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. 2016 Aug 23;294(6):1265–1272. doi: 10.1007/s00404-016-4179-6

Table 1.

Protocols in the literature

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