Comparison between Intravenous and Intramuscular Administration of Prostaglandin E2 on Management of Missed Abortion

Background: to compare the efficacy of two routes of prostaglandin e2 administration (intravenousand intramuscular) for treatment of missed abortion this study was conducted. regarding the pilot casesof missed abortion admitted for termination of pregnancy intravenous administration of pge2 that hadhigher efficacy compare to intramuscular route, investigators designed this study.methods: in a randomized clinical trail, 50 women with confirmed missed abortion received 250-500μg prostaglandins e2 either intravenously or intramuscularly. evacuation time set from drug injection tocomplete empting of uterus. complete uterine evacuation was defined as empting of uterus from pregnancymaterials without the need for surgical intervention and partial evacuation defined as incompleteempting of uterus that need further surgical management. data were analyzed using spss, version 13.all the data extracted with a checklist and compare by descriptive statistics and x2 and t-tests.results: there was no statistically difference between the results of two administration routes. themean of evacuation time in intravenous administration routes was significantly lower in compare to intramuscularadministration routes (p< 0.5). there was no statistically significant difference in thedemographic data in two groups.conclusions: there was no preference between two administration routes except for evacuation timethat occurred more rapidly in intravenous administration of pg e2.