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. 2011 Nov 9;2011(11):CD002855. doi: 10.1002/14651858.CD002855.pub4

Wiebe 2004.

Methods computer generated random list; sealed opaque envelopes
Participants 309 women at </=7 weeks of gestation confirmed by ultrasound; average age 27 years; average gestational age 42 days. Exclusion criteria: haemoglobin<9.5 g/L, seizure disease ,active liver disease, renal insufficiency, allergy/ intolerance to study medication.
Study conducted at University of British Colombia, Canada
Interventions methotrexate 50 mg/m2 followed 72‐ 144 hours later by:
group 1: misoprostol 600mcg buccal (insert between their cheeks and leave for 1 h)
group2: misoprostol 600mcg vaginal
both groups instructed to repeat the dose 24 hours later if no heavy bleeding had occurred
Outcomes successful abortion; side‐effects; acceptability
Notes women with ongoing pregnancy at day 8 follow‐up received 1‐2 more doses of misoprostol
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ adequate