Early pregnancy loss : pretreat with mifepristone?

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Early pregnancy loss : pretreat with mifepristone? Yes. While medical management of early pregnancy loss with misoprostol frequently results in treatment failure, pretreating with mifepristone can increase efficacy. PRACTICE CHANGER: Pretreat patient with oral mifepristone prior to using vaginal misoprostol to increase the efficacy of medical management of early pregnancy loss over that with misoprostol alone. STRENGTH RECOMMENDATION: B: Based on a single, well-executed, randomized controlled trial.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.