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A Study of Efficacy of Misoprostol in Missed Abortion
1Graded Specialist (Obsterics & Gynaecology), INHS Asvini, Colaba, Mumbai.
Background:
Missed abortion is a common emergency where uterine evacuation is performed by surgical means.
Method:
A total of 30 patients were included in this study to evaluate the efficacy of tablet misoprostol for uterine evacuation in cases of missed abortion. The gestational age ranged from 8-22 weeks. 21 out of 30 patients were primigravidae and the rest multigravidae. Tablet misoprostol (200mcg) was applied vaginally in the posterior fornix every eight hours to a maximum of five tablets. Success rate, complications and side effects were the main outcome measures.
Results:
The procedure was successful in all cases. Two out of 30 cases required check curettage. Gastrointestinal side effects like vomiting and diarrhoea were seen in few cases.
Conclusion:
The use of tablet misoprostol is effective for uterine evacuation in cases of missed abortion.