. N = 30 | 200 mg orally | After 24 h 800 µg vaginally, if indicated additional dose after 7 days | 90/93 % | Expulsion of gestational sac, no need for D&C |
Zhang et al. [30] | Prosp. N = 652 | – | 800 µg vaginally, if indicated additional dose after 48 h | 71/84 % | no need for surgical intervention within 30 days after initial treatment |
Grønlund et al [15] | Prosp. N = 176 | Group 1: 600 mg orally | 400 µg vaginally, if no bleeding after 2 h à 200 µg additionally (group 1: 48 h after mifepristone) | Group 1: 4 % Group 2: 71 % |
No need for surgical evacuation after medical treatment |
Retrosp. retrospective, prosp. prospective