Misoprostol Use in Incomplete Abortion

Abstract

Objective:  The objective of the study was to assess the efficacy of two doses of oral misoprostol in cases of incomplete abortion.

Study Design:  Cohort study design. Sampling techni-que used for patient selection was nonprobability (pur-posive sampling).

Settings:  This study was conducted in Royal Bapco Hospital, Bahrain from 2008 - 2009.

Material and Methods:  All women presenting in gynaecological clinic with incomplete abortion were selected. The diagnosis was made on history, exami-nation and ultrasound. 100 women opted the offer of medical management with oral misoprostol .Baseline investigations (blood group, Rh factor and CBC) were done. Oral misoprostol 600 µg was given and repeated after 12 hours. The follow visit was scheduled after one week to assess the efficacy of treatment.

Results:  Nearly all patients had complete abortion by one week as confirmed by Ultrasonography. The ave-rage bleeding lasted for one week and all patients were satisfied with the medical management and wan-ted to use it in future.

Conclusion:  Misoprostol is very effective in mana-gement of incomplete abortion and obviates the need for surgical treatment which is not cost effective in busy obstetrical units. Two doses of misoprostol were used which according to our study reduces the dura-tion of bleeding which on an average at least three weeks in most of the studies.