Evidence map›Paper›PMID 37798748›Full record

Trial reportBMC research notes2023

A comparison of misoprostol with and without methylergometrine and oxytocin in outpatient medical abortion: a phase III randomized controlled trial.

Athar Rasekh Jahromi, Vahid Rahmanian, Hajar Taghizadeh, Zahra Zareibabaarabi

Open access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in BMC research notes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Athar Rasekh JahromiObstetrics and Gynecologist, Departments of Obstetrics and Gynecology, Jahrom University of Medical Sciences, Jahrom, Iran.ORCID http://orcid.org/0000-0003-0322-239X
Vahid RahmanianDepartment of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran. vahid.rahmani1392@gmail.com.ORCID http://orcid.org/0000-0003-3460-7495
Hajar TaghizadehObstetrics and Gynecologist, Departments of Obstetrics and Gynecology, Jahrom University of Medical Sciences, Jahrom, Iran.ORCID http://orcid.org/0000-0002-8743-9934
Zahra ZareibabaarabiResearch Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.ORCID http://orcid.org/0000-0002-1521-1172
Jahrom University · IRJahrom University of Medical Sciences · IRTorbat Heydarieh University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe complications associated with miscarriages have surfaced as a major concern in maintaining women's physical and mental health. The present study evaluated the efficacy of three medication regimes for the complete expulsion of retained intrauterine tissues in patients who underwent a miscarriage.

methodsIn this randomized clinical trial, 90 patients participated with their gestational age below 12 weeks, each having undergone a recent miscarriage. After being screened for underlying diseases and coagulative blood disorders, they were randomly allocated into three groups. For the first group, labeled as the control group, misoprostol was administered alone. In contrast, the combination of misoprostol plus methylergometrine and misoprostol plus oxytocin was prescribed for the second and third groups, respectively. Further, the data obtained were analyzed by descriptive and inferential statistics using Stata software version 14.

resultsThe mean age of participants and gestational age were 29.76 ± 5.53 years and 8.23 ± 2.29 weeks, respectively. There was no significant difference between the three treatment groups regarding the amount of bleeding after the abortion(P = 0.627). Regarding pain severity, the group that received Misoprostol plus Methylergometrine had less pain intensity than the other two groups(p = 0.004). The mean rate of RPOC expulsion was in the Misoprostol plus Oxytocin (9.68 ± 10.36) group, Misoprostol plus Methylergometrine (11.73 ± 12.86), and Misoprostol groups (19.07 ± 14.31)(p = 0.013). The success rate in outpatient medical abortion in the misoprostol plus oxytocin and misoprostol plus methylergonovine group was 93.33%, but in patients treated by misoprostol alone was 83.33%.

conclusionThe effectiveness of the drugs in the two drug groups combined with oxytocin and methylergometrine is higher than the misoprostol group alone. An outpatient approach was deemed more satisfactory against surgical maneuvers and hospitalizations by patients since family support influenced their pain coping mechanism.

trial registrationThe trial was registered in the Iranian registry of clinical trials on 04/10/2019. ( https://fa.irct.ir/trial/34519 ; registration number: IRCT20150407021653N19).

Indexed as

Abortion, InducedAbortion, SpontaneousMethylergonovineMisoprostolOxytocicsAdultFemaleHumansInfantIranOutpatientsOxytocinPregnancyYoung AdultMethylergonovineMisoprostolOxytocicsOxytocinAmbulatory careClinical trialFirst TrimesterMiscarriage

Identifiers

PMID37798748
PMCPMC10557307
OpenAlexW4387389279

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.