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. 2011 Jan 19;2011(1):CD005216. doi: 10.1002/14651858.CD005216.pub2

Kelekci 2006.

Methods Patients were randomised to one of four treatment groups by a series of computer‐generated random numbers.
Participants 178 pregnant women (group I: 93, group II: 85)
Inclusion criteria: genetic indications, 13‐24 weeks gestation.
Exclusion criteria: previous uterine scar, pulmonary, hepatic, renal or cardiovascular disease, intrauterine death, vaginal bleeding, uterine contractions, any signs of cervical dilatation, a Bishop score of 4, vaginal infection, a discrepancy of 2 weeks between the gestational age determined by last menstrual period and ultrasonographic gestational age
Interventions Group I: 200 μg misoprostol, vaginally, followed by 100 μg of oral misoprostol every 4 hour for 24 hrs.
Group II: extra‐amniotic ethacridine lactate, 10 ml instilled per gestational week, to a maximum of 200 ml.
Group III: combination of misoprostol and oxytocin. 200 μg misoprostol, vaginally, followed by 100 μg of oral misoprostol every 4 hour for 24 hrs. An initial dose of 6 mU/min oxytocin was given, followed by additional 6 mU/min doses every 20 min.
Group IV: combination of ethacridine lactate and oxytocin. Ethacridine lactate was given extra‐amniotic, 10 ml instilled per gestational week, to a maximum of 200 ml. Oxytocin was administered in a similar way as in group III.
For analyses, we did not include group III and IV.
Outcomes Time to induce abortion, success/failure rates, side‐effects and complications.
Notes Definition of abortion: complete evacuation of fetal and placental tissues within 24 h of the initiation of medical abortion.
14 cases of endometritis and 20 cases of incomplete abortions were described.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk B ‐unclear
Blinding? 
 All outcomes High risk  
Free of other bias? Low risk No statistically significant differences between the groups in terms of maternal age, gestational age and parity.